Spence Mclean Taylor, MD | |
200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | |
(864) 454-8272 | |
Not Available |
Full Name | Spence Mclean Taylor |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
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 |
---|---|---|---|
1114966736 | NPI | - | NPPES |
119142 | Medicaid | SC | |
20045365 | Other | SC | RR MEDICARE |
4350935 | Other | SC | AETNA ID |
576007863071 | Other | SC | BCBS OF SC ID |
9475802 | Other | SC | CIGNA ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 11914 (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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Mailing Address | Practice Location Address |
---|---|
Spence Mclean Taylor, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6303 | Spence Mclean Taylor, MD 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 Ph: (864) 454-8272 |
John David Scott, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 Fax: 864-522-2105 | |
Dr. Robert Vincent Madlinger, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 580, Greenville, SC 29605 Phone: 864-455-7874 Fax: 864-455-7874 | |
Tiffany Deanna Lance, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Support Tower 3rd Floor, Greenville, SC 29605 Phone: 864-455-1435 Fax: 864-455-1320 | |
Dr. Robert Louis Ricca Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 48 Cross Park Ct, Greenville, SC 29605 Phone: 864-797-7400 | |
Ashley Vaughan, Surgery Medicare: Medicare Enrolled Practice Location: 890 W Faris Rd Ste 310, Greenville, SC 29605 Phone: 864-455-8300 Fax: 864-455-8310 | |
Paola Alexandra Rodriguez Morales, Surgery Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-5515 | |
Shanu Nikhil Kothari, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 |