| Dr Evelyn Trantham Bruner, MD | |
|
171 Ashley Ave, Charleston, SC 29425-8908 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | Dr Evelyn Trantham Bruner |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 16 Years |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558598847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | LL31762 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
| Coastal Carolina Hospital | Hardeeville, SC | Hospital |
| Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
| Hampton Regional Medical Center | Varnville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charleston Pathology Pa | 4789640673 | 10 |
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Entity Name | Charleston Pathology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114994787 PECOS PAC ID: 4789640673 Enrollment ID: O20041202000430 |
| Entity Name | Medical University Of South Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437636057 PECOS PAC ID: 2365403698 Enrollment ID: O20181215000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evelyn Trantham Bruner, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | Dr Evelyn Trantham Bruner, MD 171 Ashley Ave, Charleston, SC 29425-8908 Ph: (843) 792-1414 |
Paige Woodham, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 843-792-1086 | |
Chelsea Wright-void, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 843-792-1086 Fax: 843-792-8974 | |
Corynne Maria Caballero, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Thomas James Laux, DO Pathology Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-1086 | |
Anne Bartlett, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-3121 | |
David Lindsay Holbrook, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-789-7519 | |
Jason Barnes, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |