Ifekan-shango Simon, | |
853 N Church St, Suite 510, Spartanburg, SC 29303-3098 | |
(864) 560-1558 | |
Not Available |
Full Name | Ifekan-shango Simon |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 853 N Church St, Spartanburg, 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 |
---|---|---|---|
1992742837 | NPI | - | NPPES |
223528 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22352 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medcare Express - North Charleston Llc | 7618074899 | 63 |
Entity Name | Medcare Express - North Charleston Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457579617 PECOS PAC ID: 7618074899 Enrollment ID: O20070523000200 |
Mailing Address | Practice Location Address |
---|---|
Ifekan-shango Simon, 853 N Church St, Suite 510, Spartanburg, SC 29303-3077 Ph: (864) 560-1558 | Ifekan-shango Simon, 853 N Church St, Suite 510, Spartanburg, SC 29303-3098 Ph: (864) 560-1558 |
Jordan Ashley Grice, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 College St, Spartanburg, SC 29303 Phone: 864-582-2411 Fax: 864-594-0040 | |
Lee B Taylor Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Reidville Rd, Spartanburg, SC 29301 Phone: 864-576-9201 Fax: 864-576-6584 | |
James Spearman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 853 N Church St, Spartanburg, SC 29303 Phone: 864-560-6193 | |
Eric L. Cole, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1690 Skylyn Dr Ste 300a, Spartanburg, SC 29307 Phone: 864-342-4000 Fax: 864-596-7409 | |
James Jeffrey Morrison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 E Blackstock Rd, Spartanburg, SC 29301 Phone: 864-576-8646 Fax: 864-576-8932 | |
Gayatri Sarangdhar Surwade, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 853 N Church St, Suite 510, Spartanburg, SC 29303 Phone: 864-560-7001 | |
Sean Mellon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 401, Spartanburg, SC 29303 Phone: 864-560-6000 |