| Peter Leigh Longstreet, MD | |
|
701 Grove Rd, Greenville, SC 29605-4210 | |
| (864) 522-5550 | |
| (864) 455-8981 |
| Full Name | Peter Leigh Longstreet |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 36 Years |
| Location | 701 Grove Rd, Greenville, 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 |
|---|---|---|---|
| 1366573990 | NPI | - | NPPES |
| 526176 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301095655 (Michigan) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 52617 (South Carolina) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Awakenings Psychiatric Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518591858 PECOS PAC ID: 2365871456 Enrollment ID: O20200413001455 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Leigh Longstreet, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Peter Leigh Longstreet, MD 701 Grove Rd, Greenville, SC 29605-4210 Ph: (864) 522-5550 |
Saher Karim Choudhary, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste B350, Greenville, SC 29615 Phone: 864-454-4500 Fax: 864-454-4505 | |
Kathleen Valeska Woschkolup, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 801 Roper Creek Dr, Greenville, SC 29615 Phone: 864-516-1170 Fax: 877-249-9483 | |
Benjamin Todd Griffeth, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Ste 200, Greenville, SC 29605 Phone: 864-455-8431 | |
Meng Zhou-wang, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr, Suite B350, Greenville, SC 29615 Phone: 864-454-4500 Fax: 864-454-4505 | |
Dr. Marc Taro Ishizuka, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 41 Park Creek Dr, Va Outpatient Clinic In Greenville, Greenville, SC 29605 Phone: 864-299-1600 | |
Karen Sue Stacher, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard Street, Greenville, SC 29601 Phone: 864-241-1040 Fax: 864-241-1049 | |
Dr. Ambreen A Ahmad, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 27 Memorial Medical Dr, Greenville, SC 29605 Phone: 864-295-2221 Fax: 864-220-6109 |