Dr Lucero Jacqueline Vivar, MD | |
60 Physician Dr Ste 100, Aiken, SC 29801-5325 | |
(803) 641-5437 | |
Not Available |
Full Name | Dr Lucero Jacqueline Vivar |
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Gender | Female |
Speciality | Pediatrics |
Location | 60 Physician Dr Ste 100, Aiken, 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 |
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1134533961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 78471 (Georgia) | Primary |
Entity Name | Au Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Au Medical Associates Emergency Medicine Billing Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982089777 PECOS PAC ID: 3072823186 Enrollment ID: O20151102001458 |
Mailing Address | Practice Location Address |
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Dr Lucero Jacqueline Vivar, MD Po Box 6298, Aiken, SC 29804-6298 Ph: () - | Dr Lucero Jacqueline Vivar, MD 60 Physician Dr Ste 100, Aiken, SC 29801-5325 Ph: (803) 641-5437 |
Jonathan C Collins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 206 Centre South Blvd, Aiken, SC 29803 Phone: 803-642-9204 Fax: 803-648-3633 | |
Dr. John Burton Tiffany, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Town Creek Rd, Aiken, SC 29803 Phone: 803-508-7651 Fax: 803-508-7655 | |
Dr. Ashley Elizabeth Miller, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 Town Creek Rd, Aiken, SC 29803 Phone: 803-508-7651 Fax: 803-508-7655 | |
Paula Anne Luther, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 206 Centre South Blvd, Aiken, SC 29803 Phone: 803-642-9204 Fax: 803-648-3633 | |
Dr. Francis J Dibona, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 755 Medical Park Dr, Aiken, SC 29801 Phone: 803-648-0718 Fax: 803-641-9143 | |
Dr. Victoria M. Stoeppler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Clyburn Pl, Aiken, SC 29801 Phone: 803-649-0578 Fax: 803-649-2788 |