| Dr Timothy Ryan Hensley, MD | |
|
800 N A St, Easley, SC 29640 | |
| (864) 855-0001 | |
| (864) 855-5030 |
| Full Name | Dr Timothy Ryan Hensley |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 800 N A St, Easley, 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 |
|---|---|---|---|
| 1649539818 | NPI | - | NPPES |
| 820776 | Medicaid | SC | |
| 19TJ8 | Other | NC | BCBS NC |
| 1649539818 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2017-02273 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 82077 (South Carolina) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Ryan Hensley, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Dr Timothy Ryan Hensley, MD 800 N A St, Easley, SC 29640 Ph: (864) 855-0001 |
Beverly Turner Ellington, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
Kristie Leigh Bragg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4741 Highway 153 Ste A, Easley, SC 29642 Phone: 864-661-5278 Fax: 864-408-8369 | |
Emily Brooks Crosby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
Mrs. Hiliary Seay Humphries, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 North A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
Anna Lee Leavitt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 | |
Dr. Gregory Heyward Langley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
Dr. Stacy Blye Garmon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 |