Dr Justin S Moll, MD | |
525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 | |
(864) 272-0388 | |
(864) 213-9237 |
Full Name | Dr Justin S Moll |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 525 Verdae Blvd Ste 200, Greenville, 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 |
---|---|---|---|
1285671131 | NPI | - | NPPES |
6926060 | Other | SC | CIGNA |
7129677 | Other | SC | AETNA |
238567 | Medicaid | SC | |
576007863102 | Other | SC | BCBS OF SC |
576007863103 | Other | SC | BLUE CHOICE OF SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 23856 (South Carolina) | Primary |
Entity Name | Musc Affiliate Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548849482 PECOS PAC ID: 6305241027 Enrollment ID: O20210818002996 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin S Moll, MD 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 Ph: (864) 272-0388 | Dr Justin S Moll, MD 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 Ph: (864) 272-0388 |
Angela Murray Young, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-864-2207 Fax: 864-241-9211 | |
Mata Adams, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7895 | |
Dominic Bruno Gault, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr, Ste A330, Greenville, SC 29615 Phone: 864-454-5660 Fax: 864-241-9233 | |
Anna Mezey Brownstein, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-220-7270 Fax: 864-241-9211 | |
Dr. Cristina Espindula Fernandes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 W Faris Rd, 2nd Floor, Greenville, SC 29605 Phone: 864-455-8898 Fax: 864-455-5164 | |
Mrs. Linda S Parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 Phone: 864-288-5402 Fax: 864-234-7961 | |
Justin Brantley Holladay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7844 Fax: 864-455-7848 |