| Dr Robert Puchalski, MD | |
|
15 Exchange Dr, Lugoff, SC 29078-9198 | |
| (803) 408-3277 | |
| (803) 408-3299 |
| Full Name | Dr Robert Puchalski |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 28 Years |
| Location | 15 Exchange Dr, Lugoff, 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 |
|---|---|---|---|
| 1740215904 | NPI | - | NPPES |
| 230486 | Medicaid | SC | |
| DE5192 | Other | SC | UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 23048 (South Carolina) | Secondary |
| 207YS0012X | Otolaryngology - Sleep Medicine | 23048 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Kershawhealth | Camden, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Carolina Ent Allergy And Sleep Medicine Pa | 0840214748 | 21 |
| Entity Name | South Carolina Ent Allergy & Sleep Medicine Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134153083 PECOS PAC ID: 0840214748 Enrollment ID: O20060118000755 |
| Entity Name | Scent Asc Opportunity Fund Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1437736071 PECOS PAC ID: 7810369063 Enrollment ID: O20230216000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Puchalski, MD Po Box 520, Lugoff, SC 29078-0520 Ph: (803) 408-3277 | Dr Robert Puchalski, MD 15 Exchange Dr, Lugoff, SC 29078-9198 Ph: (803) 408-3277 |
Dr. Jacob Patrick Ossoff, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 | |
Stephanie H Tetterton, PA Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3282 | |
Dr. David Macy Vidrine, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3282 | |
Dr. Valerie Alison Fritsch, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3299 | |
Dr. Brian Boone, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3299 | |
Dr. Janaki Lakshmi Emani, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-408-3277 Fax: 803-408-3282 |