| Southeast Pulmonary And Critical Care Llc | |
|
370 S Herlong Ave Suite 200 Rock Hill SC 29732-1160 | |
| (803) 980-5864 | |
| (803) 980-5817 |
| Full Name | Southeast Pulmonary And Critical Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 370 S Herlong Ave, Rock Hill, South Carolina |
| Authorized Official Name and Position | Michael B Denenberg (PHYSICIAN) |
| Authorized Official Contact | 8039805864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Pulmonary And Critical Care Llc 370 S Herlong Ave Suite 200 Rock Hill SC 29732-1160 Ph: (803) 980-5864 | Southeast Pulmonary And Critical Care Llc 370 S Herlong Ave Suite 200 Rock Hill SC 29732-1160 Ph: (803) 980-5864 |
| NPI Number | 1275830507 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 08/31/2012 |
| Medicare PECOS PAC ID | 0749440543 |
|---|---|
| Medicare Enrollment ID | O20130419000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275830507 | NPI | - | NPPES |
| 215992 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 21599 (South Carolina) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | 21599 (South Carolina) | Primary |
| Provider Name | Michael B Denenberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538173794 PECOS PAC ID: 5890864334 Enrollment ID: I20080523000068 |
| Provider Name | Brittany Elise Root |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639878895 PECOS PAC ID: 5193180842 Enrollment ID: I20230502000958 |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 1800, Rock Hill, SC 29732 Phone: 803-909-1850 | |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 Workman St, Rock Hill, SC 29730 Phone: 803-325-7710 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 2400, Rock Hill, SC 29732 Phone: 803-329-5131 | |
Community Medicine Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 Phone: 803-327-2012 Fax: 803-325-7744 | |
Carolinas Physicians Network Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 Anderson Rd S, Rock Hill, SC 29730 Phone: 803-326-3790 | |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |
Shiland Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732 Phone: 803-329-5131 |