Aaron Samuel Provisor, MD | |
129 North Washington Street, Sumter, SC 29150 | |
(803) 774-9000 | |
Not Available |
Full Name | Aaron Samuel Provisor |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 14 Years |
Location | 129 North Washington Street, Sumter, 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 |
---|---|---|---|
1760709562 | NPI | - | NPPES |
356929 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35692 (South Carolina) | Primary |
208M00000X | Hospitalist | MD35692 (South Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
The Outer Banks Hospital, Inc | Nags head, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bayview Physician Services Pc | 5597664201 | 294 |
Entity Name | Bayview Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508813387 PECOS PAC ID: 5597664201 Enrollment ID: O20031231000719 |
Mailing Address | Practice Location Address |
---|---|
Aaron Samuel Provisor, MD Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7320 | Aaron Samuel Provisor, MD 129 North Washington Street, Sumter, SC 29150 Ph: (803) 774-9000 |
Dr. Vishal Riky Dhulipala, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 N Sumter St Ste 202, Sumter, SC 29150 Phone: 803-774-9797 Fax: 803-933-3012 | |
Fritz E Jean Gilles, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-9680 Fax: 803-774-5217 | |
Dr. Thomas E Hawkey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 Barnette Dr, Sumter, SC 29150 Phone: 803-773-5442 Fax: 803-778-2394 | |
Dr. John Julian Abbott, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-5248 | |
Dr. Theophilus D Williams Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 641 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-905-6944 Fax: 803-469-3944 | |
Harry A Jordan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1295 Wilson Hall Rd, Sumter, SC 29150 Phone: 803-905-6800 Fax: 803-905-6810 | |
Dr. Floyd L Angus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 641 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-905-6944 Fax: 803-469-3944 |