| Dr Carol P Crisco, MD | |
|
677 Church St Ne, Marietta, GA 30060-1101 | |
| (770) 793-5435 | |
| Not Available |
| Full Name | Dr Carol P Crisco |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 33 Years |
| Location | 677 Church St Ne, Marietta, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194776732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | 45195 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Pathology Associates Pc | 5890781371 | 45 |
| Southeastern Pathology Associates Pc | 5890781371 | 45 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carol P Crisco, MD 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 793-5435 | Dr Carol P Crisco, MD 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 793-5435 |
Burton Kim, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000 | |
Dr. Weijian Zhu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 488 Kennesaw Ave Nw, Marietta, GA 30060 Phone: 404-888-7575 Fax: 678-631-4624 | |
Dr. Sara Nolting, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 | |
Dr. Sara Elizabeth Nash, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067 Phone: 770-951-1793 | |
Haohai Liang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5505 Fax: 770-793-7919 | |
Dr. Aimee Popp, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 Fax: 770-793-5472 |