| Thomas D Wooten, | |
|
125 Doughty St, Ste 420, Charleston, SC 29403 | |
| (843) 723-3441 | |
| (843) 805-4040 |
| Full Name | Thomas D Wooten |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 125 Doughty St, Charleston, 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 |
|---|---|---|---|
| 1689621666 | NPI | - | NPPES |
| 088112 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 08811 (South Carolina) | Primary |
| Entity Name | Anesthesia Associates Of Charleston Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396776670 PECOS PAC ID: 4082607361 Enrollment ID: O20040405000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas D Wooten, Po Box 22206, Charleston, SC 29413-2206 Ph: (843) 723-3441 | Thomas D Wooten, 125 Doughty St, Ste 420, Charleston, SC 29403 Ph: (843) 723-3441 |
Dr. William Nolan Bagnal, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 | |
Dr. Robert Boone Coleman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2322 | |
Dr. Caroline Salvatrice Schlee, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 167 Ashley Avenue, Suite 301 Msc 912, Charleston, SC 29425 Phone: 843-792-2322 | |
Tod A Brown, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1000 | |
Catherine K Ellyn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 125 Doughty St, Ste 420, Charleston, SC 29403 Phone: 843-723-3441 Fax: 843-805-4040 | |
Dr. Marc Hassid, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Michelle Sher Rovner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |