Regina Derstine Monroe, MD | |
200 Patewood Dr, Suite A115, Greenville, SC 29615-3593 | |
(864) 454-5135 | |
(864) 241-9200 |
Full Name | Regina Derstine Monroe |
---|---|
Gender | Female |
Speciality | Urology - Pediatric Urology |
Location | 200 Patewood Dr, 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 |
---|---|---|---|
1134386394 | NPI | - | NPPES |
325892 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | 32589 (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 |
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 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
Entity Name | Shriners Hospitals For Children |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134566953 PECOS PAC ID: 9133031933 Enrollment ID: O20140609000107 |
Mailing Address | Practice Location Address |
---|---|
Regina Derstine Monroe, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044 | Regina Derstine Monroe, MD 200 Patewood Dr, Suite A115, Greenville, SC 29615-3593 Ph: (864) 454-5135 |
Dr. Thomas E. Hamilton, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 52 Bear Dr, Greenville, SC 29605 Phone: 864-295-2131 Fax: 864-605-8556 | |
Lisa Maria Cartwright, M. D. Urology Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr Ste A115, Greenville, SC 29615 Phone: 864-454-5135 Fax: 864-241-9200 | |
Charles Gerard Marguet, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11 Park Creek Dr, Greenville, SC 29605 Phone: 864-797-7450 Fax: 864-797-7460 | |
Dr. Andrew Ritchie Bullock, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 52 Bear Dr, Greenville, SC 29605 Phone: 864-295-2131 Fax: 864-269-8035 | |
Dr. James Robert Monroe Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 52 Bear Dr, Greenville, SC 29605 Phone: 864-295-2131 | |
Julius Lynn Teague, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr, Suite A115, Greenville, SC 29615 Phone: 864-454-5105 Fax: 864-454-5655 |