Michael Joseph Tebalt Iii, MD | |
298 Memorial Dr, Seneca, SC 29672-9443 | |
(864) 885-7532 | |
Not Available |
Full Name | Michael Joseph Tebalt Iii |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 22 Years |
Location | 298 Memorial Dr, Seneca, 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 |
---|---|---|---|
1508968934 | NPI | - | NPPES |
258223 | Medicaid | SC | |
GP2991 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25822 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Oconee Memorial Hospital | Seneca, SC | Hospital |
Prisma Health Richland Hospital | Columbia, SC | Hospital |
Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Anesthesiology Consultants Of The Upstate, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821002767 PECOS PAC ID: 1557265758 Enrollment ID: O20031120000288 |
Entity Name | Greenville Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Mailing Address | Practice Location Address |
---|---|
Michael Joseph Tebalt Iii, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044 | Michael Joseph Tebalt Iii, MD 298 Memorial Dr, Seneca, SC 29672-9443 Ph: (864) 885-7532 |
Brian Bennett Chamblee, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 102b Omni Dr, Seneca, SC 29672 Phone: 864-885-7971 | |
Francis Joseph Yanoviak, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 102b Omni Dr, Seneca, SC 29672 Phone: 864-885-7971 Fax: 864-885-7860 | |
Aaron Jay Bohn, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-882-3351 Fax: 706-660-9390 | |
Daniel Lloyd Wright, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-882-3351 Fax: 706-660-9390 | |
Dr. H Craig Boswell, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 420 E Waterside Dr, Seneca, SC 29672 Phone: 864-882-1261 | |
Henry H Salzarulo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10630 Clemson Blvd, 200, Seneca, SC 29678 Phone: 864-882-3351 Fax: 706-660-9390 |