Joyce M Brackebusch, MD | |
146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | |
(803) 936-7530 | |
(803) 936-7532 |
Full Name | Joyce M Brackebusch |
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Gender | Female |
Speciality | Otolaryngology |
Location | 146 E Hospital Dr Ste 200, West 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 |
---|---|---|---|
1710065271 | NPI | - | NPPES |
150605 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MD20476 (Oregon) | Primary |
207Y00000X | Otolaryngology | 89330 (South Carolina) | Secondary |
Entity Name | Peacehealth Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
Entity Name | Oregon Ear, Nose And Throat, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790863041 PECOS PAC ID: 9537153309 Enrollment ID: O20040413001800 |
Mailing Address | Practice Location Address |
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Joyce M Brackebusch, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 791-2000 | Joyce M Brackebusch, MD 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 Ph: (803) 936-7530 |
Dr. William Michael Greene, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7532 | |
Robert Osborne Brown Iii, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7532 | |
Jordan W Rawl, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7532 | |
Edward A Woody, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7535 | |
Neal W Burkhalter, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7535 | |
Andrew P Battiata, MD, MS Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7535 |