| Dr Melissa K Fenner, MD | |
|
222 Herlong Ave S, Rock Hill, SC 29732-1158 | |
| (803) 324-6868 | |
| Not Available |
| Full Name | Dr Melissa K Fenner |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 222 Herlong Ave S, Rock Hill, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790865020 | NPI | - | NPPES |
| 2284974 | Medicaid | OH | |
| 311229292 | Other | OH | GROUP FEDERAL TAX ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35079409 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Medical Center | Rock hill, SC | Hospital |
| Carolinas Medical Center-pineville | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest Emergency Providers | 7012819816 | 310 |
| Acs Primary Care Physicians - Southeast Pc | 5193620714 | 354 |
| Entity Name | The Carolinas Emergency Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
| Entity Name | Gastonia Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316367691 PECOS PAC ID: 3870719602 Enrollment ID: O20140730002523 |
| Entity Name | Wake Forest Emergency Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melissa K Fenner, MD 5479 Lake Wylie Rd, Clover, SC 29710-9183 Ph: (614) 309-0929 | Dr Melissa K Fenner, MD 222 Herlong Ave S, Rock Hill, SC 29732-1158 Ph: (803) 324-6868 |
Stephen Barr, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-329-6849 | |
Dr. Tiffany Denise Jackson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-325-6301 | |
Amir Reza Hashemi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732 Phone: 803-329-1234 | |
Rebecca Dray, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732 Phone: 412-260-2058 | |
Dr. Edwin Iyere Ozua, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-324-1950 Fax: 803-324-1933 | |
John Lee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-329-6849 | |
Danny C Smith, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2174 Cherry Rd, Rock Hill, SC 29732 Phone: 803-325-8280 |