| Jonathan Li, MD | |
|
19 Bramble Bush Dr, Falmouth, MA 02540-2325 | |
| (508) 540-7555 | |
| Not Available |
| Full Name | Jonathan Li |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 8 Years |
| Location | 19 Bramble Bush Dr, Falmouth, Massachusetts |
| 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 |
|---|---|---|---|
| 1659878577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 1015932 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Medical Center | Austell, GA | Hospital |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | Hospital |
| Cape Cod Hospital | Hyannis, MA | Hospital |
| Wellstar Paulding Medical Center | Hiram, GA | Hospital |
| Wellstar Douglas Medical Center | Douglasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 3059 |
| Entity Name | Wellstar Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Li, MD 32 James St, Lexington, MA 02420-1130 Ph: (781) 698-7415 | Jonathan Li, MD 19 Bramble Bush Dr, Falmouth, MA 02540-2325 Ph: (508) 540-7555 |
Paul Bouche, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 19 Bramble Bush Dr, Falmouth, MA 02540 Phone: 508-540-7555 |
James Bleiler, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 19 Bramble Bush Dr, Falmouth, MA 02540 Phone: 508-540-7555 Fax: 508-540-3008 |
Dr. Dean Edward Leocadio, M.D., M.A. Urology Medicare: Not Enrolled in Medicare Practice Location: 19 Bramble Bush Dr, Falmouth, MA 02540 Phone: 508-540-7555 Fax: 508-540-3008 |