Emmanuel Andes Fajardo, MD | |
704 N A St, Easley, SC 29640-2142 | |
(864) 859-4480 | |
(864) 859-3750 |
Full Name | Emmanuel Andes Fajardo |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 704 N A St, Easley, 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 |
---|---|---|---|
1356412340 | NPI | - | NPPES |
321360 | Medicaid | SC | |
AA4134 | Other | SC | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 32136 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 32136 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Home Health-upstate | Greenville, SC | Home health agency |
Interim Healthcare Of The Upstate | Greenville, SC | Home health agency |
Prisma Health Baptist Easley Hospital | Easley, SC | Hospital |
Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
Prisma Health Oconee Memorial Hospital | Seneca, SC | Hospital |
Prisma Health Patewood Hospital | Greenville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
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 |
Entity Name | Greenville Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Entity Name | Baptist Easley Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144452889 PECOS PAC ID: 0840337606 Enrollment ID: O20091027000684 |
Mailing Address | Practice Location Address |
---|---|
Emmanuel Andes Fajardo, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: () - | Emmanuel Andes Fajardo, MD 704 N A St, Easley, SC 29640-2142 Ph: (864) 859-4480 |
Geanice Holton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1648 Gentry Memorial Hwy, Easley, SC 29640 Phone: 864-855-1331 Fax: 864-855-1602 | |
Mrs. Jacquelyn Nicole Greene, FNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-455-7000 Fax: 864-442-8279 | |
Lauren D Roberts, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 | |
Dr. Andrea Shavonne James, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-422-8279 | |
Imranullah Shaikh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 | |
Dr. Ka Kin Fung, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 | |
Dr. Aftab A Awan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 Fleetwood Dr, Easley, SC 29640 Phone: 864-855-4255 Fax: 864-855-4439 |