| Dr Charles Jason Rousseau, DO | |
|
225 E Wood St, Spartanburg, SC 29303-3050 | |
| (864) 583-4420 | |
| (864) 542-1045 |
| Full Name | Dr Charles Jason Rousseau |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 21 Years |
| Location | 225 E Wood St, Spartanburg, 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 |
|---|---|---|---|
| 1982803144 | NPI | - | NPPES |
| 5918608 | Medicaid | NC | |
| 008538 | Medicaid | SC | |
| P00993575 | Other | SC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 853 (South Carolina) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 853 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spartanburg Regional Home Health | Spartanburg, SC | Home health agency |
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Pelham Medical Center | Greer, SC | Hospital |
| Cherokee Medical Center | Gaffney, SC | Hospital |
| Union Medical Center | Union, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spartanburg Medical Center | 3072425297 | 977 |
| Cherokee Medical Center | 5991041212 | 37 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Jason Rousseau, DO Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Dr Charles Jason Rousseau, DO 225 E Wood St, Spartanburg, SC 29303-3050 Ph: (864) 583-4420 |
Bradley Mark Ceremuga, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 225 E Wood St, Spartanburg, SC 29303 Phone: 864-560-4420 Fax: 864-560-5296 | |
Steven Anthony Leyland, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 225 E Wood St, Spartanburg, SC 29303 Phone: 864-583-4420 Fax: 864-542-1045 |