| William Thomas Burnett, MD | |
|
701 Grove Rd, Greenville, SC 29605 | |
| (864) 455-7000 | |
| Not Available |
| Full Name | William Thomas Burnett |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 701 Grove Rd, Greenville, 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 |
|---|---|---|---|
| 1780787093 | NPI | - | NPPES |
| 010151392 | Medicaid | VA | |
| 010151414 | Medicaid | VA | |
| 3810002000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101237968 (Virginia) | Primary |
| 207P00000X | Emergency Medicine | 21988 (South Carolina) | Secondary |
| Entity Name | Lake Spring Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173 |
| Entity Name | Wildwood Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013409721 PECOS PAC ID: 4789932385 Enrollment ID: O20180730001151 |
| Entity Name | Kingsford Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336631480 PECOS PAC ID: 3870841117 Enrollment ID: O20180802003435 |
| Entity Name | Kingsford Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871088526 PECOS PAC ID: 0840541017 Enrollment ID: O20180927000385 |
| Mailing Address | Practice Location Address |
|---|---|
| William Thomas Burnett, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | William Thomas Burnett, MD 701 Grove Rd, Greenville, SC 29605 Ph: (864) 455-7000 |
Dr. Amber Gist Laney, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Dr. Brent Alexander Oldham, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Matthew Lewis Mullins, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Christopher Steven Vega, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-6371 | |
Dr. Ronald Gerard Pirrallo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Dr. Frank J Ferlisi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7157 | |
Dr. Kevin John Gregg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Department Of Emergency Medicine, Greenville, SC 29605 Phone: 864-455-7157 |