Matthew Brian Kofoed, MD | |
7 Independence Pt Ste 300, Greenville, SC 29615-4569 | |
(864) 522-3700 | |
(864) 522-3705 |
Full Name | Matthew Brian Kofoed |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 7 Independence Pt Ste 300, Greenville, 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 |
---|---|---|---|
1265924732 | NPI | - | NPPES |
PENDING | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | LL52515 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
---|---|
Matthew Brian Kofoed, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Matthew Brian Kofoed, MD 7 Independence Pt Ste 300, Greenville, SC 29615-4569 Ph: (864) 522-3700 |
Jeffrey Alexander Wharton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 67 Creekside Park Ct, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Mark D Naquin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Francis Dr, Greenville, SC 29601 Phone: 864-255-1000 Fax: 864-269-1361 | |
William Robert Hand, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 67 Creekside Park Ct, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
John D Sherbert, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Francis Dr, Greenville, SC 29601 Phone: 864-255-1000 Fax: 864-269-1361 | |
Dr. Andreea Lazar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Margaret M Miller, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 67 Creekside Park Ct, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Martin D Whigham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Francis Dr, Greenville, SC 29601 Phone: 864-255-1000 Fax: 864-269-1361 |