| Dr Charles Stuart Simko, MD | |
|
106 Physicians Dr, Greer, SC 29650-2445 | |
| (864) 797-9100 | |
| (864) 241-9239 |
| Full Name | Dr Charles Stuart Simko |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 106 Physicians Dr, Greer, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700083375 | NPI | - | NPPES |
| 301729 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 30172 (South Carolina) | Primary |
| 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 | Greenville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Stuart Simko, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Dr Charles Stuart Simko, MD 106 Physicians Dr, Greer, SC 29650-2445 Ph: (864) 797-9100 |
Bradley Sieckman, Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Physicians Dr, Greer, SC 29650 Phone: 864-797-9100 Fax: 864-241-9239 | |
Michelle Rene Viglianco-vanpelt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 325 Medical Pkwy, Suite 150, Greer, SC 29650 Phone: 864-797-9300 Fax: 864-849-9196 | |
Hajar Raissi-fard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Memorial Dr, Pediatric Center, Greer, SC 29650 Phone: 864-848-7005 Fax: 864-848-3666 | |
Dr. Jaqwiana Samia Baker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Physicians Dr, Greer, SC 29650 Phone: 864-797-9100 Fax: 864-241-9239 | |
Dr. Edward H Hausladen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 554 Memorial Drive Ext, Suite C, Greer, SC 29651 Phone: 864-879-3883 Fax: 864-848-3492 | |
James Raff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 319 S Buncombe Rd, Greer, SC 29650 Phone: 864-877-3883 Fax: 864-284-0844 | |
Dr. James Bartlette Key, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 554 Memorial Drive Ext, Suite C, Greer, SC 29651 Phone: 864-879-3883 Fax: 864-848-3492 |