| Matthew Michalik, | |
|
701 Grove Rd Fl 1, Greenville, SC 29605-4210 | |
| (864) 455-7899 | |
| (864) 455-5474 |
| Full Name | Matthew Michalik |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 701 Grove Rd Fl 1, Greenville, 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 |
|---|---|---|---|
| 1275989048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2018-00036 (North Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 82907 (South Carolina) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | App Of Tennessee Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Michalik, 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6311 | Matthew Michalik, 701 Grove Rd Fl 1, Greenville, SC 29605-4210 Ph: (864) 455-7899 |
Dr. Amber Gist Laney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Dr. Brent Alexander Oldham, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Matthew Lewis Mullins, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Christopher Steven Vega, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-6371 | |
Dr. Ronald Gerard Pirrallo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Dr. Frank J Ferlisi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7157 | |
Dr. Kevin John Gregg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Department Of Emergency Medicine, Greenville, SC 29605 Phone: 864-455-7157 |