Ericka V Li Fuentes (NPI# 1295048213, PAC ID# 8123260106) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1295048213 |
| PAC ID by PECOS | 8123260106 |
| Professional Enrollment ID | I20130805000684 |
| Full Name | Ericka V Li Fuentes |
| Organization Legal Name | THE CORPORATION OF MERCER UNIVERSITY |
| Address |
764 Pine St Macon GA 31201-2107 |
| Phone Number | 4786331721 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7618968066 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| Address | Phone | Organization |
|---|---|---|
| 764 Pine St, Macon, GA 31201-2107 | 4786331721 | THE CORPORATION OF MERCER UNIVERSITY |
| Organization Legal Name | THE CORPORATION OF MERCER UNIVERSITY |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Henderson | Internal Medicine | The Corporation of Mercer University | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 |
| Jennifer Claire Hoffman | Infectious Disease | The Corporation of Mercer University | 707 Pine St, Macon, GA 31201-2106 |
| Jeffrey Gervais Ebert | Physical Therapy | The Corporation of Mercer University | 3001 Mercer University Dr, Suite 106, Atlanta, GA 30341-4115 |
| Jane F Hardee | Clinical Social Worker | The Corporation of Mercer University | 655 1st St, Macon, GA 31201-2852 |
| Alice R House | Family Medicine | The Corporation of Mercer University | 3575 Fulton Mill Rd, Macon, GA 31206-5125 |
| Betty Jo Songer | Nurse Practitioner | The Corporation of Mercer University | 1550 College St, Macon, GA 31207-0001 |
| Patricia B Fennessy | Obstetrics/gynecology | The Corporation of Mercer University | 107 Main St, Plains, GA 31780-5570 |
| Julian Clyde Hutchins Jr. | Internal Medicine | The Corporation of Mercer University | 777 Hemlock St, Macon, GA 31201-2102 |
| Jonathan Andrew Purser | Physical Therapy | The Corporation of Mercer University | 3001 Mercer University Dr, Suite 106, Atlanta, GA 30341-4115 |
| Christopher B Reeves | Family Medicine | The Corporation of Mercer University | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 |
| Street Address |
764 PINE ST |
| City | MACON |
| State | GA |
| Zip | 31201-2107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fady S Wanna | Thoracic Surgery | 688 Walnut St, Suite 102, Macon, GA 31201-0329 | |
| Kuo L Lee | Diagnostic Radiology | Medrad LLC | 1818 Forsyth St, Suite 100, Macon, GA 31201-1102 |
| Pankaj T Patel | Diagnostic Radiology | Medrad LLC | 1818 Forsyth St, Suite 100, Macon, GA 31201-1102 |
| Felicity A Quansah | Ophthalmology | 1870 Hardeman Ave, Macon, GA 31201-1161 | |
| M Gary Carter | Ophthalmology | 1867 Forsyth St, Macon, GA 31201-1166 | |
| Conrad N Miller | Family Medicine | 1818 Forsyth St, Suite 200, Macon, GA 31201-1170 | |
| Andrew Hall | Occupational Therapy | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Emily C Kell | Physical Therapy | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Steven A Kelham | Physician Assistant | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Brandon D Cantrell | Physician Assistant | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Find all physicians in zip 31201 | |||
| City | MACON |
| Zip Code | 31201 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MACON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ericka V Li Fuentes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.