| Brian Bennett Chamblee, MD | |
|
102b Omni Dr, Seneca, SC 29672-9448 | |
| (864) 885-7971 | |
| Not Available |
| Full Name | Brian Bennett Chamblee |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 102b Omni Dr, Seneca, 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 |
|---|---|---|---|
| 1316963150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 51353 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | T2136 (Texas) | Primary |
| 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 | Beach Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215061429 PECOS PAC ID: 6103924014 Enrollment ID: O20070530000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Bennett Chamblee, MD P O B 840853 Suite 212, Dallas, TX 75284-4536 Ph: (972) 233-1999 | Brian Bennett Chamblee, MD 102b Omni Dr, Seneca, SC 29672-9448 Ph: (864) 885-7971 |
Francis Joseph Yanoviak, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 102b Omni Dr, Seneca, SC 29672 Phone: 864-885-7971 Fax: 864-885-7860 | |
Michael Joseph Tebalt Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-885-7532 | |
Aaron Jay Bohn, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-882-3351 Fax: 706-660-9390 | |
Daniel Lloyd Wright, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-882-3351 Fax: 706-660-9390 | |
Dr. H Craig Boswell, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 420 E Waterside Dr, Seneca, SC 29672 Phone: 864-882-1261 | |
Henry H Salzarulo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10630 Clemson Blvd, 200, Seneca, SC 29678 Phone: 864-882-3351 Fax: 706-660-9390 |