| Bret Thomas Loefstedt, | |
|
115 State Park Rd, Greenville, SC 29609-2914 | |
| (864) 438-3500 | |
| (864) 438-3505 |
| Full Name | Bret Thomas Loefstedt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 115 State Park 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 |
|---|---|---|---|
| 1770210106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4573 (South Carolina) | Primary |
| Entity Name | University Medical Associates of the Medical University of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Entity Name | Gomed Charleston LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790254365 PECOS PAC ID: 6608114251 Enrollment ID: O20190206003330 |
| 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 |
|---|---|
| Bret Thomas Loefstedt, 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Bret Thomas Loefstedt, 115 State Park Rd, Greenville, SC 29609-2914 Ph: (864) 438-3500 |
Mr. Alec Ted Sims, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 213 Mills Ave, Greenville, SC 29605 Phone: 864-272-3300 Fax: 864-272-3311 |
Summer Toms, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 550, Greenville, SC 29605 Phone: 864-455-6800 Fax: 864-455-6825 |
Priya Harper, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7060 Fax: 864-797-7065 |
Lisa Sherman Haselden, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 950 W Faris Rd, Greenville, SC 29605 Phone: 864-271-3444 Fax: 864-255-7877 |
Ms. Natalie Brown Dixon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2905 White Horse Rd, Greenville, SC 29611 Phone: 864-331-0560 Fax: 864-241-9277 |
Jillian Rose Kent, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 |
Mrs. Mary Jeannette Leonardi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3443 Pelham Rd, Suite 200, Greenville, SC 29615 Phone: 864-254-9330 |