Dr Alexandra Landers Lataille, MD | |
1325 Spring St, Greenwood, SC 29646-3860 | |
(864) 725-4111 | |
Not Available |
Full Name | Dr Alexandra Landers Lataille |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 9 Years |
Location | 1325 Spring St, Greenwood, 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 |
---|---|---|---|
1538549639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 38229 (South Carolina) | Secondary |
207L00000X | Anesthesiology | 38229 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Self Regional Healthcare | Greenwood, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Self Medical Group | 6002953916 | 326 |
Anesthesiology Of Greenwood Pa | 7214830579 | 36 |
Entity Name | Anesthesiology Of Greenwood Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932189081 PECOS PAC ID: 7214830579 Enrollment ID: O20040202000729 |
Entity Name | Self Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Mailing Address | Practice Location Address |
---|---|
Dr Alexandra Landers Lataille, MD 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425-8905 Ph: () - | Dr Alexandra Landers Lataille, MD 1325 Spring St, Greenwood, SC 29646-3860 Ph: (864) 725-4111 |
Dr. Kirsten Alayna Dahl, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-227-8242 | |
William G Devore, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Dr. Derek Scott Harwell, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Anesthesia Dept, Greenwood, SC 29646 Phone: 864-227-4111 | |
Dr. Kelley T Watson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Anesthesia Dept, Greenwood, SC 29646 Phone: 864-227-4111 | |
Dr. William Fred Hubbard Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Dr. Devendra T Shantha, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Dr. William R Warner, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Anesthesia Dept, Greenwood, SC 29646 Phone: 864-227-4111 |