Robert Keath Wade, MD | |
410 Darling Ave, Waycross, GA 31501-5246 | |
(912) 261-2669 | |
(912) 261-0561 |
Full Name | Robert Keath Wade |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 46 Years |
Location | 410 Darling Ave, Waycross, 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 |
---|---|---|---|
1114911054 | NPI | - | NPPES |
275098800 | Medicaid | FL | |
791600810 | Medicaid | GA | |
324421953A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 055575 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
East Georgia Regional Medical Center | Statesboro, GA | Hospital |
Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
Flagler Hospital | Saint augustine, FL | Hospital |
St Francis Hospital- Emory Healthcare | Columbus, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Pathology Associates Pc | 5890781371 | 45 |
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 |
Entity Name | Southern Gastroenterology Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205886504 PECOS PAC ID: 8820084064 Enrollment ID: O20040422000946 |
Mailing Address | Practice Location Address |
---|---|
Robert Keath Wade, MD Po Box 30309, Charleston, SC 29417-0309 Ph: (846) 554-9300 | Robert Keath Wade, MD 410 Darling Ave, Waycross, GA 31501-5246 Ph: (912) 261-2669 |
Dr. James H Bloodworth, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-287-5326 Fax: 912-287-4222 |