Carol A Kooistra, MD | |
541 Floyd Rd, Spartanburg, SC 29307-1520 | |
(864) 585-6179 | |
(864) 583-5403 |
Full Name | Carol A Kooistra |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 43 Years |
Location | 541 Floyd Rd, Spartanburg, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598741837 | NPI | - | NPPES |
89135C9 | Medicaid | NC | |
B91448 | Other | NC | UPIN |
135C9 | Other | BCBS | |
P00316714 | Other | NC | MEDICARE RR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 13349 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Greenville, SC | Home health agency |
Spartanburg Medical Center | Spartanburg, SC | Hospital |
Pelham Medical Center | Greer, SC | Hospital |
Cherokee Medical Center | Gaffney, SC | Hospital |
Union Medical Center | Union, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carolina Neurology Of Spartanburg | 1153564463 | 2 |
Spartanburg Medical Center | 3072425297 | 912 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Entity Name | Carolina Neurology Of Spartanburg |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922345529 PECOS PAC ID: 1153564463 Enrollment ID: O20130904001007 |
Mailing Address | Practice Location Address |
---|---|
Carol A Kooistra, MD 541 Floyd Rd, 541 Floyd Road, Spartanburg, SC 29307-1520 Ph: (864) 585-6179 | Carol A Kooistra, MD 541 Floyd Rd, Spartanburg, SC 29307-1520 Ph: (864) 585-6179 |
Dr. Vonda K Gravely, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Dr. Eugene Freeman Smith, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Hana San Esteban, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 391 Serpentine Dr Ste 400, Spartanburg, SC 29303 Phone: 864-560-7517 | |
Wayne Holt Denton, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Dr. Ann Marie Menendez-caldwell, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-415-9813 Fax: 864-598-9262 | |
Catherine Joan Kreiser, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 Fax: 864-585-9208 | |
Harold Jones Fuller Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303 Phone: 864-560-7517 Fax: 864-560-7520 |