Dr Vonda K Gravely, MD | |
250 Dewey Ave, Spartanburg, SC 29303-3009 | |
(864) 585-0366 | |
Not Available |
Full Name | Dr Vonda K Gravely |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 27 Years |
Location | 250 Dewey Ave, Spartanburg, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053382259 | NPI | - | NPPES |
5905213 | Medicaid | NC | |
211078 | Medicaid | SC | |
C7069 | Other | SC | MEDCOST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 21107 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spartanburg Medical Center | Spartanburg, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Carolina Dept Of Mental Health Accounting Office | 9032021175 | 162 |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619995370 PECOS PAC ID: 9032021175 Enrollment ID: O20040624000139 |
Mailing Address | Practice Location Address |
---|---|
Dr Vonda K Gravely, MD 124 Mallard St, Greenville, SC 29601-4046 Ph: (864) 241-1040 | Dr Vonda K Gravely, MD 250 Dewey Ave, Spartanburg, SC 29303-3009 Ph: (864) 585-0366 |
Dr. Eugene Freeman Smith, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Hana San Esteban, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 391 Serpentine Dr Ste 400, Spartanburg, SC 29303 Phone: 864-560-7517 | |
Wayne Holt Denton, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Dr. Ann Marie Menendez-caldwell, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-415-9813 Fax: 864-598-9262 | |
Catherine Joan Kreiser, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 Fax: 864-585-9208 | |
Harold Jones Fuller Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303 Phone: 864-560-7517 Fax: 864-560-7520 |