| Kevin Oliver Lokuwaduge, | |
|
112 John St Ste 201, Easley, SC 29640-1406 | |
| (864) 522-4630 | |
| (864) 522-4635 |
| Full Name | Kevin Oliver Lokuwaduge |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 112 John St Ste 201, Easley, 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 |
|---|---|---|---|
| 1043937014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5637 (South Carolina) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
| Prisma Health Baptist Easley Hospital | Easley, SC | Hospital |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | Hospital |
| Prisma Health Patewood Hospital | Greenville, SC | Hospital |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | Hospital |
| Prisma Health North Greenville Ltach | Travelers rest, SC | Long-term care hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health University Medical Group | 8325950983 | 2467 |
| 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 |
|---|---|
| Kevin Oliver Lokuwaduge, 300 E Mcbee Ave Ste 300, Greenville, SC 29601-2899 Ph: (864) 522-8611 | Kevin Oliver Lokuwaduge, 112 John St Ste 201, Easley, SC 29640-1406 Ph: (864) 522-4630 |
Mrs. Kathleen Mccombs Mitchell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 E 1st Ave, Easley, SC 29640 Phone: 864-850-2663 Fax: 864-306-0012 |
Stephanie Fisher, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 800-291-4020 Fax: 919-419-7247 |
Brant Walton Turner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 115 Brushy Creek Rd, Easley, SC 29642 Phone: 864-635-0376 Fax: 864-442-6848 |
Catherine Dewald Shaw, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 115 Whitmire Rd, Easley, SC 29640 Phone: 864-855-2411 |
William Sean Irvin, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 112 John St, Suite 201, Easley, SC 29640 Phone: 864-850-2663 Fax: 864-306-0012 |
Ellen Young, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 764 Saco Lowell Rd, Easley, SC 29640 Phone: 864-855-5525 Fax: 864-855-5440 |
Benjamin N.h. Haddock, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 115 Brushy Creek Rd, Easley, SC 29642 Phone: 864-635-0376 Fax: 864-442-6848 |