Ashley Vaughan, | |
890 W Faris Rd Ste 310, Greenville, SC 29605-4281 | |
(864) 455-8300 | |
(864) 455-8310 |
Full Name | Ashley Vaughan |
---|---|
Gender | Female |
Speciality | Surgery - Surgical Critical Care |
Location | 890 W Faris Rd Ste 310, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053772269 | NPI | - | NPPES |
830738 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 83073 (South Carolina) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | 83073 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
---|---|
Ashley Vaughan, 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Ashley Vaughan, 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 Ph: (864) 455-8300 |
John David Scott, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 Fax: 864-522-2105 | |
Dr. Robert Vincent Madlinger, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 580, Greenville, SC 29605 Phone: 864-455-7874 Fax: 864-455-7874 | |
Tiffany Deanna Lance, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Support Tower 3rd Floor, Greenville, SC 29605 Phone: 864-455-1435 Fax: 864-455-1320 | |
Dr. Robert Louis Ricca Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 48 Cross Park Ct, Greenville, SC 29605 Phone: 864-797-7400 | |
Paola Alexandra Rodriguez Morales, Surgery Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-5515 | |
Shanu Nikhil Kothari, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 |