David Kirk Depriest, DO | |
135 Commonwealth Dr., Ste. 210, Greenville, SC 29615-4815 | |
(864) 675-4815 | |
(864) 675-4780 |
Full Name | David Kirk Depriest |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 26 Years |
Location | 135 Commonwealth Dr., Ste. 210, Greenville, 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 |
---|---|---|---|
1285633313 | NPI | - | NPPES |
200025290A | Medicaid | OK | |
007922 | Medicaid | SC | |
SC85217628 | Other | SC | MEDICARE PIN |
200025290B | Other | OK | MEDICAID OSU AJ |
P01319268 | Other | OK | RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 792 (South Carolina) | Secondary |
208600000X | Surgery | 4145 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pelham Medical Center | Greer, SC | Hospital |
Spartanburg Medical Center | Spartanburg, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spartanburg Medical Center | 3072425297 | 912 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760114664 PECOS PAC ID: 3072425297 Enrollment ID: O20040108000827 |
Mailing Address | Practice Location Address |
---|---|
David Kirk Depriest, DO Po Box 743294, Atlanta, GA 30374-3294 Ph: (864) 675-4815 | David Kirk Depriest, DO 135 Commonwealth Dr., Ste. 210, Greenville, SC 29615-4815 Ph: (864) 675-4815 |
John David Scott, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 Fax: 864-522-2105 | |
Dr. Robert Vincent Madlinger, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 580, Greenville, SC 29605 Phone: 864-455-7874 Fax: 864-455-7874 | |
Tiffany Deanna Lance, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Support Tower 3rd Floor, Greenville, SC 29605 Phone: 864-455-1435 Fax: 864-455-1320 | |
Dr. Robert Louis Ricca Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 48 Cross Park Ct, Greenville, SC 29605 Phone: 864-797-7400 | |
Ashley Vaughan, Surgery Medicare: Medicare Enrolled Practice Location: 890 W Faris Rd Ste 310, Greenville, SC 29605 Phone: 864-455-8300 Fax: 864-455-8310 | |
Paola Alexandra Rodriguez Morales, Surgery Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-5515 | |
Shanu Nikhil Kothari, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 |