Roger Dale Boatwright, MD | |
704 N A St, Easley, SC 29640-2142 | |
(864) 859-4480 | |
(864) 859-3750 |
Full Name | Roger Dale Boatwright |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 704 N A St, Easley, 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 |
---|---|---|---|
1386628071 | NPI | - | NPPES |
L31794 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 22401 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Interim Healthcare Of The Upstate | Greenville, SC | Home health agency |
Kindred At Home | Greenville, SC | Home health agency |
Prisma Health Baptist Easley Hospital | Easley, SC | Hospital |
Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
Prisma Health Patewood 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 | Regency Hospital Of Greenville, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396747929 PECOS PAC ID: 2264495829 Enrollment ID: O20061003000690 |
Entity Name | Baptist Easley Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144452889 PECOS PAC ID: 0840337606 Enrollment ID: O20091027000684 |
Mailing Address | Practice Location Address |
---|---|
Roger Dale Boatwright, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8611 | Roger Dale Boatwright, MD 704 N A St, Easley, SC 29640-2142 Ph: (864) 859-4480 |
Geanice Holton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1648 Gentry Memorial Hwy, Easley, SC 29640 Phone: 864-855-1331 Fax: 864-855-1602 | |
Mrs. Jacquelyn Nicole Greene, FNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-455-7000 Fax: 864-442-8279 | |
Lauren D Roberts, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 | |
Dr. Andrea Shavonne James, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-422-8279 | |
Imranullah Shaikh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 | |
Dr. Ka Kin Fung, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 | |
Dr. Aftab A Awan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 Fleetwood Dr, Easley, SC 29640 Phone: 864-855-4255 Fax: 864-855-4439 |