| Dr Daniel Wayne Bailey, MD | |
| 
					146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800  | |
| (803) 936-3300 | |
| (803) 936-7735 | 
| Full Name | Dr Daniel Wayne Bailey | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 146 E Hospital Dr Ste 400, West Columbia, 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 | 
|---|---|---|---|
| 1508120882 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 92894 (South Carolina) | Secondary | 
| 208600000X | Surgery | 25MA11620200 (New Jersey) | Primary | 
| Entity Name | Cooper University Trauma Physicians, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790724730 PECOS PAC ID: 3678569951 Enrollment ID: O20040422000430  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Daniel Wayne Bailey, MD 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935  | Dr Daniel Wayne Bailey, MD 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 Ph: (803) 936-3300  | 
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: Medicare Enrolled 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: Medicare Enrolled 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  | |
Dr. Todd Samuel Lefkowitz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd, Ste 105, West Columbia, SC 29169 Phone: 803-936-7045  |