Tracy A Pedigo, CRNA | |
22725 Highway 76 E, Clinton, SC 29325-7527 | |
(864) 833-9100 | |
(864) 833-9297 |
Full Name | Tracy A Pedigo |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 22725 Highway 76 E, Clinton, 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 |
---|---|---|---|
1831179118 | NPI | - | NPPES |
AN1306 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 75568 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ghs Laurens County Memorial Hospital | Clinton, 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 | Prisma Health-upstate |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767 |
Mailing Address | Practice Location Address |
---|---|
Tracy A Pedigo, CRNA 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Tracy A Pedigo, CRNA 22725 Highway 76 E, Clinton, SC 29325-7527 Ph: (864) 833-9100 |
George T Dukes, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22725 Highway 76 E, Clinton, Clinton, SC 29325 Phone: 864-797-6400 | |
John W Mckiernan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22725 Highway 76 E, Clinton, SC 29325 Phone: 864-833-9100 Fax: 864-833-9297 |