Daniel Mouzon Smith Jr, MD | |
390 Keowee School Rd, Seneca, Seneca, SC 29672-6743 | |
(864) 885-7129 | |
(864) 882-7240 |
Full Name | Daniel Mouzon Smith Jr |
---|---|
Gender | Male |
Speciality | Family Medicine - Hospice And Palliative Medicine |
Location | 390 Keowee School Rd, Seneca, 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 |
---|---|---|---|
1669442927 | NPI | - | NPPES |
180707 | Medicaid | SC | |
GP4697 | Medicaid | SC | |
1669442927 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QH0002X | Family Medicine - Hospice And Palliative Medicine | 18070 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Greenville Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
Mailing Address | Practice Location Address |
---|---|
Daniel Mouzon Smith Jr, MD 1 Independence Pt, Greenville, Greenville, SC 29615-4545 Ph: (864) 797-6044 | Daniel Mouzon Smith Jr, MD 390 Keowee School Rd, Seneca, Seneca, SC 29672-6743 Ph: (864) 885-7129 |
John Franklin Miller, M. D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11082 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-2314 Fax: 864-882-3677 | |
Kevin Richard Saunders, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10110 Clemson Blvd, Seneca, SC 29678 Phone: 864-482-3148 Fax: 864-482-0505 | |
Andrew Hagenauer, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10110 Clemson Blvd, Seneca, SC 29678 Phone: 864-482-3148 Fax: 864-482-0505 | |
Sarah Elizabeth Peterson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11082 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-2314 Fax: 864-882-3677 | |
Michael Stephen Odom, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 12016 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-6141 Fax: 864-882-6680 | |
Dr. Beatriz Elena Gil-stewart, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15579 Wells Hwy, Seneca, SC 29678 Phone: 864-882-7800 Fax: 864-882-5908 | |
Ruthanne Marie Dahlheimer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11082 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-2314 |