| Dr Drazen M Jukic, MD, PHD | |
|
5400 Sutlive St, Suite 3, Savannah, GA 31405-4721 | |
| (912) 232-7546 | |
| (912) 777-7798 |
| Full Name | Dr Drazen M Jukic |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 32 Years |
| Location | 5400 Sutlive St, Savannah, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134193774 | NPI | - | NPPES |
| 003140616 | Medicaid | GA | |
| 056878 | Other | GA | GEORGIA LICENSE |
| 003007800 | Medicaid | FL | |
| 149H6 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZD0900X | Pathology - Dermatopathology | 056878 (Georgia) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 056878 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Dermatology And Skin Cancer Center, Llc | 7113980855 | 50 |
| Entity Name | Georgia Dermatology & Skin Cancer Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063460459 PECOS PAC ID: 7113980855 Enrollment ID: O20041104000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Drazen M Jukic, MD, PHD 2400 Bellevue Rd, Suite 21-a, Dublin, GA 31021-2885 Ph: (478) 275-7202 | Dr Drazen M Jukic, MD, PHD 5400 Sutlive St, Suite 3, Savannah, GA 31405-4721 Ph: (912) 232-7546 |
Dr. Tyler John Wildes, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St, Savannah, GA 31405 Phone: 800-288-8325 | |
Ms. Kiara J Baker, CCMA Pathology Medicare: Not Enrolled in Medicare Practice Location: 10500 Abercorn St, Savannah, GA 31419 Phone: 877-225-0316 | |
Olga Suzanne Chajewski, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St, Savannah, GA 31405 Phone: 912-819-6000 | |
Paul James Drwiega, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5353 Reynolds St, Savannah, GA 31405 Phone: 800-528-3448 | |
Lorraine Elizabeth Pare, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4700 Waters Ave, Savannah, GA 31404 Phone: 800-528-3448 | |
Edmund Roche Donoghue Jr., MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 925 Mohawk St, Savannah, GA 31419 Phone: 912-921-5954 |