Dr Lisa Carlson, MD | |
101 E Wood Street, Medical Group Of The Carolinas Inpatient Medicine, Spartanburg, SC 29303 | |
(864) 560-6654 | |
Not Available |
Full Name | Dr Lisa Carlson |
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Gender | Female |
Speciality | Internal Medicine |
Location | 101 E Wood Street, Spartanburg, 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 |
---|---|---|---|
1598772212 | NPI | - | NPPES |
361852 | Medicaid | SC | |
P01352894 | Other | SC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 56271 (Georgia) | Secondary |
207R00000X | Internal Medicine | 36185 (South Carolina) | Primary |
Entity Name | Conviva Medical Center Management Of Texas, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710341144 PECOS PAC ID: 8729302278 Enrollment ID: O20160808001129 |
Mailing Address | Practice Location Address |
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Dr Lisa Carlson, MD Po Box 2168, Spartanburg, SC 29304-2168 Ph: (864) 560-4123 | Dr Lisa Carlson, MD 101 E Wood Street, Medical Group Of The Carolinas Inpatient Medicine, Spartanburg, SC 29303 Ph: (864) 560-6654 |
Dr. Tondre Buck, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Adam Evec, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 500, Spartanburg, SC 29303 Phone: 864-560-4304 Fax: 864-560-4023 | |
Larry E Kibler, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 | |
Dr. Vikas Dembla, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Dr. Andrew Omoit Ekatan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Suite 401, Spartanburg, SC 29303 Phone: 864-560-6654 Fax: 864-560-7353 | |
Stetson Reed Bickley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644 | |
Nalin K Srivastava, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 |