Alfonso Gonzalez, MD | |
3600 Forest Dr Ste 400, Columbia, SC 29204-4057 | |
(803) 779-7316 | |
(803) 343-2538 |
Full Name | Alfonso Gonzalez |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 34 Years |
Location | 3600 Forest Dr Ste 400, Columbia, 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 |
---|---|---|---|
1912971367 | NPI | - | NPPES |
070017292 | Other | SC | RAILROAD MEDICARE |
171217 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | 17121 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Csc Acquisition, Llc | 2860389160 | 14 |
Entity Name | Csc Acquisition, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861337 PECOS PAC ID: 2860389160 Enrollment ID: O20040302000455 |
Mailing Address | Practice Location Address |
---|---|
Alfonso Gonzalez, MD 3600 Forest Dr Ste 400, Columbia, SC 29204-4057 Ph: (803) 779-7316 | Alfonso Gonzalez, MD 3600 Forest Dr Ste 400, Columbia, SC 29204-4057 Ph: (803) 779-7316 |
Allison L Cashman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3600 Forest Dr Ste 400, Columbia, SC 29204 Phone: 803-779-7316 Fax: 803-343-2538 | |
Dr. Edward Shmunes, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3701 Northshore Rd, Columbia, SC 29206 Phone: 803-787-6314 | |
Dr. John Andrew Mouzakis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3600 Forest Dr Ste 400, Columbia, SC 29204 Phone: 803-779-7316 Fax: 803-343-2538 | |
Dr. Ann Harriott Fisher Ervin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1706 St. Julians Place, Columbia, SC 29204 Phone: 803-771-7506 Fax: 803-771-9455 | |
Patricia A Mcclerklin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 112 Doctors Cir, Columbia, SC 29203 Phone: 803-771-9163 Fax: 803-771-7383 | |
Dr. Jing W Zhang, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1706 Saint Julian Pl, Columbia, SC 29204 Phone: 803-771-7506 Fax: 803-771-9455 | |
Dr. Charles Davis, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 |