| Krishi Venkata Peddada, MD | |
|
273 Harrison Bridge Rd, Simpsonville, SC 29680-7132 | |
| (864) 654-6706 | |
| Not Available |
| Full Name | Krishi Venkata Peddada |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 10 Years |
| Location | 273 Harrison Bridge Rd, Simpsonville, 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 |
|---|---|---|---|
| 1588014393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0107X | Ophthalmology - Retina Specialist | 87529 (South Carolina) | Secondary |
| 207W00000X | Ophthalmology | 87529 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis-downtown | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clemson Eye Pa | 4183537764 | 50 |
| Palmetto Retina Center Llc | 4486741980 | 13 |
| Entity Name | Clemson Eye Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447383831 PECOS PAC ID: 4183537764 Enrollment ID: O20031110000508 |
| Entity Name | Palmetto Retina Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255322806 PECOS PAC ID: 4486741980 Enrollment ID: O20071031000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Krishi Venkata Peddada, MD Po Box 896189, Charlotte, NC 28289-6189 Ph: (864) 654-6706 | Krishi Venkata Peddada, MD 273 Harrison Bridge Rd, Simpsonville, SC 29680-7132 Ph: (864) 654-6706 |
Carl T Bruce, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1 Colony Centre Way, Simpsonville, SC 29681 Phone: 864-458-3900 Fax: 864-967-9118 | |
Dr. Adam R Easterling, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 273 Harrison Bridge Rd, Simpsonville, SC 29680 Phone: 864-654-6706 |