| Charles William Greene Jr, MD | |
|
534 Woods Lake Rd, Greenville, SC 29607-2778 | |
| (864) 720-2739 | |
| (864) 720-2740 |
| Full Name | Charles William Greene Jr |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 534 Woods Lake Rd, Greenville, 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 |
|---|---|---|---|
| 1215985874 | NPI | - | NPPES |
| 576007863131 | Other | SC | BCBS OF SC |
| 5296584 | Other | SC | AETNA |
| 576007863127 | Other | SC | BLUE CHOICE OF SC |
| 9212323 | Other | SC | CIGNA |
| 179988 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 17998 (South Carolina) | Primary |
| Entity Name | Tribe513 Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154438075 PECOS PAC ID: 1355622424 Enrollment ID: O20170103001689 |
| Entity Name | Apex Allergy & Immunology, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316498884 PECOS PAC ID: 2668739160 Enrollment ID: O20171207001750 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles William Greene Jr, MD 534 Woods Lake Rd, Greenville, SC 29607 Ph: (864) 720-2739 | Charles William Greene Jr, MD 534 Woods Lake Rd, Greenville, SC 29607-2778 Ph: (864) 720-2739 |
Reid F Johnstone, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 48 Creekview Ct, Greenville, SC 29615 Phone: 864-458-7431 Fax: 864-458-7463 | |
Dr. Fred Leffert, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 130 Mallard St, Greenville, SC 29601 Phone: 864-233-1534 Fax: 864-751-6020 | |
Douglas Thomas Johnston, DO Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr Ste A140, Greenville, SC 29615 Phone: 864-454-5125 Fax: 864-241-9201 | |
Thomas L Tiller Jr., M. D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 48 Creekview Ct, Greenville, SC 29615 Phone: 864-458-7431 Fax: 864-458-7463 | |
Mrs. Shanna Elizabeth Cowan, MS PAC Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1202 E Butler Rd, Greenville, SC 29607 Phone: 864-627-3800 Fax: 864-672-2653 | |
Andrea Brooks Lantz, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 48 Creekview Ct, Greenville, SC 29615 Phone: 864-458-7431 Fax: 864-458-7463 | |
Shiven S Patel, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 10 Halton Green Way, Greenville, SC 29607 Phone: 864-675-5000 Fax: 864-675-5005 |