| Dr Martin Augustus Allen, MD | |
|
10110 Clemson Blvd, Seneca, SC 29678-0812 | |
| (864) 482-3148 | |
| (864) 482-0505 |
| Full Name | Dr Martin Augustus Allen |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 10110 Clemson Blvd, Seneca, 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 |
|---|---|---|---|
| 1033199831 | NPI | - | NPPES |
| 0701372 | Other | NC | UNITED HEALTHCARE |
| 10901 | Other | NC | BCBSNC |
| 4120 | Other | NC | PARTNERS |
| 368471 | Medicaid | SC | |
| 8910901 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 36847 (South Carolina) | Primary |
| 207V00000X | Obstetrics & Gynecology | 36640 (North Carolina) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin Augustus Allen, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Dr Martin Augustus Allen, MD 10110 Clemson Blvd, Seneca, SC 29678-0812 Ph: (864) 482-3148 |
Dr. Randall Mac Royal, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 103 Carter Park Dr, Suite A, Seneca, SC 29678 Phone: 864-482-2360 Fax: 864-482-2635 | |
Clyde H Climer, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 103 Center Park Drive, Suite A, Seneca, SC 29678 Phone: 864-482-2360 Fax: 864-482-2365 | |
Dr. Jessica Frazelle Mcdaniel, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 103 Carter Park Dr Ste A, Seneca, SC 29678 Phone: 864-482-2360 Fax: 864-482-2365 | |
Adair London, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 103 Carter Park Dr Ste A, Seneca, SC 29678 Phone: 864-482-2360 Fax: 864-482-2365 | |
Ronnie Alan Brockway, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 215 Stork Way, Seneca, SC 29678 Phone: 864-882-1311 Fax: 864-882-1350 | |
Vance Newton Pirkle, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 103 Carter Park Dr, Suite A, Seneca, SC 29678 Phone: 864-482-2360 Fax: 864-482-2365 |