Keith Robert Superdock, MD in Greenville, SC

Keith Robert Superdock, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Greenville, South Carolina. His current practice location is 701 Grove Rd, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 455-5648.

Keith Robert Superdock is licensed to practice in South Carolina (license number 85922) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700874021.

Contact Information

	Keith Robert Superdock, MD
	701 Grove Rd, Greenville, SC 29605-4210
	(864) 455-5648
	(864) 455-7862

Map and Direction

Physician's Profile

Full Name	Keith Robert Superdock
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	701 Grove Rd, Greenville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700874021
Provider Enumeration Date: 10/11/2005
Last Update Date: 07/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0840476636
Enrollment ID: I20110511000768

Medical Identifiers

Medical identifiers for Keith Robert Superdock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700874021	NPI	-	NPPES
0014136400001	Medicaid	PA
PENDING	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	MD049781L (Pennsylvania)	Secondary
207RN0300X	Internal Medicine - Nephrology	85922 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keith Robert Superdock allows following entities to bill medicare on his behalf.

Entity Name	Kidney Care Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962992404 PECOS PAC ID: 9931450079 Enrollment ID: O20181127000039

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Robert Superdock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keith Robert Superdock, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Keith Robert Superdock, MD 701 Grove Rd, Greenville, SC 29605-4210 Ph: (864) 455-5648

Reviews and Comments

Internal Medicine Doctors in Greenville, SC

Hilary Lauren Knippers, DO Nephrology Medicare: Medicare Enrolled Practice Location: 876 W Faris Rd, Greenville, SC 29605 Phone: 864-455-5648
Abdullah Darvesh, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882
Daniel Ruiz, Nephrology Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882
Rhett Mckey Shirley, MD Nephrology 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. Nephrology 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. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605 Phone: 864-455-4411
Alan Robert Thompson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, 5th Floor, Greenville, SC 29605 Phone: 864-455-4411 Fax: 864-455-4480

Keith Robert Superdock, MD - Medicare Internal Medicine in Greenville, SC