| Carol A Kooistra, MD | |
|
541 Floyd Rd, Spartanburg, SC 29307-1520 | |
| (864) 585-6179 | |
| (864) 583-5403 |
| Full Name | Carol A Kooistra |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 44 Years |
| Location | 541 Floyd Rd, Spartanburg, 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 |
|---|---|---|---|
| 1598741837 | NPI | - | NPPES |
| 89135C9 | Medicaid | NC | |
| B91448 | Other | NC | UPIN |
| 135C9 | Other | BCBS | |
| P00316714 | Other | NC | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 13349 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Greenville, SC | Home health agency |
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Pelham Medical Center | Greer, SC | Hospital |
| Cherokee Medical Center | Gaffney, SC | Hospital |
| Union Medical Center | Union, SC | Hospital |
| St Lukes Hospital | Columbus, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Neurology Of Spartanburg | 1153564463 | 2 |
| Spartanburg Medical Center | 3072425297 | 977 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Carolina Neurology Of Spartanburg |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922345529 PECOS PAC ID: 1153564463 Enrollment ID: O20130904001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A Kooistra, MD 541 Floyd Rd, 541 Floyd Road, Spartanburg, SC 29307-1520 Ph: (864) 585-6179 | Carol A Kooistra, MD 541 Floyd Rd, Spartanburg, SC 29307-1520 Ph: (864) 585-6179 |
Dr. Vonda K Gravely, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Ryan Ashley Greene, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 391 Serpentine Dr Ste 400, Spartanburg, SC 29303 Phone: 864-560-7517 Fax: 864-560-7520 | |
Dr. Eugene Freeman Smith, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Hana San Esteban, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 391 Serpentine Dr Ste 400, Spartanburg, SC 29303 Phone: 864-560-7517 | |
Wayne Holt Denton, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Catherine Joan Kreiser, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 Fax: 864-585-9208 | |
Harold Jones Fuller Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303 Phone: 864-560-7517 Fax: 864-560-7520 |