| Phong Thanh Phan, MD | |
|
200 Fleetwood Dr, Easley, SC 29640-2022 | |
| (864) 442-7200 | |
| Not Available |
| Full Name | Phong Thanh Phan |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 22 Years |
| Location | 200 Fleetwood Dr, Easley, 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 |
|---|---|---|---|
| 1275566846 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare Of The Upstate | Greenville, SC | Home health agency |
| Prisma Health Baptist Easley Hospital | Easley, SC | Hospital |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health University Medical Group | 8325950983 | 2220 |
| 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 | Apogee Medical Group South Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619028545 PECOS PAC ID: 8921193020 Enrollment ID: O20071004000474 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Phong Thanh Phan, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6328 | Phong Thanh Phan, MD 200 Fleetwood Dr, Easley, SC 29640-2022 Ph: (864) 442-7200 |
Dr. Mudunuri V Raju, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 | |
Dr. Ryan Douglas Coultas, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 | |
Kamran Zafar Ghumman, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 | |
Yaneve Shemesh, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 | |
Dr. Steven Craig Winters Jr., MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 |