Gretchen Heidt Johnson, MD | |
717 Se Main St, Simpsonville, SC 29681-3237 | |
(864) 522-5400 | |
(864) 522-5405 |
Full Name | Gretchen Heidt Johnson |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 717 Se Main St, Simpsonville, 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 |
---|---|---|---|
1427084367 | NPI | - | NPPES |
164119 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 16411 (South Carolina) | Primary |
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 | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
Entity Name | Healthworks Med Group Of South Carolina, P.c |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588972426 PECOS PAC ID: 2466620034 Enrollment ID: O20110726000548 |
Mailing Address | Practice Location Address |
---|---|
Gretchen Heidt Johnson, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6308 | Gretchen Heidt Johnson, MD 717 Se Main St, Simpsonville, SC 29681-3237 Ph: (864) 522-5400 |
William J Taylor Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1338 Highway 14, Simpsonville, SC 29681 Phone: 864-297-7091 Fax: 864-297-6335 | |
James Marion Taylor Ii, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-0029 | |
Frank Brown Beacham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-0029 Fax: 864-329-8125 | |
Jennifer T Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 Se Main St, Simpsonville, SC 29681 Phone: 864-522-5400 Fax: 864-522-5405 | |
Katherine Therese Lewis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 Se Main St, Simpsonville, SC 29681 Phone: 864-522-5400 Fax: 864-522-5405 | |
Dr. Mark Timothy White, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1338 Highway 14, Simpsonville, SC 29681 Phone: 864-297-7091 | |
Jessica Anne Masocol, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-0029 |