Lillie Edwards Bates, MD | |
811 W Main St, Ste 204, Lexington, SC 29072-2507 | |
(803) 359-8855 | |
(803) 359-1257 |
Full Name | Lillie Edwards Bates |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 811 W Main St, Lexington, 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 |
---|---|---|---|
1487649729 | NPI | - | NPPES |
155995 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 15599 (South Carolina) | Primary |
Entity Name | Lexington Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Mailing Address | Practice Location Address |
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Lillie Edwards Bates, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: () - | Lillie Edwards Bates, MD 811 W Main St, Ste 204, Lexington, SC 29072-2507 Ph: (803) 359-8855 |
Dennis A Cohen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1316 N Lake Dr, Lexington, SC 29072 Phone: 803-808-5050 Fax: 803-808-5059 | |
Amanda Ruscin Vartanian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 811 W Main St Ste 204, Lexington, SC 29072 Phone: 803-359-8855 Fax: 803-359-1257 | |
Naren S. Shenoy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1970 Augusta Hwy, Lexington, SC 29072 Phone: 803-358-2370 Fax: 803-358-2376 | |
Dr. James Luther Pruitt Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 448 Old Cherokee Rd, Lexington, SC 29072 Phone: 803-520-9261 Fax: 803-520-9262 | |
Dr. James Brandon Emery, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 811 W Main St, Suite 204, Lexington, SC 29072 Phone: 803-359-8855 | |
Andrew Pittard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 448 Old Cherokee Rd, Lexington, SC 29072 Phone: 803-520-5800 | |
Caroline Burnett Webber, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 811 W Main St Ste 204, Lexington, SC 29072 Phone: 803-359-8855 Fax: 803-359-1257 |