Bethany C Bray, MD | |
2728 Sunset Blvd Ste 106, West Columbia, SC 29169-4836 | |
(803) 314-9760 | |
(803) 314-9761 |
Full Name | Bethany C Bray |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Location | 2728 Sunset Blvd Ste 106, West Columbia, 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 |
---|---|---|---|
1831222181 | NPI | - | NPPES |
279834 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 27983 (South Carolina) | Primary |
Entity Name | Lexington Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Mailing Address | Practice Location Address |
---|---|
Bethany C Bray, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 314-9760 | Bethany C Bray, MD 2728 Sunset Blvd Ste 106, West Columbia, SC 29169-4836 Ph: (803) 314-9760 |
Dr. Monique Dorcel Courtenay, MD, PHD Ophthalmology Medicare: Medicare Enrolled Practice Location: 2728 Sunset Blvd Ste 106, West Columbia, SC 29169 Phone: 803-314-9760 Fax: 803-314-9761 | |
William Lloyd Clark, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 124 Sunset Court, West Columbia, SC 29169 Phone: 803-931-0077 Fax: 803-931-0076 | |
Dr. John F Payne, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 124 Sunset Court, West Columbia, SC 29169 Phone: 803-931-0077 Fax: 803-931-0076 | |
David L Johnson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 124 Sunset Court, West Columbia, SC 29169 Phone: 803-931-0077 Fax: 803-931-0076 | |
John A Wells Iii, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 124 Sunset Court, West Columbia, SC 29169 Phone: 803-931-0077 Fax: 803-931-0076 |