| Dr James Thorolf Peveler Jr, MD | |
|
200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | |
| (864) 454-4500 | |
| (864) 454-4505 |
| Full Name | Dr James Thorolf Peveler Jr |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 16 Years |
| Location | 200 Patewood Dr Ste B350, 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 |
|---|---|---|---|
| 1265784409 | NPI | - | NPPES |
| NH108 | Other | FL | FL MEDICARE |
| 109452200 | Medicaid | FL | |
| PENDING | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME148047 (Florida) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 83078 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Recon Neurology And Psychiatry | 3870965924 | 8 |
| Entity Name | Ppcp Specialty Physicians , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780123984 PECOS PAC ID: 2466723028 Enrollment ID: O20170801001865 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Thorolf Peveler Jr, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Dr James Thorolf Peveler Jr, MD 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 Ph: (864) 454-4500 |
Saher Karim Choudhary, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste B350, Greenville, SC 29615 Phone: 864-454-4500 Fax: 864-454-4505 | |
Kathleen Valeska Woschkolup, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 801 Roper Creek Dr, Greenville, SC 29615 Phone: 864-516-1170 Fax: 877-249-9483 | |
Benjamin Todd Griffeth, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Ste 200, Greenville, SC 29605 Phone: 864-455-8431 | |
Meng Zhou-wang, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr, Suite B350, Greenville, SC 29615 Phone: 864-454-4500 Fax: 864-454-4505 | |
Dr. Marc Taro Ishizuka, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 41 Park Creek Dr, Va Outpatient Clinic In Greenville, Greenville, SC 29605 Phone: 864-299-1600 | |
Karen Sue Stacher, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard Street, Greenville, SC 29601 Phone: 864-241-1040 Fax: 864-241-1049 | |
Dr. Ambreen A Ahmad, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 27 Memorial Medical Dr, Greenville, SC 29605 Phone: 864-295-2221 Fax: 864-220-6109 |