| Dr Joachim E Hertel, MD | |
|
29 Memorial Medical Dr, Greenville, SC 29605-4407 | |
| (864) 220-1200 | |
| (864) 220-1888 |
| Full Name | Dr Joachim E Hertel |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 42 Years |
| Location | 29 Memorial Medical Dr, 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 |
|---|---|---|---|
| 1538146303 | NPI | - | NPPES |
| 000510309AX | Medicaid | GA | |
| 000510309L | Medicaid | GA | |
| 000510309P | Medicaid | GA | |
| 000510309AT | Medicaid | GA | |
| 000510309AU | Medicaid | GA | |
| 000510309AY | Medicaid | GA | |
| 000510309AW | Medicaid | GA | |
| 000510309AZ | Medicaid | GA | |
| 000510309R | Medicaid | GA | |
| 000510309U | Medicaid | GA | |
| G35093 | Medicaid | SC | |
| 000510309BC | Medicaid | GA | |
| 000510309BD | Medicaid | GA | |
| 000510309F | Medicaid | GA | |
| 000510309I | Medicaid | GA | |
| 000510309AV | Medicaid | GA | |
| 000510309BA | Medicaid | GA | |
| 000510309BB | Medicaid | GA | |
| 000510309C | Medicaid | GA | |
| G35903 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | MD23113 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clinton Dialysis Clinic | Clinton, SC | Dialysis facility |
| Greenville Dialysis Clinic, Llc | Greenville, SC | Dialysis facility |
| St Francis-downtown | Greenville, SC | Hospital |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
| Ghs Laurens County Memorial Hospital | Clinton, SC | Hospital |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | Hospital |
| Prisma Health Greer Memorial Hospital | Greer, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greenville Kidney Care, Llc | 1557535614 | 3 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Greenville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
| Entity Name | Greenville Kidney Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659654002 PECOS PAC ID: 1557535614 Enrollment ID: O20111129000749 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joachim E Hertel, MD 29 Memorial Medical Dr, Greenville, SC 29605-4407 Ph: (864) 220-1200 | Dr Joachim E Hertel, MD 29 Memorial Medical Dr, Greenville, SC 29605-4407 Ph: (864) 220-1200 |
Hilary Lauren Knippers, DO Nephrology Medicare: Medicare Enrolled Practice Location: 876 W Faris Rd, Greenville, SC 29605 Phone: 864-455-5648 | |
Abdullah Darvesh, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Daniel Ruiz, Nephrology Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Rhett Mckey Shirley, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd, Suite 520, Greenville, SC 29605 Phone: 864-455-9033 Fax: 864-455-6559 | |
Mohammad Rashid, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 61 Pointe Cir, Greenville, SC 29615 Phone: 864-286-6960 Fax: 864-286-8710 | |
Benjamin Ellis Rawls, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605 Phone: 864-455-4411 | |
Alan Robert Thompson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, 5th Floor, Greenville, SC 29605 Phone: 864-455-4411 Fax: 864-455-4480 |