| Susan V Breazeale, APRN | |
|
220 Keowee Trl, Clemson, SC 29631-1448 | |
| (864) 653-4071 | |
| (864) 653-4074 |
| Full Name | Susan V Breazeale |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 220 Keowee Trl, Clemson, 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 |
|---|---|---|---|
| 1366642019 | NPI | - | NPPES |
| GP3805 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 1711 (South Carolina) | Primary |
| Entity Name | Acts Signature Community Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700353448 PECOS PAC ID: 5092032284 Enrollment ID: O20190123001004 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan V Breazeale, APRN Po Box 2089, Easley, SC 29641-2089 Ph: (864) 855-5104 | Susan V Breazeale, APRN 220 Keowee Trl, Clemson, SC 29631-1448 Ph: (864) 653-4071 |
Dr. Adam Bayne Sarayusa, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 Chapman Hill Rd Ste 101, Clemson, SC 29631 Phone: 864-653-4071 Fax: 864-653-4074 | |
George Timothy Baxley, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 Keowee Trl, Clemson, SC 29631 Phone: 864-653-4071 Fax: 864-653-4074 | |
Dr. Jerry F Sherrill, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 Chapman Hill Rd, Clemson, SC 29631 Phone: 864-653-4071 | |
Christopher G Pelic, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 735 Mcmillan Road, Clemson, SC 29364 Phone: 864-656-2233 Fax: 864-656-0760 |