| Tullious Calhoun Stoudemayer Jr, MD | |
|
9 Mcelhaney Rd, Travelers Rest, SC 29690-1734 | |
| (864) 834-3192 | |
| (864) 241-9234 |
| Full Name | Tullious Calhoun Stoudemayer Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 9 Mcelhaney Rd, Travelers Rest, 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 |
|---|---|---|---|
| 1538225222 | NPI | - | NPPES |
| 133420 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13342 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
| Prisma Health Greer Memorial Hospital | Greer, SC | Hospital |
| Prisma Health Patewood 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Tullious Calhoun Stoudemayer Jr, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Tullious Calhoun Stoudemayer Jr, MD 9 Mcelhaney Rd, Travelers Rest, SC 29690-1734 Ph: (864) 834-3192 |
Dr. Albert Charles Mina, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 406 N Poinsett Hwy, Travelers Rest, SC 29690 Phone: 864-834-4151 Fax: 864-834-6145 | |
Kathryn Taylor Adkins, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9 Mcelhaney Rd, Travelers Rest, SC 29690 Phone: 864-834-3192 Fax: 864-241-9234 | |
Dr. James Porter Mac Millan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 406 N Poinsett Hwy, Travelers Rest, SC 29690 Phone: 864-834-4151 Fax: 864-834-6145 | |
Dr. Gwendolyn Rose Smith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 N Main St, Travelers Rest, SC 29690 Phone: 864-455-9790 Fax: 864-455-9795 | |
Landrum Irvin Mccarrell Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9 Mcelhaney Rd, Travelers Rest, SC 29690 Phone: 864-834-3192 Fax: 864-241-9234 | |
Mr. John P Cotter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1588 Geer Hwy, Travelers Rest, SC 29690 Phone: 864-836-1109 Fax: 864-836-6365 |