| Mr John Michael Carpenter, CRNA | |
|
200 Fleetwood Drive, Easley, SC 29640 | |
| (864) 442-7200 | |
| (864) 442-7821 |
| Full Name | Mr John Michael Carpenter |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 200 Fleetwood Drive, 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 |
|---|---|---|---|
| 1497717771 | NPI | - | NPPES |
| AN1446 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN2759 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Baptist Easley Hospital | Easley, 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 |
| Entity Name | Greenville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
| Entity Name | Prisma Health-upstate |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Michael Carpenter, CRNA 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Mr John Michael Carpenter, CRNA 200 Fleetwood Drive, Easley, SC 29640 Ph: (864) 442-7200 |
Mr. William Manley Hines, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 305 Medinah Dr, Easley, SC 29642 Phone: 864-306-9870 Fax: 864-644-1078 | |
Judith L. Hart, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-7821 | |
Deirdra Dyenson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-7821 |