| Shane Gregory Reighard, MD | |
|
1330 Boiling Springs Rd Ste 2500, Spartanburg, SC 29303-4214 | |
| (864) 585-5433 | |
| (864) 591-4053 |
| Full Name | Shane Gregory Reighard |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1330 Boiling Springs Rd Ste 2500, Spartanburg, 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 |
|---|---|---|---|
| 1588028880 | NPI | - | NPPES |
| SCR2029225 | Other | SC | MEDICARE PIN |
| SCR2026084 | Other | SC | MEDICARE PIN |
| 908344 | Medicaid | SC | |
| SCR2023365 | Other | SC | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 90834 (South Carolina) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 90834 (South Carolina) | Primary |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235170077 PECOS PAC ID: 3072425297 Enrollment ID: O20040322000577 |
| Entity Name | Pelham Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644773 PECOS PAC ID: 2365519097 Enrollment ID: O20090602000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Gregory Reighard, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Shane Gregory Reighard, MD 1330 Boiling Springs Rd Ste 2500, Spartanburg, SC 29303-4214 Ph: (864) 585-5433 |
Dr. Tondre Buck, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Adam Evec, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 500, Spartanburg, SC 29303 Phone: 864-560-4304 Fax: 864-560-4023 | |
Larry E Kibler, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 | |
Dr. Vikas Dembla, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Dr. Andrew Omoit Ekatan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Suite 401, Spartanburg, SC 29303 Phone: 864-560-6654 Fax: 864-560-7353 | |
Stetson Reed Bickley, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644 | |
Nalin K Srivastava, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 |