| Shyamala Yennam, MD | |
|
203 Indigo Dr, Brunswick, GA 31525-6865 | |
| (912) 261-2669 | |
| (912) 261-0561 |
| Full Name | Shyamala Yennam |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 25 Years |
| Location | 203 Indigo Dr, Brunswick, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053624049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | N/A (District Of Columbia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Southeast Georgia Health System -- Camden Campus | Saint marys, GA | Hospital |
| Wayne Memorial Hospital | Jesup, GA | Hospital |
| 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 |
|---|---|
| Shyamala Yennam, MD 203 Indigo Dr, Brunswick, GA 31525-6865 Ph: (703) 992-5118 | Shyamala Yennam, MD 203 Indigo Dr, Brunswick, GA 31525-6865 Ph: (912) 261-2669 |
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 | |
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 |