Jeffrey Thomas Ehreth, MD | |
9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | |
(803) 434-2833 | |
(803) 434-2834 |
Full Name | Jeffrey Thomas Ehreth |
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Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 9 Richland Medical Park Dr Ste 500, 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 |
---|---|---|---|
1962431304 | NPI | - | NPPES |
G17963F935 | Other | SC | MEDICARE |
Q00563 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 18730 (South Carolina) | Secondary |
2088P0231X | Urology - Pediatric Urology | 18730 (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 |
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Jeffrey Thomas Ehreth, MD Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7320 | Jeffrey Thomas Ehreth, MD 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 Ph: (803) 434-2833 |
Dr. Elisabeth J Paszkiewicz, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 | |
Christina Jocklene Edwards, AGPCNP-C Urology Medicare: Not Enrolled in Medicare Practice Location: 2750 Laurel St Ste 103, Columbia, SC 29204 Phone: 803-865-4934 Fax: 803-865-4935 | |
John O. Fairey, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1301 Taylor St, Suite 1a, Columbia, SC 29201 Phone: 803-254-4591 Fax: 803-931-8000 | |
Dr. Matthew Neil Simmons, M.D., PH.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2750 Laurel St Ste 103, Columbia, SC 29204 Phone: 803-865-4934 Fax: 803-865-4935 | |
Dr. Frank John Penna Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203 Phone: 803-434-2833 Fax: 803-434-2834 | |
Dr. Gwen Caroline Choi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1301 Taylor St Ste 1a, Columbia, SC 29201 Phone: 803-434-4790 Fax: 803-434-4799 | |
John Elihu Wofford Iv, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1301 Taylor St, Suite 1a, Columbia, SC 29201 Phone: 803-254-4591 Fax: 803-931-8000 |