| Tracy A Pedigo, CRNA | |
|
22725 Highway 76 E, Clinton, SC 29325-7527 | |
| (864) 833-9100 | |
| (864) 833-9297 |
| Full Name | Tracy A Pedigo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 22725 Highway 76 E, Clinton, 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 |
|---|---|---|---|
| 1831179118 | NPI | - | NPPES |
| AN1306 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 75568 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastroenterology Associates, Pa | 1951215433 | 56 |
| 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 | 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 |
|---|---|
| Tracy A Pedigo, CRNA 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Tracy A Pedigo, CRNA 22725 Highway 76 E, Clinton, SC 29325-7527 Ph: (864) 833-9100 |
George T Dukes, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22725 Highway 76 E, Clinton, Clinton, SC 29325 Phone: 864-797-6400 | |
John W Mckiernan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22725 Highway 76 E, Clinton, SC 29325 Phone: 864-833-9100 Fax: 864-833-9297 |