Dr Fred J Kudrik, MD | |
166 Stoneridge Dr, Columbia, SC 29210-8239 | |
(803) 461-3000 | |
(803) 461-4910 |
Full Name | Dr Fred J Kudrik |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 27 Years |
Location | 166 Stoneridge Dr, Columbia, 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 |
---|---|---|---|
1104807668 | NPI | - | NPPES |
229336 | Medicaid | SC | |
6275 | Other | SC | MCARE GROUP# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 22933 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lexington Medical Center | West columbia, SC | Hospital |
Prisma Health Baptist | Columbia, SC | Hospital |
Prisma Health Richland Hospital | Columbia, SC | Hospital |
Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
Prisma Heath Tuomey Hospital | Sumter, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Carolina Oncology Assoc Pa | 6103739024 | 18 |
Entity Name | South Carolina Oncology Assoc Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467406918 PECOS PAC ID: 6103739024 Enrollment ID: O20031107000064 |
Mailing Address | Practice Location Address |
---|---|
Dr Fred J Kudrik, MD Po Box 2046, West Columbia, SC 29171-2046 Ph: (803) 461-3000 | Dr Fred J Kudrik, MD 166 Stoneridge Dr, Columbia, SC 29210-8239 Ph: (803) 461-3000 |
William Cole Andrew, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-8721 | |
Seetharamprasad Madala, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 Fax: 803-434-4160 | |
Michael Martin, Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd, Columbia, SC 29203 Phone: 803-434-6956 | |
Dr. Terry A Grainger, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-3800 Fax: 803-744-2759 | |
Dr. Adelero Olayinka Adebajo, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1520 Laurel St, Columbia, SC 29201 Phone: 803-799-8407 Fax: 803-252-9070 | |
James Pratt Iii, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 | |
Jeff Z Brooker Jr., MD, RETIRED Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1625 Bernardin Ave, Columbia, SC 29204 Phone: 803-251-8985 |