| Dr Robert Noyes Etheridge, MD | |
|
25 E Clark St, Pinewood, SC 29125-8989 | |
| (803) 774-4500 | |
| (803) 452-5712 |
| Full Name | Dr Robert Noyes Etheridge |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 25 E Clark St, Pinewood, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588007603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40082 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Lexington | Lexington, SC | Home health agency |
| Prisma Heath Tuomey Hospital | Sumter, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tandem Health Sc | 3870575855 | 26 |
| Entity Name | Tandem Health Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386630192 PECOS PAC ID: 3870575855 Enrollment ID: O20040603000514 |
| Entity Name | Tandem Health Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649035841 PECOS PAC ID: 3870575855 Enrollment ID: O20241111000490 |
| Entity Name | Tandem Health Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689447534 PECOS PAC ID: 3870575855 Enrollment ID: O20250107001306 |
| Entity Name | Tandem Health Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588437438 PECOS PAC ID: 3870575855 Enrollment ID: O20250403003314 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Noyes Etheridge, MD 25 E Clark St, Pinewood, SC 29125-8989 Ph: (803) 774-4500 | Dr Robert Noyes Etheridge, MD 25 E Clark St, Pinewood, SC 29125-8989 Ph: (803) 774-4500 |
Dr. Donna Grimsley Mizelle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 East Clark Street, Pinewood, SC 29125 Phone: 803-774-4500 Fax: 803-452-5712 |