| Marvin G Burdette Jr, MD | |
|
665 West Alexander Road, Greenwood, SC 29646 | |
| (864) 227-2020 | |
| (864) 227-2823 |
| Full Name | Marvin G Burdette Jr |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 665 West Alexander Road, Greenwood, 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 |
|---|---|---|---|
| 1730186099 | NPI | - | NPPES |
| 092296 | Medicaid | SC | |
| PA0515 | Medicaid | SC | |
| 180012150 | Other | SC | RAILROAD MEDICARE |
| CE6166 | Other | SC | RAILROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 9229 (South Carolina) | Primary |
| Entity Name | Greenwood Eye Clinic, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265418388 PECOS PAC ID: 8325089956 Enrollment ID: O20050513000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin G Burdette Jr, MD Po Box 369, Greenwood, SC 29648-0369 Ph: (864) 227-2020 | Marvin G Burdette Jr, MD 665 West Alexander Road, Greenwood, SC 29646 Ph: (864) 227-2020 |
Jennifer Lynn Hershberger, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 665 West Alexander Road, Greenwood, SC 29646 Phone: 864-227-2020 | |
Jerry E Galloway, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 202 Overland Dr, Greenwood, SC 29646 Phone: 864-943-2010 Fax: 864-323-0345 | |
Timothy L. Austin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 665 West Alexander Road, Greenwood, SC 29646 Phone: 864-227-2020 Fax: 864-227-2823 | |
John Devore Compton Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 210 Wells Ave, Greenwood, SC 29646 Phone: 864-227-2020 Fax: 864-227-2823 | |
Stephanie C. Turner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 665 West Alexander Road, Greenwood, SC 29646 Phone: 864-227-2020 Fax: 864-227-2823 | |
William F. Darby Jr., M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 665 West Alexander Road, Greenwood, SC 29646 Phone: 864-227-2020 Fax: 864-227-2823 |