Dr Theodore Edward Brisson, MD | |
2890 Tricom Street, North Charleston, SC 29406-9171 | |
(843) 797-6600 | |
(843) 820-1440 |
Full Name | Dr Theodore Edward Brisson |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 21 Years |
Location | 2890 Tricom Street, North Charleston, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699759563 | NPI | - | NPPES |
7026 | Other | SC | MEDICARE GROUP |
GP4871 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME90953 (Florida) | Secondary |
208800000X | Urology | 30581 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trident Medical Center | Charleston, SC | Hospital |
Colleton Medical Center | Walterboro, SC | Hospital |
Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
Roper Hospital | Charleston, SC | Hospital |
East Cooper Medical Center | Mount pleasant, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palmetto Adult And Childrens Urology Pa | 1254400021 | 6 |
Entity Name | Palmetto Adult And Childrens Urology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467440644 PECOS PAC ID: 1254400021 Enrollment ID: O20080520000258 |
Mailing Address | Practice Location Address |
---|---|
Dr Theodore Edward Brisson, MD 2890 Tricom Street, North Charleston, SC 29406-9171 Ph: (843) 797-6600 | Dr Theodore Edward Brisson, MD 2890 Tricom Street, North Charleston, SC 29406-9171 Ph: (843) 797-6600 |
Dr. Nelson Randolph Ploch, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2890 Tricom Street, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440 | |
Dr. Samuel Walker Nickles, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2890 Tricom St, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440 | |
Dr. Taylor B Vaughan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2890 Tricom St, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440 | |
Dr. Frederick James Goulding, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2890 Tricom Street, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440 | |
Dr. Kelly Elaine Shaffer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2687 Lake Park Dr, North Charleston, SC 29406 Phone: 843-572-1010 Fax: 843-569-1719 | |
Dr. Marshall Scott Wingo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2687 Lake Park Dr, North Charleston, SC 29406 Phone: 843-572-1010 Fax: 843-569-1719 |