| Dr Linda J Crout Wingard, MD | |
|
2525 Kinard Street, Newberry, SC 29108 | |
| (803) 405-0220 | |
| (803) 405-0222 |
| Full Name | Dr Linda J Crout Wingard |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 2525 Kinard Street, Newberry, 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 |
|---|---|---|---|
| 1669432779 | NPI | - | NPPES |
| GP3903 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 12957 (South Carolina) | Primary |
| Entity Name | Eau Claire Cooperative Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Linda J Crout Wingard, MD 2525 Kinard Street, Newberry, SC 29108 Ph: (803) 405-0220 | Dr Linda J Crout Wingard, MD 2525 Kinard Street, Newberry, SC 29108 Ph: (803) 405-0220 |
Dr. Rebecca L White, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 Kinard St, Newberry, SC 29108 Phone: 803-405-0220 Fax: 803-405-0222 | |
Dr. Danielle Renae Davis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 145 Executive Dr, Newberry, SC 29108 Phone: 803-733-5969 | |
Rebecca Susan Biscoglia, Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 Kinard St, Newberry, SC 29108 Phone: 803-405-0220 |