| Dr Warren Keith Deponti, DO | |
|
701 Grove Rd Ste 200, Greenville, SC 29605-4210 | |
| (864) 558-9884 | |
| (864) 455-8981 |
| Full Name | Dr Warren Keith Deponti |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 701 Grove Rd Ste 200, Greenville, 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 |
|---|---|---|---|
| 1679866719 | NPI | - | NPPES |
| 822756 | Medicaid | SC |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Warren Keith Deponti, DO 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8614 | Dr Warren Keith Deponti, DO 701 Grove Rd Ste 200, Greenville, SC 29605-4210 Ph: (864) 558-9884 |
Kathleen Valeska Woschkolup, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 801 Roper Creek Dr, Greenville, SC 29615 Phone: 864-516-1170 Fax: 877-249-9483 | |
Benjamin Todd Griffeth, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Ste 200, Greenville, SC 29605 Phone: 864-455-8431 | |
Meng Zhou-wang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr, Suite B350, Greenville, SC 29615 Phone: 864-454-4500 Fax: 864-454-4505 | |
Dr. Marc Taro Ishizuka, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 41 Park Creek Dr, Va Outpatient Clinic In Greenville, Greenville, SC 29605 Phone: 864-299-1600 | |
Karen Sue Stacher, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard Street, Greenville, SC 29601 Phone: 864-241-1040 Fax: 864-241-1049 | |
Dr. Ambreen A Ahmad, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 27 Memorial Medical Dr, Greenville, SC 29605 Phone: 864-295-2221 Fax: 864-220-6109 | |
Mr. Thomas C Perry Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste B350, Greenville, SC 29615 Phone: 864-454-4500 Fax: 864-454-4505 |