George Liston Bass, MD | |
120 Heywood Ave, Ste 200, Spartanburg, SC 29302-1210 | |
(864) 573-9595 | |
Not Available |
Full Name | George Liston Bass |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 120 Heywood Ave, Spartanburg, 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 |
---|---|---|---|
1356393680 | NPI | - | NPPES |
P00386910 | Other | GA | RAILROAD MEDICARE PTAN# |
47808 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4780 (South Carolina) | Primary |
Entity Name | Spartanburg Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003900143 PECOS PAC ID: 3072425297 Enrollment ID: O20061113000402 |
Mailing Address | Practice Location Address |
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George Liston Bass, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | George Liston Bass, MD 120 Heywood Ave, Ste 200, Spartanburg, SC 29302-1210 Ph: (864) 573-9595 |
Dr. Tondre Buck, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Adam Evec, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 500, Spartanburg, SC 29303 Phone: 864-560-4304 Fax: 864-560-4023 | |
Larry E Kibler, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 | |
Dr. Vikas Dembla, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Dr. Andrew Omoit Ekatan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Suite 401, Spartanburg, SC 29303 Phone: 864-560-6654 Fax: 864-560-7353 | |
Stetson Reed Bickley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644 | |
Nalin K Srivastava, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 |