Robert Keath Wade, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Waycross, Georgia. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Southeastern Pathology Associates Pc and his current practice location is
410 Darling Ave, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 261-2669.
Robert Keath Wade is licensed to practice in Georgia (license number 055575) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114911054.
Physician's Profile
| Full Name | Robert Keath Wade |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 46 Years |
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| Location | 410 Darling Ave, Waycross, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Robert Keath Wade attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1978
NPI Data:
- NPI Number: 1114911054
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 04/29/2008
Medicare PECOS Information:
- PECOS PAC ID: 0143288555
- Enrollment ID: I20041230000432
Medical Identifiers
Medical identifiers for Robert Keath Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114911054 | NPI | - | NPPES |
| 275098800 | Medicaid | FL | |
| 791600810 | Medicaid | GA | |
| 324421953A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 055575 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeastern Pathology Associates Pc | 5890781371 | 47 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Robert Keath Wade allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Pathology Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821104704
PECOS PAC ID: 5890781371
Enrollment ID: O20040421000744 |
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| Entity Name | Southern Gastroenterology Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205886504
PECOS PAC ID: 8820084064
Enrollment ID: O20040422000946 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Keath Wade is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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 |
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