| Mr Thirston S Phillips Jr, DO | |
|
100 Water Grande Blvd, Little River, SC 29566-8162 | |
| (843) 366-4000 | |
| (910) 222-3063 |
| Full Name | Mr Thirston S Phillips Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 25 Years |
| Location | 100 Water Grande Blvd, Little River, 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 |
|---|---|---|---|
| 1255366175 | NPI | - | NPPES |
| 136YW | Other | NC | BLUE CROSS AND BLUE SHIEL |
| 195400 | Other | NC | MEDCOST PROVIDER ID |
| Q0057F | Medicaid | SC | |
| 89136YW | Medicaid | NC | |
| 612107500 | Other | NC | OWCP PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 200400575 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare Of The Upstate | Greenville, SC | Home health agency |
| Entity Name | Greenwood Medical Rehabilitation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215388327 PECOS PAC ID: 1456632538 Enrollment ID: O20170104000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thirston S Phillips Jr, DO Po Box 31166, Myrtle Beach, SC 29588-0020 Ph: (910) 495-6287 | Mr Thirston S Phillips Jr, DO 100 Water Grande Blvd, Little River, SC 29566-8162 Ph: (843) 366-4000 |
Dr. James Edward Huber, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 100 Water Grande Blvd, Little River, SC 29566 Phone: 843-366-4000 | |
Neema Mohammadi, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 100 Water Grande Blvd, Little River, SC 29566 Phone: 854-429-2393 |