| Joyce M Brackebusch, MD | |
| 
					146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800  | |
| (803) 936-7530 | |
| (803) 936-7532 | 
| Full Name | Joyce M Brackebusch | 
|---|---|
| Gender | Female | 
| Speciality | Otolaryngology | 
| Location | 146 E Hospital Dr Ste 200, West 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 | 
|---|---|---|---|
| 1710065271 | NPI | - | NPPES | 
| 150605 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD20476 (Oregon) | Primary | 
| 207Y00000X | Otolaryngology | 89330 (South Carolina) | Secondary | 
| Entity Name | Oregon Ear, Nose And Throat, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790863041 PECOS PAC ID: 9537153309 Enrollment ID: O20040413001800  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Joyce M Brackebusch, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 791-2000  | Joyce M Brackebusch, MD 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 Ph: (803) 936-7530  | 
Dr. William Michael Greene, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7532  | |
Robert Osborne Brown Iii, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7532  | |
Jordan W Rawl, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7532  | |
Edward A Woody, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7535  | |
Neal W Burkhalter, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7535  | |
Andrew P Battiata, MD, MS Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 200, West Columbia, SC 29169 Phone: 803-936-7530 Fax: 803-936-7535  |