Dr John D Deperi, M D | |
146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | |
(803) 936-3300 | |
(803) 936-7735 |
Full Name | Dr John D Deperi |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 146 E Hospital Dr Ste 400, West Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043278427 | NPI | - | NPPES |
278558 | Other | AVMED | |
7528092 | Other | AETNA | |
004359200 | Medicaid | FL | |
6427217 | Other | CIGNA | |
51834 | Other | BCBS FL | |
P00062696 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 86833 (South Carolina) | Secondary |
208600000X | Surgery | ME79425 (Florida) | Primary |
Entity Name | Lexington Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Mailing Address | Practice Location Address |
---|---|
Dr John D Deperi, M D 3627 University Blvd S, Suite 700, Jacksonville, FL 32216-4230 Ph: (904) 399-5678 | Dr John D Deperi, M D 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 Ph: (803) 936-3300 |
Dr. Solon Gray Hughes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Dr. Elizabeth Ellen Price, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Dr. Marc C Antonetti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Jeffrey S. Molle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 176 Mcswain Dr, West Columbia, SC 29169 Phone: 803-767-4465 Fax: 803-767-4120 | |
Dr. Goran Rac, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 Fax: 803-739-3663 | |
Dr. Todd Samuel Lefkowitz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd, Ste 105, West Columbia, SC 29169 Phone: 803-936-7045 |