Elizabeth S Gordineer, MD | |
100 Ridge Medical Plaza Rd, Suite 102, Edgefield, SC 29824-4535 | |
(803) 637-3630 | |
(803) 637-5348 |
Full Name | Elizabeth S Gordineer |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 100 Ridge Medical Plaza Rd, Edgefield, 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 |
---|---|---|---|
1841350634 | NPI | - | NPPES |
170692 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 17069 (South Carolina) | Primary |
Entity Name | Self Regional Healthcare Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922582105 PECOS PAC ID: 1557606118 Enrollment ID: O20190129003656 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth S Gordineer, MD 100 Ridge Medical Plaza Rd, Suite 102, Edgefield, SC 29824-4530 Ph: (803) 637-3630 | Elizabeth S Gordineer, MD 100 Ridge Medical Plaza Rd, Suite 102, Edgefield, SC 29824-4535 Ph: (803) 637-3630 |
Robert Brightharp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Ridge Medical Plaza, Suite 102, Edgefield, SC 29824 Phone: 803-637-3630 Fax: 803-637-5348 | |
George L Rainsford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Ridge Medical Plaza Rd, Edgefield, SC 29824 Phone: 803-637-3146 Fax: 803-637-6597 | |
Dr. Jose A. Serrano-martinez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Gary Hill Rd, Edgefield, SC 29824 Phone: 803-637-1425 Fax: 803-637-7191 | |
Tami Y Massey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Ridge Medical Plaza Rd, Edgefield, SC 29824 Phone: 803-637-3146 Fax: 803-637-6597 |