Kelly L Mandile, DPM | |
1506 Spring St, Greenwood, SC 29646-4071 | |
(864) 725-7430 | |
(864) 725-7431 |
Full Name | Kelly L Mandile |
---|---|
Gender | Female |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1506 Spring St, Greenwood, 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 |
---|---|---|---|
1073074001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 745 (South Carolina) | Primary |
Provider Name | Self Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Provider Name | Self Regional Healthcare Partners |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922582105 PECOS PAC ID: 1557606118 Enrollment ID: O20190129003656 |
Mailing Address | Practice Location Address |
---|---|
Kelly L Mandile, DPM 1506 Spring St, Greenwood, SC 29646-4071 Ph: (864) 725-7430 | Kelly L Mandile, DPM 1506 Spring St, Greenwood, SC 29646-4071 Ph: (864) 725-7430 |
Providence Foot & Ankle Centers Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1110 Marshall Rd, Wellness Center, Greenwood, SC 29646 Phone: 866-896-3338 Fax: 770-790-4752 | |
Dr. Alexander Barnett, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1506 Spring St, Greenwood, SC 29646 Phone: 864-725-7430 Fax: 864-725-7431 | |
Greenwood Podiatric Medical Associates, Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 109 Venture Ct, Greenwood, SC 29649 Phone: 864-223-3338 Fax: 864-388-9855 | |
Self Medical Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 102 Katie Ct, Greenwood, SC 29646 Phone: 864-725-4111 | |
Gait Medical Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1110 Marshall Rd, Wellness Center-podiatry, Greenwood, SC 29646 Phone: 215-740-7000 Fax: 770-790-4752 |