Kenneth Russell Grosslight, MD JD | |
3227 Sunset Blvd # F, Suite 102, West Columbia, SC 29169-3201 | |
(803) 724-2336 | |
(803) 724-2317 |
Full Name | Kenneth Russell Grosslight |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 43 Years |
Location | 3227 Sunset Blvd # F, West Columbia, 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 |
---|---|---|---|
1194770115 | NPI | - | NPPES |
127197 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 0101036844 (Virginia) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 12719 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lexington Medical Center | West columbia, SC | Hospital |
Entity Name | Physicians Pain And Spine Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336475573 PECOS PAC ID: 8325186950 Enrollment ID: O20091118000704 |
Mailing Address | Practice Location Address |
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Kenneth Russell Grosslight, MD JD 3227-f Sunset Blvd, Suite 102, West Columbia, SC 29169-3201 Ph: (803) 724-2336 | Kenneth Russell Grosslight, MD JD 3227 Sunset Blvd # F, Suite 102, West Columbia, SC 29169-3201 Ph: (803) 724-2336 |
John M Motto, MD,MPH Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 169 Medical Cir, Suite A, West Columbia, SC 29169 Phone: 803-454-1661 Fax: 803-454-1660 | |
Russell Bingham, PA-C Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 3227 Sunset Blvd Ste F102, West Columbia, SC 29169 Phone: 803-724-2336 | |
Dr. Iva Thigpen Chapple, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 421 Hulon Ln, West Columbia, SC 29169 Phone: 803-739-6628 Fax: 803-739-5766 | |
Zachary Michael Ashmore, Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln, Ste 100 And 200, West Columbia, SC 29169 Phone: 803-935-8410 Fax: 803-936-7816 | |
Christopher A Beal, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 200, West Columbia, SC 29169 Phone: 803-935-8410 |