Dr Erica Rousseau Clark, DO | |
225 E Wood St, Spartanburg, SC 29303-3050 | |
(864) 560-4420 | |
Not Available |
Full Name | Dr Erica Rousseau Clark |
---|---|
Gender | Female |
Speciality | Vascular Surgery |
Experience | 14 Years |
Location | 225 E Wood St, 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 |
---|---|---|---|
1255635389 | NPI | - | NPPES |
047728 | Medicaid | SC | |
Q027415 | Medicaid | TN | |
SCG3105019 | Other | SC | MEDICARE PIN |
SCG3103365 | Other | SC | MEDICARE PIN |
SCG3109225 | Other | SC | MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4772 (South Carolina) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 4772 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
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 |
---|---|---|
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 | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
Entity Name | Pelham Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962644773 PECOS PAC ID: 2365519097 Enrollment ID: O20090602000210 |
Mailing Address | Practice Location Address |
---|---|
Dr Erica Rousseau Clark, DO Po Box 743070, Atlanta, GA 30374-3070 Ph: () - | Dr Erica Rousseau Clark, DO 225 E Wood St, Spartanburg, SC 29303-3050 Ph: (864) 560-4420 |
Nichole Tackett, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6285 | |
Dr. Michael G Mount, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 853 N Church St Ste 500, Spartanburg, SC 29303 Phone: 864-560-1576 Fax: 864-560-1590 | |
Cragin Currence, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6285 | |
Taylor William Cardwell, MD Surgery Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6171 | |
Hugh Tillman James Sr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 E Wood St, Suite 301, Spartanburg, SC 29303 Phone: 864-560-7070 Fax: 864-560-7073 | |
Dr. Caroline Elizabeth Cox, MD Surgery Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 803-603-6057 | |
Madison Clements, DO Surgery Medicare: Medicare Enrolled Practice Location: 101 E. Wood Street, Spartanburg, SC 29303 Phone: 864-560-6285 |