| Mr Michael J Perillo Jr, CRNA | |
|
21 Stonebriar Rd, Columbia, SC 29212-8531 | |
| (803) 407-5266 | |
| (803) 407-1455 |
| Full Name | Mr Michael J Perillo Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 21 Stonebriar Rd, Columbia, 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 |
|---|---|---|---|
| 1740239755 | NPI | - | NPPES |
| AN0953 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 882 (South Carolina) | Primary |
| Entity Name | Prisma Health-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889458 PECOS PAC ID: 6800708330 Enrollment ID: O20031110000506 |
| Entity Name | Gastroenterology Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487684031 PECOS PAC ID: 1951215433 Enrollment ID: O20031118000794 |
| Entity Name | Anesthesia Associates Of Rock Hill Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811977200 PECOS PAC ID: 6305740259 Enrollment ID: O20031121000543 |
| Entity Name | Beach Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215061429 PECOS PAC ID: 6103924014 Enrollment ID: O20070530000620 |
| Entity Name | York County Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487974606 PECOS PAC ID: 1850586355 Enrollment ID: O20101110000500 |
| Entity Name | Concordia Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20150127000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael J Perillo Jr, CRNA Po Box 1637, Irmo, SC 29063-1637 Ph: (803) 407-5266 | Mr Michael J Perillo Jr, CRNA 21 Stonebriar Rd, Columbia, SC 29212-8531 Ph: (803) 407-5266 |
Dianne Jenkins, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2435 Forest Dr, 7th Floor, Columbia, SC 29204 Phone: 803-454-2613 | |
Janet Matenlan Golay, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Taylor At Marion Streets, Palmetto Health Baptist, Columbia, SC 29201 Phone: 803-296-2548 Fax: 803-296-2548 | |
Deborah Lee Stuart, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Taylor At Marion Streets, Columbia, SC 29201 Phone: 803-296-2548 Fax: 803-296-2548 | |
Mrs. Candace Anne Aguiar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 Palmetto Health Pkwy,, Palmetto Health Baptist Parkridge, Columbia, SC 29212 Phone: 803-296-2548 | |
Mrs. Pamela Jean Parks Ozaluk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Harden Street Ext 5 Medical Park, Plametto Health Ricland, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-2525 | |
Erich Reed Starn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Palmetto Health Baptist, Taylor At Marion Street, Columbia, SC 29220 Phone: 803-296-2276 Fax: 806-296-3854 | |
Linda Kay Foy, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Taylor At Marion Streets, Palmetto Health Baptist, Columbia, SC 29201 Phone: 803-296-2548 Fax: 803-296-2548 |