| Dr James R Debloom Ii, MD | |
|
300 Ashby Park Lane, Greenville, SC 29607-6903 | |
| (864) 288-1154 | |
| (864) 288-2554 |
| Full Name | Dr James R Debloom Ii |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 24 Years |
| Location | 300 Ashby Park Lane, Greenville, 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 |
|---|---|---|---|
| 1396777124 | NPI | - | NPPES |
| ID287594 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | TL28759 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Carolina Skin Cancer Center | 3678570397 | 3 |
| Entity Name | South Carolina Skin Cancer Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154344547 PECOS PAC ID: 3678570397 Enrollment ID: O20061023000120 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James R Debloom Ii, MD 300 Ashby Park Ln, Greenville, SC 29607-6903 Ph: (864) 288-1154 | Dr James R Debloom Ii, MD 300 Ashby Park Lane, Greenville, SC 29607-6903 Ph: (864) 288-1154 |
Dr. Marshall Jasper Shuler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10 Enterprise Blvd Ste 202, Greenville, SC 29615 Phone: 864-233-6338 | |
Victoria Asmus, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 300 Ashby Park Ln, Greenville, SC 29607 Phone: 864-288-1154 Fax: 864-288-2554 | |
Dr. Jeremiah Allan Miller Iii, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1803 Augusta St Ste D, Greenville, SC 29605 Phone: 864-960-5050 | |
Joel C Phillips, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 28 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-271-7440 Fax: 864-271-6001 | |
Mrs. Frances B Pardue, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 7a Cleveland Ct, Greenville, SC 29607 Phone: 864-351-0345 Fax: 864-351-0360 | |
Courtney Lee Mcfaddin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 28 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-271-7440 Fax: 864-271-6001 | |
Megan O'neill Scharf, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5 Stevens St Ste 300, Greenville, SC 29605 Phone: 864-233-6338 |