| Tian Li, | |
|
600 Moye Blvd, Greenville, NC 27834-4300 | |
| (252) 744-2803 | |
| (252) 744-3616 |
| Full Name | Tian Li |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 11 Years |
| Location | 600 Moye Blvd, Greenville, North Carolina |
| 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 |
|---|---|---|---|
| 1447661392 | NPI | - | NPPES |
| NN7799A | Other | NC | MEDICARE |
| 1447661392 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2019-01430 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Illinois Pathology, Sc | 9133160450 | 11 |
| Entity Name | Central Illinois Pathology, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114970761 PECOS PAC ID: 9133160450 Enrollment ID: O20050517000934 |
| Mailing Address | Practice Location Address |
|---|---|
| Tian Li, Po Box 751069, Charlotte, NC 28275-1069 Ph: () - | Tian Li, 600 Moye Blvd, Greenville, NC 27834-4300 Ph: (252) 744-2803 |
Dr. John D Christie, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Ecu Physicians Pathology Brody Outpatient Center, Greenville, NC 27834 Phone: 252-744-2803 Fax: 252-744-3616 | |
Cisley Cassmirra Hines, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2183 Fax: 252-744-3616 | |
Dr. Joseph P Pestaner, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Ecu Physicians Pathology, Greenville, NC 27834 Phone: 252-744-2803 Fax: 252-744-3616 | |
Shoujun Chen, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2803 Fax: 252-744-3616 | |
Dr. Joseph Geradts, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 600 Moye Blvd., Department Of Pathology, Ecu Health Medical Center, Greenville, NC 27834 Phone: 919-943-3371 | |
Karen Kelly, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2803 Fax: 252-744-3616 | |
Dr. Kim Robert Geisinger, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2803 Fax: 252-744-3616 |