| Upstate Podiatry Group, Pa | |
|
801 Se Main St, Simpsonville, SC 29681 | |
| (864) 399-9070 | |
| (864) 399-9664 |
| Full Name | Upstate Podiatry Group, Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 801 Se Main St, Simpsonville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144660036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 617 (South Carolina) | Primary |
| Provider Name | Anthony L Mathis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407825953 PECOS PAC ID: 1254387582 Enrollment ID: I20050329001256 |
| Provider Name | William Long |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447486980 PECOS PAC ID: 1850535857 Enrollment ID: I20130912000667 |
| Provider Name | Chad Sloan Bracey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780031781 PECOS PAC ID: 1951634229 Enrollment ID: I20190531002315 |
| Provider Name | Terryn Giles |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568995504 PECOS PAC ID: 6901130848 Enrollment ID: I20200629001902 |
| Provider Name | Tejal Messana |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255992392 PECOS PAC ID: 3476920174 Enrollment ID: I20221109003021 |
| Provider Name | Bryan Raymond |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811456619 PECOS PAC ID: 9436518131 Enrollment ID: I20230628002980 |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Podiatry Group, Pa 801 Se Main Street, Simpsonville, SC 29681 Ph: (864) 399-9070 | Upstate Podiatry Group, Pa 801 Se Main St, Simpsonville, SC 29681 Ph: (864) 399-9070 |
Dr. William S Long, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 801 Se Main Street, Simpsonville, SC 29681 Phone: 864-399-9070 Fax: 864-399-9664 | |
Michael Ryan Sweeney, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 801 Se Main St, Simpsonville, SC 29681 Phone: 864-399-9070 | |
Brennan Kay Reardon, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 801 Se Main St, Simpsonville, SC 29681 Phone: 864-399-9070 | |
Richard C Zatcoff Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 114b Hospital Dr, Simpsonville, SC 29681 Phone: 864-399-9070 Fax: 864-399-9664 | |
Brianna Catherine Lach, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 801 Se Main St, Simpsonville, SC 29681 Phone: 864-399-9070 |