| Patrick E Godbey, MD | |
|
203 Indigo Drive, Southeastern Pathology Associates, Inc., Brunswick, GA 31525 | |
| (912) 279-1900 | |
| (912) 261-0753 |
| Full Name | Patrick E Godbey |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 203 Indigo Drive, Brunswick, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619951332 | NPI | - | NPPES |
| 000293829E | Medicaid | GA | |
| 000293829S | Medicaid | GA | |
| 000293829B | Medicaid | GA | |
| 000293829H | Medicaid | GA | |
| 000293829 | Medicaid | GA | |
| 000293829D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 024815 (Georgia) | Primary |
| 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 |
|---|---|
| Patrick E Godbey, MD Po Box 30309, Charleston, SC 29417 Ph: (843) 554-9300 | Patrick E Godbey, 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 |