| Brett Fowler, MD | |
| 
					2728 Sunset Blvd Ste 400, West Columbia, SC 29169-4872  | |
| (803) 936-7095 | |
| (803) 936-7908 | 
| Full Name | Brett Fowler | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Vascular Surgery | 
| Location | 2728 Sunset Blvd Ste 400, West Columbia, 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 | 
|---|---|---|---|
| 1700248481 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 86646 (South Carolina) | Primary | 
| Entity Name | Lexington Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brett Fowler, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 936-7095  | Brett Fowler, MD 2728 Sunset Blvd Ste 400, West Columbia, SC 29169-4872 Ph: (803) 936-7095  | 
Dr. Solon Gray Hughes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735  | |
Dr. Elizabeth Ellen Price, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735  | |
Dr. Marc C Antonetti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735  | |
Dr. John D. Deperi, M. D. Surgery Medicare: Medicare Enrolled Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735  | |
Jeffrey S. Molle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 176 Mcswain Dr, West Columbia, SC 29169 Phone: 803-767-4465 Fax: 803-767-4120  | |
Dr. Goran Rac, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 Fax: 803-739-3663  | |
Dr. Todd Samuel Lefkowitz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd, Ste 105, West Columbia, SC 29169 Phone: 803-936-7045  |