| Dr William Mciver Leppard, MD | |
|
2750 Laurel St Ste 200, Columbia, SC 29204-2047 | |
| (803) 409-7130 | |
| (803) 252-8280 |
| Full Name | Dr William Mciver Leppard |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 18 Years |
| Location | 2750 Laurel St Ste 200, Columbia, 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 |
|---|---|---|---|
| 1023218351 | NPI | - | NPPES |
| 299956 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 29995 (South Carolina) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 29995 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Dermatology Grp | 3274557384 | 22 |
| Entity Name | Carolina Dermatology Grp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083693857 PECOS PAC ID: 3274557384 Enrollment ID: O20060117000247 |
| Entity Name | Providence Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285253336 PECOS PAC ID: 9638475627 Enrollment ID: O20160328001916 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Mciver Leppard, MD 330 Seven Springs Way, Brentwood, TN 37027-5098 Ph: (615) 920-7878 | Dr William Mciver Leppard, MD 2750 Laurel St Ste 200, Columbia, SC 29204-2047 Ph: (803) 409-7130 |
Michael David Tichenor, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 Phone: 803-434-4166 Fax: 803-434-4183 | |
Ms. Taylor C Dieter, DNP, NP-C Surgery Medicare: Not Enrolled in Medicare Practice Location: 220 Graces Way, Columbia, SC 29229 Phone: 180-373-64560 | |
David Deaton, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Rd Ste 300, Columbia, SC 29203 Phone: 803-545-5800 Fax: 803-254-0821 | |
Dr. Ginger Lynne Manos, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Richland Medical Park Dr Ste 330, Columbia, SC 29203 Phone: 803-434-7100 Fax: 803-434-6889 | |
Dalton Shuler Prickett, M.D. F.A.C.S. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1850 Laurel St, Columbia, SC 29201 Phone: 803-256-3400 Fax: 803-256-2039 | |
Dr. David Douglas Moffat Ii, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 1850 Laurel St Ste 1a, Columbia, SC 29201 Phone: 803-376-5982 Fax: 803-376-5987 |