| Katherine Marie Matthias, DO | |
| 800 N A St, Easley, SC 29640-2144 | |
| (864) 855-0001 | |
| (864) 855-5030 | 
| Full Name | Katherine Marie Matthias | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 800 N A St, Easley, 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 | 
|---|---|---|---|
| 1487067476 | NPI | - | NPPES | 
| 366990 | Medicaid | SC | |
| SCB281 | Other | SC | MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 36690 (South Carolina) | Primary | 
| 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 | 
|---|---|
| Katherine Marie Matthias, DO 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Katherine Marie Matthias, DO 800 N A St, Easley, SC 29640-2144 Ph: (864) 855-0001 | 
| Beverly Turner Ellington, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
| Kristie Leigh Bragg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4741 Highway 153 Ste A, Easley, SC 29642 Phone: 864-661-5278 Fax: 864-408-8369 | |
| Emily Brooks Crosby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
| Mrs. Hiliary Seay Humphries, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 North A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
| Anna Lee Leavitt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 | |
| Dr. Gregory Heyward Langley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
| Dr. Stacy Blye Garmon, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 |