| Dr Susan Elena Shirley, MD | |
|
311 W 8th St Ne, Rome, GA 30165-2723 | |
| (706) 291-8702 | |
| Not Available |
| Full Name | Dr Susan Elena Shirley |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 24 Years |
| Location | 311 W 8th St Ne, Rome, 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 |
|---|---|---|---|
| 1427107036 | NPI | - | NPPES |
| 598765966A | Medicaid | GA | |
| 009942541 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 052830 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dekalb Regional Medical Center | Fort payne, AL | Hospital |
| Redmond Regional Medical Center | Rome, GA | Hospital |
| Floyd Medical Center | Rome, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Pathology, P.c. | 4183617988 | 7 |
| Southeastern Pathology, P.c. | 4183617988 | 7 |
| Entity Name | Southeastern Pathology, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508848300 PECOS PAC ID: 4183617988 Enrollment ID: O20040710000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Elena Shirley, MD 311 W 8th St Ne, Rome, GA 30165-2723 Ph: (706) 291-8702 | Dr Susan Elena Shirley, MD 311 W 8th St Ne, Rome, GA 30165-2723 Ph: (706) 291-8702 |
Maximilian Goebel, M.D. Pathology Medicare: May Accept Medicare Assignments Practice Location: 311 W 8th St Ne, Rome, GA 30165 Phone: 706-291-2430 | |
Dr. Patrick David Kearns, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 311 W 8th St Ne, Rome, GA 30165 Phone: 706-291-8702 Fax: 706-291-6514 | |
Kendall Stuart Brewer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 311 West 8th Street, Rome, GA 30165 Phone: 706-291-8702 Fax: 706-291-6514 | |
Dr. Steven G Hom, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 311 W 8th St Ne, Rome, GA 30165 Phone: 706-291-8702 | |
Richard D Fernandez, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 311 West 8th Street, Rome, GA 30165 Phone: 706-291-8702 Fax: 706-291-6514 | |
Dr. Christopher J Kligora, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 311 W 8th St Ne, Rome, GA 30165 Phone: 706-291-8702 Fax: 706-291-6514 |