John Gordon Phillips, MD | |
200 Patewood Dr, Suite B-400, Greenville, SC 29615-3593 | |
(864) 454-4368 | |
(864) 454-4348 |
Full Name | John Gordon Phillips |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 200 Patewood Dr, 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 |
---|---|---|---|
1790731412 | NPI | - | NPPES |
159394 | Medicaid | SC | |
040010804 | Other | SC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 15939 (South Carolina) | Primary |
Entity Name | Greenville Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Entity Name | Baptist Easley Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144452889 PECOS PAC ID: 0840337606 Enrollment ID: O20091027000684 |
Mailing Address | Practice Location Address |
---|---|
John Gordon Phillips, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6303 | John Gordon Phillips, MD 200 Patewood Dr, Suite B-400, Greenville, SC 29615-3593 Ph: (864) 454-4368 |
Dr. Augustus J Goforth Iii, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 230, Greenville, SC 29615 Phone: 864-281-9440 Fax: 864-281-9443 | |
Gustavo Guimaraes Rangel, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste B400, Greenville, SC 29615 Phone: 864-454-4368 Fax: 864-241-9232 | |
Robert A Wilson, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4200 E North St Ste 16, Greenville, SC 29615 Phone: 864-292-2800 Fax: 864-292-2921 | |
Edward Benjamin Penn Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste B400, Greenville, SC 29615 Phone: 864-522-8603 | |
Dr. Ronald T Yuko, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 290, Greenville, SC 29615 Phone: 864-281-9440 Fax: 864-281-9443 | |
Kevin Carlson, Otolaryngology Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr Ste B400, Greenville, SC 29615 Phone: 864-454-4368 Fax: 864-241-9232 | |
Dr. Robert Lafitte Eller, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Doctors Dr, Greenville, SC 29605 Phone: 864-572-7001 Fax: 864-412-0645 |