Rudolph Gordon Johnstone Iii, MD | |
48 Creekview Ct, Greenville, SC 29615-4800 | |
(864) 458-7431 | |
(864) 458-7463 |
Full Name | Rudolph Gordon Johnstone Iii |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 39 Years |
Location | 48 Creekview Ct, Greenville, 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 |
---|---|---|---|
1710977962 | NPI | - | NPPES |
136178 | Medicaid | SC | |
D182976910 | Other | SC | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 13617 (South Carolina) | Secondary |
207K00000X | Allergy & Immunology | MD13617 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allergy Partners Pllc | 7113822420 | 152 |
Entity Name | Allergy Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215927462 PECOS PAC ID: 7113822420 Enrollment ID: O20050316000916 |
Mailing Address | Practice Location Address |
---|---|
Rudolph Gordon Johnstone Iii, MD Dept 453 Po Box 1000, Memphis, TN 38148-0001 Ph: (828) 575-2625 | Rudolph Gordon Johnstone Iii, MD 48 Creekview Ct, Greenville, SC 29615-4800 Ph: (864) 458-7431 |
Reid F Johnstone, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 48 Creekview Ct, Greenville, SC 29615 Phone: 864-458-7431 Fax: 864-458-7463 | |
Dr. Fred Leffert, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 130 Mallard St, Greenville, SC 29601 Phone: 864-233-1534 Fax: 864-751-6020 | |
Douglas Thomas Johnston, DO Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste A140, Greenville, SC 29615 Phone: 864-454-5125 Fax: 864-241-9201 | |
Thomas L Tiller Jr., M. D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 48 Creekview Ct, Greenville, SC 29615 Phone: 864-458-7431 Fax: 864-458-7463 | |
Mrs. Shanna Elizabeth Cowan, MS PAC Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1202 E Butler Rd, Greenville, SC 29607 Phone: 864-627-3800 Fax: 864-672-2653 | |
Andrea Brooks Lantz, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 48 Creekview Ct, Greenville, SC 29615 Phone: 864-458-7431 Fax: 864-458-7463 | |
Shiven S Patel, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 10 Halton Green Way, Greenville, SC 29607 Phone: 864-675-5000 Fax: 864-675-5005 |