| Todd L Vandenberg, MD | |
|
222 E Medical Ln Ste 101, West Columbia, SC 29169-4850 | |
| (803) 739-3660 | |
| (803) 739-3663 |
| Full Name | Todd L Vandenberg |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 32 Years |
| Location | 222 E Medical Ln Ste 101, West Columbia, 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 |
|---|---|---|---|
| 1558367623 | NPI | - | NPPES |
| 340017144 | Other | SC | RAILROAD MEDICARE |
| 208778 | Medicaid | SC | |
| 1904812 | Other | SC | PHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 20877 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164496527 PECOS PAC ID: 8527970771 Enrollment ID: O20040202001087 |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003889676 PECOS PAC ID: 8527970771 Enrollment ID: O20040506001434 |
| Entity Name | Providence Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285253336 PECOS PAC ID: 9638475627 Enrollment ID: O20160328001916 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd L Vandenberg, MD 330 Seven Springs Way, Brentwood, TN 37027-5098 Ph: (615) 920-7878 | Todd L Vandenberg, MD 222 E Medical Ln Ste 101, West Columbia, SC 29169-4850 Ph: (803) 739-3660 |
Keith Eric Brightbill Ii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 111 W Hospital Dr, West Columbia, SC 29169 Phone: 803-796-8515 Fax: 803-796-8516 | |
Dr. Michael J Stotzer, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 139 Summerplace Drive, West Columbia, SC 29169 Phone: 803-796-9968 Fax: 803-791-0376 | |
Namita Lopes, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 | |
Dr. David H Lamb, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 Fax: 803-739-3663 | |
Dr. Kelly Elizabeth Maloney, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 | |
Griffin T. Morrisson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 W Hospital Dr, West Columbia, SC 29169 Phone: 803-796-8515 Fax: 803-796-8516 | |
Dr. Thomas Brian Willard, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 Fax: 803-739-3663 |