| Andrea M Pezzella, MD | |
|
115 Midlands Ct, West Columbia, SC 29169-3456 | |
| (803) 457-7000 | |
| (803) 457-7001 |
| Full Name | Andrea M Pezzella |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 29 Years |
| Location | 115 Midlands Ct, West Columbia, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730157058 | NPI | - | NPPES |
| 1009200 | Other | CIGNA HEALTH PLAN | |
| 7099315 | Other | AETNA US HEALTHCARE | |
| AA3715 | Other | HARVARD PILGRIM HEALTH CA | |
| J22633 | Other | BLUE CARE ELECT | |
| J22633 | Other | BLUE SHIELD INDEMNITY | |
| 0120961 | Other | MEDICAID WELFARE | |
| 0700410 | Other | EVERCARE | |
| 0120961 | Medicaid | MA | |
| 042472266 | Other | ONE HEALTH PLAN | |
| A31235 | Other | MEDICARE B | |
| 042472266 | Other | THREE RIVERS | |
| 37554 | Other | HEALTHY START | |
| J22633 | Other | BLUE SHIELD HMO BLUE | |
| 042472266 | Other | TRICARE CHAMPUS | |
| 160049837 | Other | RAILROAD MEDICARE | |
| 45822 | Other | FALLON COMMUNITY HEALTH P | |
| 784225 | Other | MVP HEALTH CARE | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Urogynecology Llc | 5890989875 | 4 |
| Entity Name | Southern Urogynecology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952622326 PECOS PAC ID: 5890989875 Enrollment ID: O20101103001064 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea M Pezzella, MD 109 Midlands Ct, Suite A, West Columbia, SC 29169-3456 Ph: (803) 457-7000 | Andrea M Pezzella, MD 115 Midlands Ct, West Columbia, SC 29169-3456 Ph: (803) 457-7000 |
Mark Hedrick Salley, M.D, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 201, West Columbia, SC 29169 Phone: 803-254-1300 Fax: 803-771-7597 | |
Dr. Rebecca Brazell Ridenhour, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 201, West Columbia, SC 29169 Phone: 803-254-1300 Fax: 803-771-7579 | |
Dr. Karenne Nstang Fru, M.D, PHD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2324 Sunset Blvd, West Columbia, SC 29169 Phone: 803-726-3600 Fax: 803-929-0504 | |
Dr. Edward Davis Tarnawa, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2324 Sunset Blvd, West Columbia, SC 29169 Phone: 803-726-3600 Fax: 803-929-0504 | |
Dr. Janice Lynne Bacon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 300, West Columbia, SC 29169 Phone: 803-936-8100 Fax: 803-936-8130 | |
Margaret Crosby Papadea, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 201, West Columbia, SC 29169 Phone: 803-254-1300 Fax: 803-771-7597 | |
Dr. Mark Andrew Miller, DO Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 222 E Medical Ln Ste 400, West Columbia, SC 29169 Phone: 803-794-7511 Fax: 803-794-7751 |