| Robert James Siegel, MD | |
|
1000 Medical Center Blvd, Department Of Pathology, Lawrenceville, GA 30046-7694 | |
| (678) 442-4321 | |
| Not Available |
| Full Name | Robert James Siegel |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology |
| Location | 1000 Medical Center Blvd, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194780478 | NPI | - | NPPES |
| 00333308D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZH0000X | Pathology - Hematology | 023679 (Georgia) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 023679 (Georgia) | Primary |
| Entity Name | Gwinnett Pathology Assoc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104887330 PECOS PAC ID: 6901887769 Enrollment ID: O20040527000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert James Siegel, MD Po Box 1686, Indianapolis, IN 46206-1686 Ph: (800) 346-1181 | Robert James Siegel, MD 1000 Medical Center Blvd, Department Of Pathology, Lawrenceville, GA 30046-7694 Ph: (678) 442-4321 |
Stephen Alan Dayan, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 830 Johns Landing Way, Lawrenceville, GA 30045 Phone: 770-696-5254 | |
Punam Bhanot, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-4321 Fax: 770-682-2242 | |
Kelly Marie Adkins, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Department Of Pathology, Lawrenceville, GA 30046 Phone: 678-312-4526 | |
Bonnie Yvonne Watkins, PA Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-4526 Fax: 770-682-2219 | |
Daria Diana Murawski, Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-4526 | |
Ricardo J Delgado, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Department Of Pathology, Lawrenceville, GA 30046 Phone: 678-442-4321 |