| Dr Alyssa Fesmire, MD | |
|
146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | |
| (803) 936-3300 | |
| (803) 936-7735 |
| Full Name | Dr Alyssa Fesmire |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 146 E Hospital Dr Ste 400, West Columbia, 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 |
|---|---|---|---|
| 1114313400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 96457 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
| Saint Luke's East Hospital | Lees summit, MO | Hospital |
| Saint Luke's South Hospital | Overland park, KS | Hospital |
| Saint Lukes North Hospital | Kansas city, MO | Hospital |
| Anderson County Hospital | Garnett, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Physician Group Inc | 3577476894 | 1234 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alyssa Fesmire, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 936-3300 | Dr Alyssa Fesmire, MD 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 Ph: (803) 936-3300 |
Ian Michael Brastauskas, Surgery Medicare: Medicare Enrolled Practice Location: 2728 Sunset Blvd Ste 400, West Columbia, SC 29169 Phone: 803-936-7095 Fax: 803-936-7908 | |
Dr. Solon Gray Hughes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Dr. Elizabeth Ellen Price, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Dr. Marc C Antonetti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Dr. John D. Deperi, M. D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Jeffrey S. Molle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 176 Mcswain Dr, West Columbia, SC 29169 Phone: 803-767-4465 Fax: 803-767-4120 | |
Dr. Goran Rac, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 Fax: 803-739-3663 |