| Dr Brian Boone, MD | |
|
15 Exchange Dr, Lugoff, SC 29078-9198 | |
| (803) 408-3277 | |
| (803) 408-3299 |
| Full Name | Dr Brian Boone |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 15 Years |
| Location | 15 Exchange Dr, Lugoff, 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 |
|---|---|---|---|
| 1821309683 | NPI | - | NPPES |
| 405458 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | TRN#14893 (Florida) | Secondary |
| 207Y00000X | Otolaryngology | 2014-02050 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Heath Tuomey Hospital | Sumter, SC | Hospital |
| Kershawhealth | Camden, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Carolina Ent Allergy And Sleep Medicine Pa | 0840214748 | 21 |
| Entity Name | South Carolina Ent Allergy & Sleep Medicine Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134153083 PECOS PAC ID: 0840214748 Enrollment ID: O20060118000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Boone, MD 15 Exchange Dr, Lugoff, SC 29078-9198 Ph: (803) 408-3277 | Dr Brian Boone, MD 15 Exchange Dr, Lugoff, SC 29078-9198 Ph: (803) 408-3277 |
Dr. Jacob Patrick Ossoff, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 | |
Stephanie H Tetterton, PA Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3282 | |
Dr. David Macy Vidrine, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3282 | |
Dr. Valerie Alison Fritsch, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3299 | |
Dr. Robert Puchalski, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3299 | |
Dr. Janaki Lakshmi Emani, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3282 |