| Dr Susan Thrasher Martin, MD | |
|
102 Buford Ave, Suite A, Anderson, SC 29621 | |
| (864) 261-9506 | |
| (864) 226-4201 |
| Full Name | Dr Susan Thrasher Martin |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 102 Buford Ave, Anderson, 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 |
|---|---|---|---|
| 1215991450 | NPI | - | NPPES |
| 155771 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 15577 (South Carolina) | Primary |
| Entity Name | Ernest C. Martin, M.d., P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871555896 PECOS PAC ID: 5799764791 Enrollment ID: O20040714000966 |
| Entity Name | Upstate Wellness Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871362459 PECOS PAC ID: 8527406545 Enrollment ID: O20240409003803 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Thrasher Martin, MD 102 Buford Ave, Suite A, Anderson, SC 29621-3365 Ph: (864) 261-9506 | Dr Susan Thrasher Martin, MD 102 Buford Ave, Suite A, Anderson, SC 29621 Ph: (864) 261-9506 |
Russell E Dodds, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 404 E Calhoun St, Anderson, SC 29621 Phone: 800-779-4858 Fax: 864-231-6448 | |
Dr. Benjamin Francis Emanuel, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 404 E Calhoun St, Anderson, SC 29621 Phone: 800-779-4858 Fax: 864-231-6448 | |
Leila Kutob, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-512-1000 | |
Catherine Smith Jeffords, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 404 E Calhoun St, Anderson, SC 29621 Phone: 864-226-1558 | |
Dr. Earle Eugene Baillie, M.D, Pathology Medicare: Not Enrolled in Medicare Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 800-779-4858 Fax: 864-231-6448 | |
Dr. Brett Houghton Woodard, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 404 E Calhoun St, Anderson, SC 29621 Phone: 864-226-1558 Fax: 864-231-6448 |