Daniel Walter Brake Jr, MD | |
300 Scuffletown Rd, Simpsonville, SC 29681-7204 | |
(864) 329-0029 | |
(864) 329-8125 |
Full Name | Daniel Walter Brake Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 300 Scuffletown Rd, Simpsonville, 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 |
---|---|---|---|
1861432387 | NPI | - | NPPES |
236550 | Medicaid | SC | |
7602457 | Other | SC | AETNA |
P00038952 | Other | SC | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23655 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health Urgent Care Of South Carolina Pc | 1254703788 | 77 |
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 | Doctors Care, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366499048 PECOS PAC ID: 6204731300 Enrollment ID: O20040112000069 |
Entity Name | Prisma Health Urgent Care Of South Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851000855 PECOS PAC ID: 1254703788 Enrollment ID: O20230210000249 |
Mailing Address | Practice Location Address |
---|---|
Daniel Walter Brake Jr, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Daniel Walter Brake Jr, MD 300 Scuffletown Rd, Simpsonville, SC 29681-7204 Ph: (864) 329-0029 |
William J Taylor Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1338 Highway 14, Simpsonville, SC 29681 Phone: 864-297-7091 Fax: 864-297-6335 | |
James Marion Taylor Ii, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-0029 | |
Frank Brown Beacham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-0029 Fax: 864-329-8125 | |
Jennifer T Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 Se Main St, Simpsonville, SC 29681 Phone: 864-522-5400 Fax: 864-522-5405 | |
Katherine Therese Lewis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 Se Main St, Simpsonville, SC 29681 Phone: 864-522-5400 Fax: 864-522-5405 | |
Dr. Mark Timothy White, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1338 Highway 14, Simpsonville, SC 29681 Phone: 864-297-7091 | |
Jessica Anne Masocol, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-0029 |