Ms Nicole Riebe Porro, MD | |
165 Ashley Ave, Charleston, SC 29425-9125 | |
(843) 876-7080 | |
Not Available |
Full Name | Ms Nicole Riebe Porro |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 15 Years |
Location | 165 Ashley Ave, Charleston, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154559094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 31761 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trident Medical Center | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Regional Laboratories Pathology Services, Llc | 9133244346 | 126 |
Entity Name | Integrated Regional Laboratories Pathology Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942526298 PECOS PAC ID: 9133244346 Enrollment ID: O20160928000674 |
Mailing Address | Practice Location Address |
---|---|
Ms Nicole Riebe Porro, MD Po Box 741087, Atlanta, GA 30374-1087 Ph: (843) 847-4179 | Ms Nicole Riebe Porro, MD 165 Ashley Ave, Charleston, SC 29425-9125 Ph: (843) 876-7080 |
Paige Woodham, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 843-792-1086 | |
Chelsea Wright-void, MD Pathology Medicare: Medicare Enrolled Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 843-792-1086 Fax: 843-792-8974 | |
Corynne Maria Caballero, MD Pathology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Thomas James Laux, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-1086 | |
Anne Bartlett, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-3121 | |
David Lindsay Holbrook, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-789-7519 | |
Jason Barnes, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |