| Clara L Tarbush, | |
|
1131 Muddy Ford Rd, Chapin, SC 29036-7862 | |
| (803) 312-3130 | |
| Not Available |
| Full Name | Clara L Tarbush |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1131 Muddy Ford Rd, Chapin, 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 |
|---|---|---|---|
| 1649536863 | NPI | - | NPPES |
| AN2243 | Medicaid | SC | |
| GP2825 | Medicaid | SC | |
| 007 | Other | SC | BLUECHOICE |
| 009 | Other | SC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 62318 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 18081 (South Carolina) | Primary |
| 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 |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922063858 PECOS PAC ID: 8527970771 Enrollment ID: O20040112000062 |
| Entity Name | Under Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194018242 PECOS PAC ID: 6901083724 Enrollment ID: O20110603000459 |
| Entity Name | Prisma Health Tuomey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548625593 PECOS PAC ID: 2163728528 Enrollment ID: O20160310001016 |
| Entity Name | Palmetto Moon Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477056794 PECOS PAC ID: 4789931304 Enrollment ID: O20180727000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Clara L Tarbush, 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Clara L Tarbush, 1131 Muddy Ford Rd, Chapin, SC 29036-7862 Ph: (803) 312-3130 |
Dr. David L Cottle Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 148 Almofini Ln, Chapin, SC 29036 Phone: 361-960-1581 | |
Carl Dean Scott, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 561 Lakemont Dr, Chapin, SC 29036 Phone: 803-932-7936 |