| Cody Robertson, | |
|
2605 Kinard St, Newberry, SC 29108-2967 | |
| (803) 405-1900 | |
| (803) 405-1919 |
| Full Name | Cody Robertson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 2605 Kinard St, Newberry, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225560675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 84922 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Newberry County Memorial Hospital | Newberry, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Self Medical Group | 6002953916 | 363 |
| Entity Name | Self Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Robertson, 2605 Kinard St, Newberry, SC 29108-2967 Ph: (803) 405-1900 | Cody Robertson, 2605 Kinard St, Newberry, SC 29108-2967 Ph: (803) 405-1900 |
John W. Green, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2562 Kinard St, Newberry, SC 29108 Phone: 803-276-6689 | |
Dr. William H Cantey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2660 Kinard St, Newberry, SC 29108 Phone: 803-597-5225 | |
Mary Elizabeth Little, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2605 Kinard St Ste 200, Newberry, SC 29108 Phone: 803-405-1900 Fax: 803-405-1919 | |
Dr. Bernice C Reichenbach, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2605 Kinard St Ste 208, Newberry, SC 29108 Phone: 803-945-4202 Fax: 803-945-4238 | |
Dr. Michael Jerome Bernardo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1109 Wilson St, Newberry, SC 29108 Phone: 803-321-3035 Fax: 803-321-3034 | |
Dr. Jorge O Garcia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2531 Evans St, Suite A, Newberry, SC 29108 Phone: 803-276-7978 Fax: 803-675-9986 |