Dr Shixiong Liao, MD | |
283 Dorchester Manor Blvd, N Charleston, SC 29420-8108 | |
(843) 300-3001 | |
(843) 300-3003 |
Full Name | Dr Shixiong Liao |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 37 Years |
Location | 283 Dorchester Manor Blvd, N Charleston, South Carolina |
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 |
---|---|---|---|
1285698829 | NPI | - | NPPES |
T80141 | Medicaid | SC | |
2012-02070 | Other | NC | MEDICAL LICENSE |
24005 | Other | SC | SC MEDICAL LICENSE# |
70136 | Other | GA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 24005 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carolina Digestive Disease Pa | 3375714769 | 4 |
Entity Name | Columbia Gastroenterology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922080266 PECOS PAC ID: 9234035759 Enrollment ID: O20040526001352 |
Entity Name | Lowcountry Gastroenterology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154437291 PECOS PAC ID: 1850350802 Enrollment ID: O20041006000650 |
Entity Name | Kassamo Dayemo Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578723037 PECOS PAC ID: 0749351468 Enrollment ID: O20080624000092 |
Entity Name | Carolina Digestive Disease Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285929794 PECOS PAC ID: 3375714769 Enrollment ID: O20110914000829 |
Mailing Address | Practice Location Address |
---|---|
Dr Shixiong Liao, MD 283 Dorchester Manor Blvd, N Charleston, SC 29420-8108 Ph: (843) 300-3001 | Dr Shixiong Liao, MD 283 Dorchester Manor Blvd, N Charleston, SC 29420-8108 Ph: (843) 300-3001 |
Karl K. Gruber, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 9330 Medical Plaza Dr, N Charleston, SC 29406 Phone: 843-797-4179 Fax: 843-797-4296 | |
Dr. Danyel Bourgeois Mcevoy, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4450 Leeds Pl W Ste A, N Charleston, SC 29405 Phone: 843-763-2611 Fax: 843-852-4099 | |
Charles J. Geilfuss Iii, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 9330 Medical Plaza Dr, N Charleston, SC 29406 Phone: 843-847-4179 Fax: 843-847-4296 |