| Medasic | |
|
300 John St Ste 4b Greer SC 29651-1463 | |
| (864) 400-8293 | |
| Not Available |
| Full Name | Medasic |
|---|---|
| Speciality | Counselor |
| Location | 300 John St Ste 4b, Greer, South Carolina |
| Authorized Official Name and Position | Nancy Patel (OWNER) |
| Authorized Official Contact | 8644008293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medasic 700 Plaza Cir Ste N Clinton SC 29325-7556 Ph: (864) 334-7727 | Medasic 300 John St Ste 4b Greer SC 29651-1463 Ph: (864) 400-8293 |
| NPI Number | 1922630912 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/20/2022 |
| Medicare PECOS PAC ID | 3971934399 |
|---|---|
| Medicare Enrollment ID | O20200518003133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922630912 | NPI | - | NPPES |
| DO1571 | Other | SC | MEDICAL LICENSES |
| Provider Name | Ravikumar K Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629285150 PECOS PAC ID: 0840350260 Enrollment ID: I20111130000911 |
| Provider Name | Nancy Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912119371 PECOS PAC ID: 2961654595 Enrollment ID: I20121206000195 |
| Provider Name | Angela Nicole Gary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760980908 PECOS PAC ID: 2668727405 Enrollment ID: I20180619000594 |
| Provider Name | Gilberto Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588159628 PECOS PAC ID: 7911241427 Enrollment ID: I20181210001754 |
| Provider Name | Ryan Sattar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871151753 PECOS PAC ID: 1759610967 Enrollment ID: I20190913001498 |
| Provider Name | Terance Miles Dawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760091664 PECOS PAC ID: 7517386386 Enrollment ID: I20200928001950 |
| Provider Name | Lauren Guse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770990210 PECOS PAC ID: 8325366990 Enrollment ID: I20201228000666 |
| Provider Name | Hailey Nicole Lanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356931927 PECOS PAC ID: 8325454416 Enrollment ID: I20210316001108 |
| Provider Name | Amanda Marie Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427535012 PECOS PAC ID: 0244571974 Enrollment ID: I20210506002522 |
| Provider Name | Tonya Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821683186 PECOS PAC ID: 8426450222 Enrollment ID: I20210716000157 |
| Provider Name | Katrina Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528462900 PECOS PAC ID: 7517280928 Enrollment ID: I20210812000585 |
| Provider Name | Brittany B Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326714791 PECOS PAC ID: 2466841267 Enrollment ID: I20211117001096 |
| Provider Name | Morgan S Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740876598 PECOS PAC ID: 4183011976 Enrollment ID: I20220426000910 |
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