| Dr Mickey F Plymale, MD | |
|
104 Saluda Pointe Dr, Lexington, SC 29072-7295 | |
| (803) 296-7846 | |
| (803) 296-9699 |
| Full Name | Dr Mickey F Plymale |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 19 Years |
| Location | 104 Saluda Pointe Dr, Lexington, South Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972809192 | NPI | - | NPPES |
| 344924 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 34492 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Homecare | Columbia, SC | Home health agency |
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
| Prisma Health Baptist | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cora South Carolina Llc | 3173766334 | 98 |
| Prisma Health Medical Group-midlands | 5991099707 | 919 |
| Entity Name | Prisma Health-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889458 PECOS PAC ID: 6800708330 Enrollment ID: O20031110000506 |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922063858 PECOS PAC ID: 8527970771 Enrollment ID: O20040112000062 |
| Entity Name | Orthocarolina Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497704217 PECOS PAC ID: 2062316821 Enrollment ID: O20080625000065 |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mickey F Plymale, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 695-6697 | Dr Mickey F Plymale, MD 104 Saluda Pointe Dr, Lexington, SC 29072-7295 Ph: (803) 296-7846 |
James Lucas Mcfadden, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Saluda Pointe Dr, Lexington, SC 29072 Phone: 803-296-7846 Fax: 803-296-9699 |