Dr Shixiong Liao, MD | |
1122 Pegram Crossing Drive, Charlotte, NC 28285 | |
(336) 999-8888 | |
(336) 999-8889 |
Full Name | Dr Shixiong Liao |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 37 Years |
Location | 1122 Pegram Crossing Drive, Charlotte, 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 |
---|---|---|---|
1285698829 | NPI | - | NPPES |
T80141 | Medicaid | SC | |
70136 | Other | GA | MEDICAL LICENSE |
24005 | Other | SC | SC MEDICAL LICENSE# |
2012-02070 | Other | NC | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 24005 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carolina Digestive Disease Pa | 3375714769 | 5 |
Carolina Digestive Health Associates Pa | 1951209790 | 45 |
Entity Name | Columbia Gastroenterology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922080266 PECOS PAC ID: 9234035759 Enrollment ID: O20040526001352 |
Entity Name | Lowcountry Gastroenterology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154437291 PECOS PAC ID: 1850350802 Enrollment ID: O20041006000650 |
Entity Name | Kassamo Dayemo Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578723037 PECOS PAC ID: 0749351468 Enrollment ID: O20080624000092 |
Entity Name | Carolina Digestive Disease Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285929794 PECOS PAC ID: 3375714769 Enrollment ID: O20110914000829 |
Mailing Address | Practice Location Address |
---|---|
Dr Shixiong Liao, MD Po Box 30369, Winston Salem, NC 27130-0369 Ph: (336) 817-9768 | Dr Shixiong Liao, MD 1122 Pegram Crossing Drive, Charlotte, NC 28285 Ph: (336) 999-8888 |
Dr. Patrick Aloysius Wilson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Presbyterian Hospital Department Of Pathology, Charlotte, NC 28204 Phone: 704-384-4814 Fax: 704-384-5770 | |
Dr. Linda J. Matthews, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 10628 Park Rd, Charlotte, NC 28210 Phone: 704-973-5500 | |
Levon Katsakhyan, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-973-5515 | |
Adil Gasim, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-973-5500 | |
Dr. James Dwayne Dollar, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd Fl 4, Charlotte, NC 28203 Phone: 704-973-5500 | |
Dr. Kevin Scott Smith, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 10628 Park Rd, Charlotte, NC 28210 Phone: 704-973-5500 | |
Michal Kamionek, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, 4th Floor- Department Of Patholoty, Charlotte, NC 28203 Phone: 704-355-2251 |