Jessica F Delallo, MD | |
701 Grove Rd Fl 3, Greenville, SC 29605-4210 | |
(864) 455-1435 | |
Not Available |
Full Name | Jessica F Delallo |
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Gender | Female |
Speciality | Surgery |
Location | 701 Grove Rd Fl 3, Greenville, 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 |
---|---|---|---|
1164950200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 41092 (South Carolina) | Primary |
Entity Name | Dhp Of North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780949032 PECOS PAC ID: 1153570783 Enrollment ID: O20120925000775 |
Mailing Address | Practice Location Address |
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Jessica F Delallo, MD 701 Grove Rd Fl 3, Greenville, SC 29605-4210 Ph: (864) 455-1435 | Jessica F Delallo, MD 701 Grove Rd Fl 3, Greenville, SC 29605-4210 Ph: (864) 455-1435 |
John David Scott, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 Fax: 864-522-2105 | |
Dr. Robert Vincent Madlinger, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 580, Greenville, SC 29605 Phone: 864-455-7874 Fax: 864-455-7874 | |
Tiffany Deanna Lance, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Support Tower 3rd Floor, Greenville, SC 29605 Phone: 864-455-1435 Fax: 864-455-1320 | |
Ashley Vaughan, Surgery Medicare: Medicare Enrolled Practice Location: 890 W Faris Rd Ste 310, Greenville, SC 29605 Phone: 864-455-8300 Fax: 864-455-8310 | |
Paola Alexandra Rodriguez Morales, Surgery Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-5515 | |
Shanu Nikhil Kothari, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 | |
David Timothy Farr, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 67 Creekside Park Ct, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 |