John J Kudlak Jr, DO | |
200 Patewood Dr, Suite B300, Greenville, SC 29615-3593 | |
(864) 454-4200 | |
(864) 454-4205 |
Full Name | John J Kudlak Jr |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 28 Years |
Location | 200 Patewood Dr, Greenville, 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 |
---|---|---|---|
1023064847 | NPI | - | NPPES |
P00265774 | Other | SC | RR MEDICARE |
P00801525 | Other | SC | RAILROAD MEDICARE |
007147 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 714 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
Prisma Health Baptist Easley Hospital | Easley, SC | Hospital |
Ghs Laurens County Memorial Hospital | Clinton, SC | Hospital |
Prisma Health Hillcrest Hospital | Simpsonville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
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 | Greenville Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Mailing Address | Practice Location Address |
---|---|
John J Kudlak Jr, DO 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044 | John J Kudlak Jr, DO 200 Patewood Dr, Suite B300, Greenville, SC 29615-3593 Ph: (864) 454-4200 |
Hilary Lauren Knippers, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 876 W Faris Rd, Greenville, SC 29605 Phone: 864-455-5648 | |
Abdullah Darvesh, Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Daniel Ruiz, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Rhett Mckey Shirley, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd, Suite 520, Greenville, SC 29605 Phone: 864-455-9033 Fax: 864-455-6559 | |
Mohammad Rashid, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 61 Pointe Cir, Greenville, SC 29615 Phone: 864-286-6960 Fax: 864-286-8710 | |
Benjamin Ellis Rawls, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605 Phone: 864-455-4411 | |
Alan Robert Thompson, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, 5th Floor, Greenville, SC 29605 Phone: 864-455-4411 Fax: 864-455-4480 |