| Dr Edward Mottern, MD | |
|
102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | |
| (864) 229-2663 | |
| Not Available |
| Full Name | Dr Edward Mottern |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 11 Years |
| Location | 102 Gregor Mendel Cir, Greenwood, 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 |
|---|---|---|---|
| 1336554823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 75167 (Georgia) | Secondary |
| 207X00000X | Orthopaedic Surgery | 91784 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Health Services Of Self Regional Healthcare | Greenwood, SC | Home health agency |
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Abbeville Area Medical Center | Abbeville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Self Medical Group | 6002953916 | 363 |
| Entity Name | Self Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Mottern, MD 300 East Hospital Road, Ft. Gordon, GA 30905-5650 Ph: (706) 787-6158 | Dr Edward Mottern, MD 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 Ph: (864) 229-2663 |
Anthony R Timms, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 Gregor Mendel Cir, Greenwood, SC 29646 Phone: 864-229-2663 Fax: 864-223-5694 | |
Richard M Christian Jr., MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 102 Gregor Mendel Cir, Greenwood, SC 29646 Phone: 864-229-2663 Fax: 864-223-5694 | |
Mark Oliver, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 Gregor Mendel Cir, Greenwood, SC 29646 Phone: 864-229-2663 Fax: 864-223-5694 | |
John A King, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 Gregor Mendel Cir, Greenwood, SC 29646 Phone: 864-229-2663 Fax: 864-223-5694 | |
Dr. Ryan William Horn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 Gregor Mendel Cir, Greenwood, SC 29646 Phone: 864-229-2663 | |
Dr. Michael Josiah Maughon Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 Gregor Mendel Cir, Greenwood, SC 29646 Phone: 864-229-2663 Fax: 864-223-5694 |