Gabrielle Lafata, | |
14 Richland Medical Park Dr, Columbia, SC 29203-6877 | |
(803) 434-7945 | |
(803) 434-3855 |
Full Name | Gabrielle Lafata |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 14 Richland Medical Park Dr, Columbia, 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 |
---|---|---|---|
1831683515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OT018713 (Pennsylvania) | Secondary |
208000000X | Pediatrics | 82305 (South Carolina) | Primary |
Entity Name | Prisma Health Medical Group-midlands |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Mailing Address | Practice Location Address |
---|---|
Gabrielle Lafata, 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Gabrielle Lafata, 14 Richland Medical Park Dr, Columbia, SC 29203-6877 Ph: (803) 434-7945 |
Argiri X Brook, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203 Phone: 803-434-2300 Fax: 803-434-8686 | |
Dr. Beverley Deloris Wilson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Harbison Way Ste 221, Columbia, SC 29212 Phone: 803-724-7560 Fax: 833-320-1558 | |
Dr. Robert Glendon Long, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Woodpine Ct, Columbia, SC 29212 Phone: 803-732-5572 Fax: 803-732-5572 | |
Dr. William Joseph Westerkam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Harbison Blvd, Ste 290, Columbia, SC 29212 Phone: 803-749-0181 Fax: 803-749-3229 | |
Michael Cory Lever, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-6771 Fax: 803-434-3955 | |
Dr. Bhavana R Yajnik, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1333 Taylor St, Suite 6a, Columbia, SC 29201 Phone: 803-254-2706 Fax: 803-254-1318 | |
Andrew Marshall Reittinger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Medical Park Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 Phone: 803-434-6155 Fax: 803-434-6979 |