Scott E Porter, MD | |
105 Doctors Drive, Greeville, SC 29605-5608 | |
(864) 797-7068 | |
(864) 797-7077 |
Full Name | Scott E Porter |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 27 Years |
Location | 105 Doctors Drive, Greeville, 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 |
---|---|---|---|
1710929617 | NPI | - | NPPES |
01587548 | Medicaid | MS | |
259062 | Medicaid | SC | |
P00462306 | Other | MS | UP RRMCR PTAN |
512G700003 | Other | MS | UP MEDICARE |
512I200003 | Other | MS | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 25906 (South Carolina) | Secondary |
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 25906 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
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 | 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 | Shriners Hospitals For Children |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134566953 PECOS PAC ID: 9133031933 Enrollment ID: O20140609000107 |
Entity Name | Prisma Health Medical Group-midlands |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Mailing Address | Practice Location Address |
---|---|
Scott E Porter, MD 300 E Mcbee Ave, Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Scott E Porter, MD 105 Doctors Drive, Greeville, SC 29605-5608 Ph: (864) 797-7068 |