| Dr Kevin J Mewborn, MD | |
|
701 Grove Rd, Greenville, SC 29605-5611 | |
| (864) 455-7000 | |
| Not Available |
| Full Name | Dr Kevin J Mewborn |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 701 Grove Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669435327 | NPI | - | NPPES |
| 231984 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 23198 (South Carolina) | Primary |
| Entity Name | St Francis Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558305995 PECOS PAC ID: 3779487186 Enrollment ID: O20031126000091 |
| Entity Name | Emergencymd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619383791 PECOS PAC ID: 7416179478 Enrollment ID: O20141107000731 |
| Entity Name | Ich Er Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174002059 PECOS PAC ID: 2860744331 Enrollment ID: O20181010003402 |
| Entity Name | Vituity-south Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194328724 PECOS PAC ID: 5698188522 Enrollment ID: O20210113001571 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255170361 PECOS PAC ID: 6608056171 Enrollment ID: O20240731002689 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin J Mewborn, MD 701 Carriage Hill Rd, Simpsonville, SC 29681-5281 Ph: (864) 675-6153 | Dr Kevin J Mewborn, MD 701 Grove Rd, Greenville, SC 29605-5611 Ph: (864) 455-7000 |
Dr. Amber Gist Laney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Dr. Brent Alexander Oldham, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Matthew Lewis Mullins, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Christopher Steven Vega, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-6371 | |
Dr. Ronald Gerard Pirrallo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Dr. Frank J Ferlisi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7157 | |
Dr. Kevin John Gregg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Department Of Emergency Medicine, Greenville, SC 29605 Phone: 864-455-7157 |