| Westgate Family Physicians Pa | |
|
105 Powell Mill Rd Spartanburg SC 29301-1531 | |
| (864) 574-0070 | |
| Not Available |
| Full Name | Westgate Family Physicians Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 105 Powell Mill Rd, Spartanburg, South Carolina |
| Authorized Official Name and Position | Matthew Hall (ADMINISTRATOR) |
| Authorized Official Contact | 8645740070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westgate Family Physicians Pa 105 Powell Mill Rd Spartanburg SC 29301-1531 Ph: (864) 574-0070 | Westgate Family Physicians Pa 105 Powell Mill Rd Spartanburg SC 29301-1531 Ph: (864) 574-0070 |
| NPI Number | 1174577258 |
|---|---|
| Provider Enumeration Date | 05/21/2006 |
| Last Update Date | 05/01/2025 |
| Medicare PECOS PAC ID | 6204992712 |
|---|---|
| Medicare Enrollment ID | O20090309000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174577258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert E Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710965637 PECOS PAC ID: 5890751614 Enrollment ID: I20041203000397 |
| Provider Name | Daniel B Meetze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952373060 PECOS PAC ID: 0648290635 Enrollment ID: I20051206000489 |
| Provider Name | Amanda T Haltiwanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649432477 PECOS PAC ID: 5597830737 Enrollment ID: I20080822000005 |
| Provider Name | Michael Latzka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538127543 PECOS PAC ID: 8325102544 Enrollment ID: I20090202000499 |
| Provider Name | George Steven Bailes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417935339 PECOS PAC ID: 5991839698 Enrollment ID: I20100817000952 |
| Provider Name | Steven Paul Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063490910 PECOS PAC ID: 7416081112 Enrollment ID: I20100817000979 |
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