| Dr Kurt Richard Ellenberger, MD | |
|
Beaufort Memorial Express Care & Occupational Health, 974 Ribaut Rd, Beaufort, SC 29902 | |
| (843) 524-3344 | |
| (844) 295-9894 |
| Full Name | Dr Kurt Richard Ellenberger |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | Beaufort Memorial Express Care & Occupational Health, Beaufort, 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 |
|---|---|---|---|
| 1053376111 | NPI | - | NPPES |
| 194532 | Medicaid | SC | |
| 19453 | Other | SC | SC LICENSE BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 19453 (South Carolina) | Primary |
| Entity Name | Beaufort County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871335018 PECOS PAC ID: 7810809365 Enrollment ID: O20050208000354 |
| Entity Name | Beaufort County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598713117 PECOS PAC ID: 7810809365 Enrollment ID: O20050518001061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kurt Richard Ellenberger, MD 955 Ribaut Rd, Bmac Credentialing, Beaufort, SC 29902-5441 Ph: (843) 522-5674 | Dr Kurt Richard Ellenberger, MD Beaufort Memorial Express Care & Occupational Health, 974 Ribaut Rd, Beaufort, SC 29902 Ph: (843) 524-3344 |
Karen L Keane, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2403 Allison Rd, Beaufort, SC 29902 Phone: 543-524-1078 Fax: 843-524-1137 | |
Yolanda Dreier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 964 Ribaut Rd Ste 1, Beaufort, SC 29902 Phone: 843-524-5437 Fax: 843-524-0425 | |
Dr. Francis Edwards Rushton Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 964 Ribaut Rd, Suite 1, Beaufort, SC 29902 Phone: 842-524-5437 | |
Dr. Joseph H Floyd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 964 Ribaut Rd, Beaufort, SC 29902 Phone: 843-524-5437 Fax: 843-524-0425 | |
Timothy E Keane, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2403 Allison Rd, Beaufort, SC 29902 Phone: 843-524-1078 Fax: 843-524-1137 | |
Dr. Christina D Lester, PNP Pediatrics Medicare: Medicare Enrolled Practice Location: 2403 Allison Rd, Beaufort, SC 29902 Phone: 843-524-1078 Fax: 843-524-1137 |