| Kerry Thomas Lee, MD | |
|
1325 Spring St, Greenwood, SC 29646-3860 | |
| (864) 725-4111 | |
| Not Available |
| Full Name | Kerry Thomas Lee |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 1325 Spring St, Greenwood, 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 |
|---|---|---|---|
| 1760452296 | NPI | - | NPPES |
| 195611 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 19561 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | 19561 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Abbeville Area Medical Center | Abbeville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Self Medical Group | 6002953916 | 363 |
| Entity Name | Abbeville County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063449361 PECOS PAC ID: 7719891506 Enrollment ID: O20031117000214 |
| Entity Name | Anesthesiology Of Greenwood Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932189081 PECOS PAC ID: 7214830579 Enrollment ID: O20040202000729 |
| Entity Name | Self Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Thomas Lee, MD Po Box 742324, Atlanta, GA 30374-2324 Ph: (864) 227-8242 | Kerry Thomas Lee, MD 1325 Spring St, Greenwood, SC 29646-3860 Ph: (864) 725-4111 |
Dr. Kirsten Alayna Dahl, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-227-8242 | |
William G Devore, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Dr. Derek Scott Harwell, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1325 Spring St, Anesthesia Dept, Greenwood, SC 29646 Phone: 864-227-4111 | |
Dr. Kelley T Watson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Anesthesia Dept, Greenwood, SC 29646 Phone: 864-227-4111 | |
Dr. William Fred Hubbard Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Dr. Devendra T Shantha, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Dr. William R Warner, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Anesthesia Dept, Greenwood, SC 29646 Phone: 864-227-4111 |