Gastroenterology Associates, Pa - Medicare Primary Care in Greenville, SC

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Gastroenterology Associates, Pa is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Greenville, South Carolina. The current practice location for Gastroenterology Associates, Pa is 125 Halton Road, Suite 200, Greenville, South Carolina. For appointments, you can reach them via phone at (864) 232-7338. The mailing address for Gastroenterology Associates, Pa is Po Box 8676, Greenville, South Carolina and phone number is (864) 232-7338.

Gastroenterology Associates, Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1487684031. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (864) 232-7338.

Contact Information

Gastroenterology Associates, Pa
125 Halton Road
Suite 200
Greenville
SC 29607-3507
(864) 232-7338
(864) 239-6645

Map and Direction


Primary Care Clinic Profile

Full NameGastroenterology Associates, Pa
SpecialityInternal Medicine
Location125 Halton Road, Greenville, South Carolina
Authorized Official Name and PositionJohn Hickey (ADMINISTRATOR)
Authorized Official Contact8642327338
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gastroenterology Associates, Pa
Po Box 8676
Greenville
SC 29604-8676

Ph: (864) 232-7338		Gastroenterology Associates, Pa
125 Halton Road
Suite 200
Greenville
SC 29607-3507

Ph: (864) 232-7338

NPI Details:

NPI Number1487684031
Provider Enumeration Date07/03/2006
Last Update Date08/30/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1951215433
Medicare Enrollment IDO20031118000794

Medical Identifiers

Medical identifiers for Gastroenterology Associates, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487684031NPI-NPPES
=========OtherSCBCBS OF SC
PA1845MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gastroenterology Associates, Pa acts as a billing entity for following providers:
Provider NameKathleen Irvin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1538128145
PECOS PAC ID: 3476459637
Enrollment ID: I20031209000492
Provider NameClaude S Yarborough
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1538252283
PECOS PAC ID: 6305743907
Enrollment ID: I20031212000583
Provider NameJoseph W Holt
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1073608451
PECOS PAC ID: 3072410588
Enrollment ID: I20031215000072
Provider NameSuzy L Kim
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1205929965
PECOS PAC ID: 1052218575
Enrollment ID: I20031215000133
Provider NameJoseph S Lebel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1790878213
PECOS PAC ID: 9739086265
Enrollment ID: I20031215000171
Provider NameGlen G Daves
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1598850125
PECOS PAC ID: 5193622645
Enrollment ID: I20031215000306
Provider NameGregory S Holt
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1588758908
PECOS PAC ID: 6103723515
Enrollment ID: I20031215000549
Provider NameLance W Hudson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1760462634
PECOS PAC ID: 4082517347
Enrollment ID: I20040202000752
Provider NameDiane Marie Ward Fox
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700886413
PECOS PAC ID: 2466434709
Enrollment ID: I20040602000335
Provider NameDonna J Proctor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1801850078
PECOS PAC ID: 6406836576
Enrollment ID: I20040721000507
Provider NameJennifer M Patton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730120353
PECOS PAC ID: 6406836444
Enrollment ID: I20040721001055
Provider NameMaria M Pellegrino
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1083628937
PECOS PAC ID: 5092611947
Enrollment ID: I20050119000966
Provider NamePaul Anthony Mazanec
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1831171081
PECOS PAC ID: 6507845245
Enrollment ID: I20050203000629
Provider NameDina N Nelson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1942280821
PECOS PAC ID: 1355393802
Enrollment ID: I20050214000375
Provider NameTodd P Nelson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114907490
PECOS PAC ID: 7214989235
Enrollment ID: I20050217000387
Provider NameMichael J Perillo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1740239755
PECOS PAC ID: 2860449188
Enrollment ID: I20050407000924
Provider NameKristin D Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164588018
PECOS PAC ID: 9638119159
Enrollment ID: I20050504000593
Provider NameRebecca J Houmann
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568403251
PECOS PAC ID: 8628004389
Enrollment ID: I20050713000987
Provider NameDaniel P Jablonski
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114989480
PECOS PAC ID: 9032140272
Enrollment ID: I20050826000545
Provider NameDavid Isaac Gaines
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1689618753
PECOS PAC ID: 1052339181
Enrollment ID: I20051108000260
Provider NameJohn E Polony
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346284700
PECOS PAC ID: 1052320165
Enrollment ID: I20060418000761
Provider NameStephen Paul Brackbill
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1437190428
PECOS PAC ID: 3476566415
Enrollment ID: I20060717000261
Provider NameDeborah B Lowery
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346397346
PECOS PAC ID: 5092817320
Enrollment ID: I20070216000414
Provider NameJulie L Hammond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437143856
PECOS PAC ID: 1355446808
Enrollment ID: I20070412000212
Provider NameRobert Goulart
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1669429064
PECOS PAC ID: 5890894281
Enrollment ID: I20070626000512
Provider NameDana Faust
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306041546
PECOS PAC ID: 7012009368
Enrollment ID: I20070816000634
Provider NameHolly Marie O'loughlin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1396835856
PECOS PAC ID: 1254428576
Enrollment ID: I20071102000710
Provider NameMichael I Rickoff
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1851373724
PECOS PAC ID: 9931099694
Enrollment ID: I20071227000094
Provider NameJane Smith Greene
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1336107861
PECOS PAC ID: 8527099035
Enrollment ID: I20080129000081
Provider NameRonald Eslick
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1295715159
PECOS PAC ID: 1052212248
Enrollment ID: I20080312000756
Provider NameLuanne J Nuttall
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1962608687
PECOS PAC ID: 6800974502
Enrollment ID: I20080422000226
Provider NameLinda R Woodward
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851473052
PECOS PAC ID: 9133208481
Enrollment ID: I20080512000448
Provider NameJanet Barry Mullins
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558493817
PECOS PAC ID: 1254499585
Enrollment ID: I20081015000318
Provider NameJohn Mark Harbin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1174791503
PECOS PAC ID: 5597825554
Enrollment ID: I20081120000301
Provider NameLisa O Riddle
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1083850085
PECOS PAC ID: 5698821239
Enrollment ID: I20090923000085
Provider NameJames D Calvert
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1811122278
PECOS PAC ID: 6507903440
Enrollment ID: I20091026000071
Provider NameAyub Merchant
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871575175
PECOS PAC ID: 9133108871
Enrollment ID: I20091203000737
Provider NameRichard E Zander
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1619950862
PECOS PAC ID: 3274423934
Enrollment ID: I20100223000866
Provider NameBrandi Ford
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689904013
PECOS PAC ID: 7810024437
Enrollment ID: I20100429000773
Provider NameRyan James Richards
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1053633834
PECOS PAC ID: 8022147446
Enrollment ID: I20100524000580
Provider NameMong Thien Lam
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1902121205
PECOS PAC ID: 3870626435
Enrollment ID: I20100803000422
Provider NameLindsay Heaton Jones
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710218524
PECOS PAC ID: 0941333132
Enrollment ID: I20100810000023
Provider NameDavid Palma
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1578775854
PECOS PAC ID: 8123152139
Enrollment ID: I20100812000787
Provider NameLee Pursley Cooley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1154641470
PECOS PAC ID: 5991839276
Enrollment ID: I20100823000832
Provider NameCatherine Eileen Land
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326141128
PECOS PAC ID: 1759397870
Enrollment ID: I20110601000309
Provider NameChristopher J Fyock
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1073738696
PECOS PAC ID: 6608044300
Enrollment ID: I20110725000516
Provider NameShushan Elam
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1548568355
PECOS PAC ID: 5698946291
Enrollment ID: I20110912000120
Provider NameStacie M Parker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1376848275
PECOS PAC ID: 5193996551
Enrollment ID: I20110915000850
Provider NameGabriel Mitchell Mcalister
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1437393030
PECOS PAC ID: 6103095310
Enrollment ID: I20120224000005
Provider NamePeter A Naas
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1215135199
PECOS PAC ID: 4486813961
Enrollment ID: I20120302000546
Provider NameTeresa Danielle Truman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427319847
PECOS PAC ID: 3476700592
Enrollment ID: I20120824000438
Provider NameAmy Louise Baker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508865734
PECOS PAC ID: 8527101302
Enrollment ID: I20121226000313
Provider NameGabriel Mitchell Mcalister
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1437393030
PECOS PAC ID: 6103095310
Enrollment ID: I20130605000179
Provider NameTracy M Luther
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164424222
PECOS PAC ID: 3476593310
Enrollment ID: I20130705000521
Provider NamePreston Allen Jones
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1821268368
PECOS PAC ID: 3577616879
Enrollment ID: I20130807000652
Provider NameDavid Q Gulley
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1538344007
PECOS PAC ID: 1658443965
Enrollment ID: I20130826000716
Provider NameApril G Klein
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1619317138
PECOS PAC ID: 0648414581
Enrollment ID: I20130916000788
Provider NameWilliam Doss Howell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023108958
PECOS PAC ID: 7517923915
Enrollment ID: I20131003000274
Provider NameTiffany Nicole Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083913305
PECOS PAC ID: 6800072166
Enrollment ID: I20140129001943
Provider NameLora Allison Overacre
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1083045207
PECOS PAC ID: 3870723216
Enrollment ID: I20140304000032
Provider NameJessica Jane Moroney
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1750712907
PECOS PAC ID: 9032349477
Enrollment ID: I20140304000092
Provider NameNathan Emory Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1891126256
PECOS PAC ID: 4284865957
Enrollment ID: I20140321000587
Provider NameCatherine A Harris
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518385590
PECOS PAC ID: 5698720480
Enrollment ID: I20140721001952
Provider NameDavid Christopher Runge
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144646589
PECOS PAC ID: 2062630635
Enrollment ID: I20140822000865
Provider NameMadhusudhan Sunkavalli
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1578894176
PECOS PAC ID: 6406080514
Enrollment ID: I20140826002316
Provider NameCody Michael Nye
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023426368
PECOS PAC ID: 5799905600
Enrollment ID: I20140926002157
Provider NameKristen H Mills
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730507716
PECOS PAC ID: 9638399264
Enrollment ID: I20141002002615
Provider NameGregory Nelson Edwards
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508880691
PECOS PAC ID: 5799721106
Enrollment ID: I20150119000221
Provider NameJoel A Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417352147
PECOS PAC ID: 8022335546
Enrollment ID: I20150323000299
Provider NameRitu Saha
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1639439748
PECOS PAC ID: 9537388350
Enrollment ID: I20150806010029
Provider NameCamille Yvonne Higdon
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1801265145
PECOS PAC ID: 7416266952
Enrollment ID: I20151022002124
Provider NameAmir Sadri
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1194182477
PECOS PAC ID: 2264739036
Enrollment ID: I20160322000424
Provider NameDebra Jo Bauer Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316965874
PECOS PAC ID: 5496708380
Enrollment ID: I20160404001676
Provider NameShelly K Snow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932560752
PECOS PAC ID: 7012215916
Enrollment ID: I20160408001348
Provider NameJane E Donnan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1255702007
PECOS PAC ID: 4082903323
Enrollment ID: I20160510001427
Provider NameLaura G Siefert
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1477921823
PECOS PAC ID: 4385933662
Enrollment ID: I20160511000123
Provider NameWilliam Jackson Perkins
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871813733
PECOS PAC ID: 3476853383
Enrollment ID: I20160722000680
Provider NameJohn Hamilton Christ
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1477900827
PECOS PAC ID: 0749578102
Enrollment ID: I20161018001284
Provider NameJames Allan Belling
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568480291
PECOS PAC ID: 2163557695
Enrollment ID: I20170127001785
Provider NameJennifer Ramsey Garren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851833974
PECOS PAC ID: 0840572699
Enrollment ID: I20170131001467
Provider NameCharles M Harrington
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770017824
PECOS PAC ID: 2668742206
Enrollment ID: I20170714000873
Provider NameAjith Skariah
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386155265
PECOS PAC ID: 4183984305
Enrollment ID: I20180208002169
Provider NameGabriela Beatriz Castro
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922506450
PECOS PAC ID: 3678837259
Enrollment ID: I20180507002600
Provider NameMatthew Elan Stroud
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1720577968
PECOS PAC ID: 0446506919
Enrollment ID: I20180713001265
Provider NameKelsey Marie Hawkins
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952807497
PECOS PAC ID: 7012264831
Enrollment ID: I20180724003336
Provider NameHiren I Vallabh
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1043539471
PECOS PAC ID: 9638310220
Enrollment ID: I20180725003387
Provider NameJared Thomas Geist
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1700078276
PECOS PAC ID: 6002040672
Enrollment ID: I20180912001841
Provider NameThomas W Hullett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861994758
PECOS PAC ID: 2961751227
Enrollment ID: I20181025001507
Provider NameTifani A Mercado
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1881198083
PECOS PAC ID: 8527311240
Enrollment ID: I20181026001477
Provider NameJulianna Marie Bookman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952835100
PECOS PAC ID: 3072866714
Enrollment ID: I20181026002102
Provider NameBeverly A Clark
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770583924
PECOS PAC ID: 9931001930
Enrollment ID: I20181204001096
Provider NameWeslyn Jones Melson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023571635
PECOS PAC ID: 7517293095
Enrollment ID: I20190722000587
Provider NameAndrew Stoeber
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700349685
PECOS PAC ID: 0840526240
Enrollment ID: I20190723002434
Provider NameErica Poole Brown
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326502030
PECOS PAC ID: 4284667270
Enrollment ID: I20190725002671
Provider NameMatthew Ryan Barnes
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1699118133
PECOS PAC ID: 0547408478
Enrollment ID: I20200609001733
Provider NameAshley Dawn Loftis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063049716
PECOS PAC ID: 4385066034
Enrollment ID: I20200625000819
Provider NameKylie Renee Hite
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588071070
PECOS PAC ID: 3971722349
Enrollment ID: I20200921000443
Provider NameJoshua Lyle
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922576131
PECOS PAC ID: 7911246897
Enrollment ID: I20201209000151
Provider NameRobin Sauve
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1598838898
PECOS PAC ID: 1456439769
Enrollment ID: I20210428001857
Provider NameSarah Elizabeth Ricci
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1194152397
PECOS PAC ID: 0648405175
Enrollment ID: I20210506001118
Provider NameAlexis Dianne Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053076232
PECOS PAC ID: 7315338886
Enrollment ID: I20211217001304
Provider NameCandice Hickey
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386728921
PECOS PAC ID: 2567568884
Enrollment ID: I20220103000880
Provider NameJamie D Skellie
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1831760594
PECOS PAC ID: 3375927528
Enrollment ID: I20220907001785
Provider NameAnthony J Horton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700319167
PECOS PAC ID: 1557742194
Enrollment ID: I20230720003593
Provider NameOlga Vitorsky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174055271
PECOS PAC ID: 9436428521
Enrollment ID: I20230724000759
Provider NameSam David Abdehou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134651656
PECOS PAC ID: 3476913369
Enrollment ID: I20230725000459
Provider NameBeejal Parimal Vadhar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740972827
PECOS PAC ID: 3870956907
Enrollment ID: I20230823000174
Provider NamePedro Gabriel Calderon Ocana
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1821794538
PECOS PAC ID: 2062867682
Enrollment ID: I20231017000542

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Medicare: Medicare Enrolled
Practice Location: 975 W Faris Rd, Greenville, SC 29605
Phone: 864-729-8330    Fax: 864-751-0479
Hopewell Medical Care Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2090 Woodruff Rd, Greenville, SC 29607
Phone: 864-729-8556    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.