| Jeffrey Thomas Ehreth, MD | |
|
9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | |
| (803) 434-2833 | |
| (803) 434-2834 |
| Full Name | Jeffrey Thomas Ehreth |
|---|---|
| Gender | Male |
| Speciality | Urology - Pediatric Urology |
| Location | 9 Richland Medical Park Dr Ste 500, Columbia, 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 |
|---|---|---|---|
| 1962431304 | NPI | - | NPPES |
| G17963F935 | Other | SC | MEDICARE |
| Q00563 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 18730 (South Carolina) | Secondary |
| 2088P0231X | Urology - Pediatric Urology | 18730 (South Carolina) | Primary |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Thomas Ehreth, MD Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7320 | Jeffrey Thomas Ehreth, MD 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 Ph: (803) 434-2833 |
Dr. Elisabeth J Paszkiewicz, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 | |
Christina Jocklene Edwards, AGPCNP-C Urology Medicare: Medicare Enrolled Practice Location: 2750 Laurel St Ste 103, Columbia, SC 29204 Phone: 803-865-4934 Fax: 803-865-4935 | |
John O. Fairey, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1301 Taylor St, Suite 1a, Columbia, SC 29201 Phone: 803-254-4591 Fax: 803-931-8000 | |
Dr. Terence N Chapman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2750 Laurel St Ste 103, Columbia, SC 29204 Phone: 803-865-4934 Fax: 803-865-4935 | |
Dr. Matthew Neil Simmons, M.D., PH.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2750 Laurel St Ste 103, Columbia, SC 29204 Phone: 803-865-4934 Fax: 803-865-4935 | |
Dr. Frank John Penna Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203 Phone: 803-434-2833 Fax: 803-434-2834 | |
Dr. Gwen Caroline Choi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2750 Laurel St Ste 103, Columbia, SC 29204 Phone: 803-865-4934 |