Walter Dean Kucaba, DO | |
1575 E Main St, Duncan, SC 29334-9218 | |
(864) 560-3500 | |
(864) 560-3522 |
Full Name | Walter Dean Kucaba |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 1575 E Main St, Duncan, 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 |
---|---|---|---|
1881787802 | NPI | - | NPPES |
216950 | Other | SC | MEDCOST |
7132885 | Other | SC | AETNA |
006086 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0608 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spartanburg Medical Center | Spartanburg, SC | Hospital |
Pelham Medical Center | Greer, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spartanburg Medical Center | 3072425297 | 912 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Mailing Address | Practice Location Address |
---|---|
Walter Dean Kucaba, DO Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Walter Dean Kucaba, DO 1575 E Main St, Duncan, SC 29334-9218 Ph: (864) 560-3500 |
Mark Allen Kemble, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 245 Parkway E, Duncan, SC 29334 Phone: 864-661-1539 Fax: 864-641-6647 | |
Mr. Richard Lucarelli, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 E Main St, Duncan, SC 29334 Phone: 864-560-3500 Fax: 864-560-3535 | |
Mr. Michael Tanbonliong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 E Main St, Duncan, SC 29334 Phone: 864-560-3500 Fax: 864-560-3535 | |
Antoinette Denise Rhynes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Squires Pt, Duncan, SC 29334 Phone: 864-968-5123 Fax: 864-241-9256 | |
Dr. Clifford William Bowers Iii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Squires Pt Ste B, Duncan, SC 29334 Phone: 864-428-9959 | |
Mrs. Brenda Adams-hudson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1575 E Main St, Duncan, SC 29334 Phone: 864-560-3500 Fax: 864-560-3535 |