Dr Susan Catherine Shelley, MD | |
318 Memorial Dr, Greer, SC 29650-1521 | |
(864) 879-3883 | |
(864) 848-3492 |
Full Name | Dr Susan Catherine Shelley |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 318 Memorial Dr, Greer, 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 |
---|---|---|---|
1952515603 | NPI | - | NPPES |
294032 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 29403 (South Carolina) | Primary |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan Catherine Shelley, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044 | Dr Susan Catherine Shelley, MD 318 Memorial Dr, Greer, SC 29650-1521 Ph: (864) 879-3883 |
Bradley Sieckman, Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Physicians Dr, Greer, SC 29650 Phone: 864-797-9100 Fax: 864-241-9239 | |
Michelle Rene Viglianco-vanpelt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 325 Medical Pkwy, Suite 150, Greer, SC 29650 Phone: 864-797-9300 Fax: 864-849-9196 | |
Hajar Raissi-fard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Memorial Dr, Pediatric Center, Greer, SC 29650 Phone: 864-848-7005 Fax: 864-848-3666 | |
Dr. Jaqwiana Samia Baker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Physicians Dr, Greer, SC 29650 Phone: 864-797-9100 Fax: 864-241-9239 | |
Dr. Edward H Hausladen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 554 Memorial Drive Ext, Suite C, Greer, SC 29651 Phone: 864-879-3883 Fax: 864-848-3492 | |
James Raff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 319 S Buncombe Rd, Greer, SC 29650 Phone: 864-877-3883 Fax: 864-284-0844 | |
Dr. James Bartlette Key, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 554 Memorial Drive Ext, Suite C, Greer, SC 29651 Phone: 864-879-3883 Fax: 864-848-3492 |