Dr Linda J Crout Wingard, MD | |
2525 Kinard Street, Newberry, SC 29108 | |
(803) 405-0220 | |
(803) 405-0222 |
Full Name | Dr Linda J Crout Wingard |
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Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 2525 Kinard Street, Newberry, 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 |
---|---|---|---|
1669432779 | NPI | - | NPPES |
GP3903 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 12957 (South Carolina) | Primary |
Entity Name | Eau Claire Cooperative Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
Mailing Address | Practice Location Address |
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Dr Linda J Crout Wingard, MD 2525 Kinard Street, Newberry, SC 29108 Ph: (803) 405-0220 | Dr Linda J Crout Wingard, MD 2525 Kinard Street, Newberry, SC 29108 Ph: (803) 405-0220 |
Dr. Rebecca L White, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 Kinard St, Newberry, SC 29108 Phone: 803-405-0220 Fax: 803-405-0222 | |
Dr. Danielle Renae Davis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 145 Executive Dr, Newberry, SC 29108 Phone: 803-733-5969 | |
Rebecca Susan Biscoglia, Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 Kinard St, Newberry, SC 29108 Phone: 803-405-0220 |