| Dr Lee Fucich, MD | |
|
5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | |
| (251) 460-0326 | |
| (251) 460-2846 |
| Full Name | Dr Lee Fucich |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 34 Years |
| Location | 5 Mobile Infirmary Cir, Mobile, Alabama |
| 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 |
|---|---|---|---|
| 1033191150 | NPI | - | NPPES |
| 009912217 | Medicaid | AL | |
| 009939717 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 20718 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mobile Infirmary Medical Center | Mobile, AL | Hospital |
| Thomas Hospital | Fairhope, AL | Hospital |
| South Baldwin Regional Medical Center | Foley, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf Regional Pathologists Pa | 9830115385 | 7 |
| Entity Name | Gulf Regional Pathologists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588776108 PECOS PAC ID: 9830115385 Enrollment ID: O20051024000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lee Fucich, MD Po Box 91498, Mobile, AL 36691-1498 Ph: (251) 460-0326 | Dr Lee Fucich, MD 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 Ph: (251) 460-0326 |
Dr. Lloyd Gardner, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-460-0326 Fax: 251-460-2846 | |
Elizabeth A. Manci, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1700 Center St, Pathology, Mobile, AL 36604 Phone: 251-415-1612 Fax: 251-415-1003 | |
Carole Boudreaux, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2451 Fillingim St, Pathology, Mobile, AL 36617 Phone: 251-471-7790 Fax: 251-471-7715 | |
Jonathan Newsom, Pathology Medicare: Medicare Enrolled Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-470-9912 | |
Dr. Rodney Edwin Shackelford, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-471-7790 Fax: 251-471-7096 | |
Marianne Yassa, Pathology Medicare: Not Enrolled in Medicare Practice Location: 2451 University Hospital Dr Bldg Room120, Mobile, AL 36617 Phone: 251-471-7786 |