Benjamin David Theobald, MD | |
101 E Wood St, Spartanburg, SC 29303-3040 | |
(864) 560-7025 | |
(864) 560-7388 |
Full Name | Benjamin David Theobald |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 7 Years |
Location | 101 E Wood St, Spartanburg, South 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 |
---|---|---|---|
1053846287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 41006 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spartanburg Medical Center | Spartanburg, SC | Hospital |
Cherokee Medical Center | Gaffney, SC | Hospital |
Pelham Medical Center | Greer, SC | Hospital |
Union Medical Center | Union, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pelham Medical Center | 2365519097 | 137 |
Spartanburg Medical Center | 3072425297 | 912 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
Entity Name | Pelham Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329 |
Mailing Address | Practice Location Address |
---|---|
Benjamin David Theobald, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: () - | Benjamin David Theobald, MD 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-7025 |
Stephanie A Taft, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 E Blackstock Rd, Spartanburg, SC 29301 Phone: 864-576-8646 | |
Dr. John Falcon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-4123 | |
Rosanna Patrice Couture, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 | |
Kristin Demosthenes Rowland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Brandon Keith Wyss, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 Fax: 864-560-7388 | |
Dr. Brian E Rothemich, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 E Wood St, Emergency Center, Spartanburg, SC 29303 Phone: 864-560-6222 |