Dr Miranda Lynn Worster, MD | |
298 Memorial Dr, Seneca, SC 29672-9443 | |
(864) 885-7758 | |
(864) 885-7749 |
Full Name | Dr Miranda Lynn Worster |
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Gender | Female |
Speciality | Pediatrics |
Location | 298 Memorial Dr, Seneca, 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 |
---|---|---|---|
1275739427 | NPI | - | NPPES |
301097 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 30109 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Greenville Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Mailing Address | Practice Location Address |
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Dr Miranda Lynn Worster, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Dr Miranda Lynn Worster, MD 298 Memorial Dr, Seneca, SC 29672-9443 Ph: (864) 885-7758 |
Antoinette Marie Bannister, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Omni Drive, Seneca, SC 29672 Phone: 864-888-4222 Fax: 864-888-0023 | |
Tarina Marlene Mendes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 207 Main St, Seneca, SC 29678 Phone: 864-882-2906 | |
Dr. Carey Molin Gully, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 457- B Hwy 123 Bypass, Seneca, SC 29678 Phone: 864-888-4464 Fax: 864-888-4462 | |
Frank A Stewart, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15579 Wells Highway, Seneca, SC 29678 Phone: 864-882-7800 Fax: 864-882-5908 | |
Lorraine Ann Bruce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Omni Drive, Seneca, SC 29672 Phone: 864-882-4222 Fax: 864-888-0023 | |
Lisa A Ruohoniemi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10706 Clemson Blvd, Seneca, SC 29678 Phone: 864-888-3020 Fax: 864-888-8585 |