| Li Ma, MD | |
|
203 Indigo Drive, Southeastern Pathology Associates, Inc., Brunswick, GA 31525 | |
| (912) 279-1900 | |
| (912) 261-0753 |
| Full Name | Li Ma |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 43 Years |
| Location | 203 Indigo Drive, Brunswick, 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 |
|---|---|---|---|
| 1679731095 | NPI | - | NPPES |
| 630468641 | Medicaid | GA | |
| 630468641H | Medicaid | GA | |
| 630468641F | Medicaid | GA | |
| 630468641G | Medicaid | GA | |
| 630468641C | Medicaid | GA | |
| 630468641E | Medicaid | GA | |
| 630468641I | Medicaid | GA | |
| 630468641J | Medicaid | GA | |
| 630468641A | Medicaid | GA | |
| 630468641B | Medicaid | GA | |
| 630468641D | Medicaid | GA |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Pathology Associates Pc | 5890781371 | 45 |
| Entity Name | Southeastern Pathology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821104704 PECOS PAC ID: 5890781371 Enrollment ID: O20040421000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Li Ma, MD Po Box 30309, Charleston, SC 29417 Ph: (843) 554-9300 | Li Ma, MD 203 Indigo Drive, Southeastern Pathology Associates, Inc., Brunswick, GA 31525 Ph: (912) 279-1900 |
Dr. Yumi Angerica Kojima, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669 Fax: 912-261-0561 | |
Ningxing Chen, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669 | |
Rena Burlingame Rengo, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669 | |
Shyamala Yennam, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669 Fax: 912-261-0561 | |
Janet O. Hon, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3011 Hampton Ave, Sepa, Brunswick, GA 31520 Phone: 912-261-2669 Fax: 912-261-0561 | |
Carolyn Kinzer-bezanson Wall, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Drive, Southeastern Pathology Associates, Pc, Brunswick, GA 31525 Phone: 912-279-1900 Fax: 912-261-0753 | |
Rose P Draviam, M. D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3011 Hampton Ave, Brunswick, GA 31520 Phone: 912-261-2669 Fax: 912-261-0561 |