| Dr Jacob Patrick Ossoff, MD | |
|
15 Exchange Dr, Lugoff, SC 29078-9198 | |
| (803) 408-3277 | |
| Not Available |
| Full Name | Dr Jacob Patrick Ossoff |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 12 Years |
| Location | 15 Exchange Dr, Lugoff, 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 |
|---|---|---|---|
| 1073958989 | NPI | - | NPPES |
| 523179 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD52317 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scottsdale Osborn Medical Center | Scottsdale, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Ent Pc | 8729149711 | 71 |
| Entity Name | Valley Ent Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508990185 PECOS PAC ID: 8729149711 Enrollment ID: O20120202000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Patrick Ossoff, MD 15 Exchange Dr, Lugoff, SC 29078-9198 Ph: (803) 408-3277 | Dr Jacob Patrick Ossoff, MD 15 Exchange Dr, Lugoff, SC 29078-9198 Ph: (803) 408-3277 |
Stephanie H Tetterton, PA Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3282 | |
Dr. David Macy Vidrine, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3282 | |
Dr. Valerie Alison Fritsch, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3299 | |
Dr. Robert Puchalski, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3299 | |
Dr. Brian Boone, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3299 | |
Dr. Janaki Lakshmi Emani, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3282 |