| Derek Allen Dubay, | |
|
890 W Faris Rd, Greenville, SC 29605-4253 | |
| (864) 455-1770 | |
| (864) 455-1775 |
| Full Name | Derek Allen Dubay |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 27 Years |
| Location | 890 W Faris Rd, Greenville, 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 |
|---|---|---|---|
| 1053584946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 204F00000X | Transplant Surgery | 5315008853 (Michigan) | Secondary |
| 204F00000X | Transplant Surgery | 39857 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | Hospital |
| Prisma Health Patewood Hospital | Greenville, SC | Hospital |
| Prisma Health Baptist Easley Hospital | Easley, SC | Hospital |
| Prisma Health Greer Memorial Hospital | Spartanburg, SC | Hospital |
| Prisma Health North Greenville Ltach | Travelers rest, SC | Long-term care hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health University Medical Group | 8325950983 | 2467 |
| 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 | University Medical Associates of the Medical University of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Allen Dubay, 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Derek Allen Dubay, 890 W Faris Rd, Greenville, SC 29605-4253 Ph: (864) 455-1770 |