Marvin G Burdette Jr, MD | |
665 West Alexander Road, Greenwood, SC 29646 | |
(864) 227-2020 | |
(864) 227-2823 |
Full Name | Marvin G Burdette Jr |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 665 West Alexander Road, Greenwood, 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 |
---|---|---|---|
1730186099 | NPI | - | NPPES |
092296 | Medicaid | SC | |
PA0515 | Medicaid | SC | |
180012150 | Other | SC | RAILROAD MEDICARE |
CE6166 | Other | SC | RAILROAD MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 9229 (South Carolina) | Primary |
Entity Name | Greenwood Eye Clinic, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265418388 PECOS PAC ID: 8325089956 Enrollment ID: O20050513000424 |
Mailing Address | Practice Location Address |
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Marvin G Burdette Jr, MD Po Box 369, Greenwood, SC 29648-0369 Ph: (864) 227-2020 | Marvin G Burdette Jr, MD 665 West Alexander Road, Greenwood, SC 29646 Ph: (864) 227-2020 |
Jennifer Lynn Hershberger, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 665 West Alexander Road, Greenwood, SC 29646 Phone: 864-227-2020 | |
Jerry E Galloway, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 202 Overland Dr, Greenwood, SC 29646 Phone: 864-943-2010 Fax: 864-323-0345 | |
Timothy L. Austin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 665 West Alexander Road, Greenwood, SC 29646 Phone: 864-227-2020 Fax: 864-227-2823 | |
John Devore Compton Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 210 Wells Ave, Greenwood, SC 29646 Phone: 864-227-2020 Fax: 864-227-2823 | |
Stephanie C. Turner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 665 West Alexander Road, Greenwood, SC 29646 Phone: 864-227-2020 Fax: 864-227-2823 | |
William F. Darby Jr., M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 665 West Alexander Road, Greenwood, SC 29646 Phone: 864-227-2020 Fax: 864-227-2823 |