| Mr John A Tanksley Jr, MD | |
|
309 E 1st Ave, Easley, SC 29640-3040 | |
| (864) 850-2663 | |
| (864) 306-0012 |
| Full Name | Mr John A Tanksley Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 16 Years |
| Location | 309 E 1st Ave, Easley, 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 |
|---|---|---|---|
| 1780812321 | NPI | - | NPPES |
| 351420001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 31882 (South Carolina) | Primary |
| 207X00000X | Orthopaedic Surgery | Q3980 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Baptist Easley Hospital | Easley, SC | Hospital |
| Hca Houston Healthcare Conroe | Conroe, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wilco Theranet, Llc | 2365531878 | 107 |
| Select Physical Therapy Texas Limited Partnership | 6608868070 | 466 |
| Prisma Health University Medical Group | 8325950983 | 2220 |
| 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 |
|---|---|
| Mr John A Tanksley Jr, MD 300 E Mcbee Ave Ste 300, Greenville, SC 29601-2899 Ph: (864) 522-8611 | Mr John A Tanksley Jr, MD 309 E 1st Ave, Easley, SC 29640-3040 Ph: (864) 850-2663 |
Matthew Alexander Rae, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 309 E 1st Ave, Easley, SC 29640 Phone: 864-850-2663 Fax: 864-306-0012 | |
Robert F Finley, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 112 John St, Suite 201, Easley, SC 29640 Phone: 864-850-2663 Fax: 864-306-0012 | |
Drew Alan Ratner, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 309 E 1st Ave, Easley, SC 29640 Phone: 864-850-2663 Fax: 864-522-5785 | |
Dr. John Clinton Fisher Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 309 E 1st Ave, Easley, SC 29640 Phone: 864-850-2663 Fax: 864-306-0012 | |
Charles Cody White Iv, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 309 E 1st Ave, Easley, SC 29640 Phone: 864-850-2663 Fax: 864-306-0012 | |
Dr. Brian Matthew Fisher, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 309 E 1st Ave, Easley, SC 29640 Phone: 864-850-2663 Fax: 864-522-5785 |