Olga Fundyler Tate, MD in Brunswick, GA

Olga Fundyler Tate, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Brunswick, Georgia. She went to University Of Arkansas College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Southeastern Pathology Associates Pc, Southeastern Pathology Associates Pc and her current practice location is 203 Indigo Dr, Brunswick, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 261-2669.

Olga Fundyler Tate is licensed to practice in Massachusetts (license number 234186) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982883138.

Contact Information

	Olga Fundyler Tate, MD
	203 Indigo Dr, Brunswick, GA 31525-6865
	(912) 261-2669
	Not Available

Map and Direction

Physician's Profile

Full Name	Olga Fundyler Tate
Gender	Female
Speciality	Pathology
Experience	21 Years
Location	203 Indigo Dr, Brunswick, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Olga Fundyler Tate attended and graduated from University Of Arkansas College Of Medicine in 2003

NPI Data:

NPI Number: 1982883138
Provider Enumeration Date: 10/24/2007
Last Update Date: 02/24/2017

Medicare PECOS Information:

PECOS PAC ID: 3779659784
Enrollment ID: I20080827000349

Medical Identifiers

Medical identifiers for Olga Fundyler Tate such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982883138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	234186 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeast Georgia Health System- Brunswick Campus	Brunswick, GA	Hospital
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital
Flagler Hospital	Saint augustine, FL	Hospital
Houston Medical Center	Warner robins, GA	Hospital
East Georgia Regional Medical Center	Statesboro, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Pathology Associates Pc	5890781371	45
Southeastern Pathology Associates Pc	5890781371	45

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Olga Fundyler Tate allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Pathology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821104704 PECOS PAC ID: 5890781371 Enrollment ID: O20040421000744

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olga Fundyler Tate is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Olga Fundyler Tate, MD 203 Indigo Dr., Brunswick, GA 31525 Ph: (912) 261-2669	Olga Fundyler Tate, MD 203 Indigo Dr, Brunswick, GA 31525-6865 Ph: (912) 261-2669

Reviews and Comments

Pathology Doctors in Brunswick, GA

Dr. Yumi Angerica Kojima, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669 Fax: 912-261-0561
Ningxing Chen, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669
Rena Burlingame Rengo, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669
Shyamala Yennam, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669 Fax: 912-261-0561
Janet O. Hon, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3011 Hampton Ave, Sepa, Brunswick, GA 31520 Phone: 912-261-2669 Fax: 912-261-0561
Carolyn Kinzer-bezanson Wall, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Drive, Southeastern Pathology Associates, Pc, Brunswick, GA 31525 Phone: 912-279-1900 Fax: 912-261-0753
Rose P Draviam, M. D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3011 Hampton Ave, Brunswick, GA 31520 Phone: 912-261-2669 Fax: 912-261-0561

Olga Fundyler Tate, MD - Medicare Pathology in Brunswick, GA