Sherman Kevin Basong, PT, DPT | |
10 Enterprise Blvd, Ste 201, Greenville, SC 29615-3554 | |
(864) 583-0053 | |
Not Available |
Full Name | Sherman Kevin Basong |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 10 Enterprise Blvd, Greenville, 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 |
---|---|---|---|
1639187487 | NPI | - | NPPES |
TH1959 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTLICENSE2637 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bon Secours Medical Group Greenville Specialty Care Llc | 1850779976 | 237 |
Provider Name | Bon Secours Medical Group Greenville Specialty Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070 |
Mailing Address | Practice Location Address |
---|---|
Sherman Kevin Basong, PT, DPT 220 Roper Mountain Road Ext, Greenville, SC 29615-4886 Ph: (864) 242-1163 | Sherman Kevin Basong, PT, DPT 10 Enterprise Blvd, Ste 201, Greenville, SC 29615-3554 Ph: (864) 583-0053 |
Caitlyn Esther Soltes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1344 Fax: 864-331-1446 | |
Stephen Craig Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7320 | |
Charlotte Bocchino, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Patewood Dr, Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Madalyn Patricia Cregg, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Emily Mae Harrison, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1322 E Washington St Ste B1, Greenville, SC 29607 Phone: 642-729-4081 | |
Katerine Maria Gonzalez Gonzalez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1904 Roper Mountain Rd, Greenville, SC 29615 Phone: 864-609-4006 | |
Sara Elizabeth Martin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 N Main St, Ste 99, Greenville, SC 29601 Phone: 864-528-5728 |