| Dr James H Bloodworth, MD | |
|
1900 Tebeau St, Waycross, GA 31501 | |
| (912) 287-5326 | |
| (912) 287-4222 |
| Full Name | Dr James H Bloodworth |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 42 Years |
| Location | 1900 Tebeau St, Waycross, 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 |
|---|---|---|---|
| 1235112913 | NPI | - | NPPES |
| 009994780 | Medicaid | AL | |
| 601-38352 | Other | AL | BCBS |
| 009994790 | Medicaid | AL | |
| 009994770 | Medicaid | AL | |
| 600-96927 | Other | AL | BCBS |
| 000557554A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036686 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
| Memorial University Medical Center | Savannah, GA | Hospital |
| Bacon County Hospital | Alma, GA | Hospital |
| Coastal Carolina Hospital | Hardeeville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Regional Laboratories Pathology Services, Llc | 9133244346 | 134 |
| Entity Name | Mayo Clinic Health System In Waycross, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154745982 PECOS PAC ID: 0042124919 Enrollment ID: O20040308000639 |
| Entity Name | Integrated Regional Laboratories Pathology Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942526298 PECOS PAC ID: 9133244346 Enrollment ID: O20170803001184 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James H Bloodworth, MD Po Box 741087, Atlanta, GA 30374-1087 Ph: (912) 287-5326 | Dr James H Bloodworth, MD 1900 Tebeau St, Waycross, GA 31501 Ph: (912) 287-5326 |
Robert Keath Wade, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-261-2669 Fax: 912-261-0561 |