| Jessica Jackson Rueb, MD | |
|
115 Midlands Ct, West Columbia, SC 29169-3456 | |
| (803) 457-7000 | |
| (803) 457-7001 |
| Full Name | Jessica Jackson Rueb |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 7 Years |
| Location | 115 Midlands Ct, West Columbia, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497199400 | NPI | - | NPPES |
| 83767 | Other | SC | U FPRS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2088F0040X | Urology - Female Pelvic Medicine And Reconstructive Surgery | 35134272 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
| Prisma Health Baptist | Columbia, SC | Hospital |
| Prisma Heath Tuomey Hospital | Sumter, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Urogynecology Llc | 5890989875 | 4 |
| Prisma Health Medical Group-midlands | 5991099707 | 919 |
| Entity Name | Southern Urogynecology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952622326 PECOS PAC ID: 5890989875 Enrollment ID: O20101103001064 |
| 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 |
|---|---|
| Jessica Jackson Rueb, MD 115 Midlands Ct, West Columbia, SC 29169-3456 Ph: (803) 312-4814 | Jessica Jackson Rueb, MD 115 Midlands Ct, West Columbia, SC 29169-3456 Ph: (803) 457-7000 |
Keith Eric Brightbill Ii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 111 W Hospital Dr, West Columbia, SC 29169 Phone: 803-796-8515 Fax: 803-796-8516 | |
Dr. Michael J Stotzer, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 139 Summerplace Drive, West Columbia, SC 29169 Phone: 803-796-9968 Fax: 803-791-0376 | |
Namita Lopes, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 | |
Dr. David H Lamb, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 Fax: 803-739-3663 | |
Dr. Kelly Elizabeth Maloney, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 | |
Griffin T. Morrisson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 W Hospital Dr, West Columbia, SC 29169 Phone: 803-796-8515 Fax: 803-796-8516 | |
Dr. Thomas Brian Willard, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 Fax: 803-739-3663 |