| Leila Kutob, MD | |
|
800 N Fant St, Anderson, SC 29621-5708 | |
| (864) 512-1000 | |
| Not Available |
| Full Name | Leila Kutob |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 8 Years |
| Location | 800 N Fant St, Anderson, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245762871 | NPI | - | NPPES |
| 85343 | Other | SC | LICENSE |
| 853437 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 85343 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anmed Health | Anderson, SC | Hospital |
| Newberry County Memorial Hospital | Newberry, SC | Hospital |
| Morgan Medical Center | Madison, GA | Hospital |
| Elbert Memorial Hospital | Elberton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Pathology Associates Pa | 8729098959 | 5 |
| Entity Name | Piedmont Pathology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235101965 PECOS PAC ID: 8729098959 Enrollment ID: O20060502000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Leila Kutob, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Leila Kutob, MD 800 N Fant St, Anderson, SC 29621-5708 Ph: (864) 512-1000 |
Russell E Dodds, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 404 E Calhoun St, Anderson, SC 29621 Phone: 800-779-4858 Fax: 864-231-6448 | |
Dr. Susan Thrasher Martin, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 102 Buford Ave, Suite A, Anderson, SC 29621 Phone: 864-261-9506 Fax: 864-226-4201 | |
Dr. Benjamin Francis Emanuel, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 404 E Calhoun St, Anderson, SC 29621 Phone: 800-779-4858 Fax: 864-231-6448 | |
Catherine Smith Jeffords, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 404 E Calhoun St, Anderson, SC 29621 Phone: 864-226-1558 | |
Dr. Earle Eugene Baillie, M.D, Pathology Medicare: Not Enrolled in Medicare Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 800-779-4858 Fax: 864-231-6448 | |
Dr. Brett Houghton Woodard, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 404 E Calhoun St, Anderson, SC 29621 Phone: 864-226-1558 Fax: 864-231-6448 |