Carroll H Fowlkes Iii, DO | |
Beaufort Memorial Express Care & Occupational Health, 1 Burnt Church Rd, Ste A, Bluffton, SC 29910-6405 | |
(843) 706-2185 | |
(855) 299-5693 |
Full Name | Carroll H Fowlkes Iii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 35 Years |
Location | Beaufort Memorial Express Care & Occupational Health, Bluffton, 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 |
---|---|---|---|
1578523890 | NPI | - | NPPES |
362084 | Medicaid | SC | |
6017444 | Medicaid | VA | |
0045396000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0102049892 (Virginia) | Secondary |
207P00000X | Emergency Medicine | 36208 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaufort County Memorial Hospital | 7810809365 | 106 |
Entity Name | Beaufort County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457922007 PECOS PAC ID: 7810809365 Enrollment ID: O20050208000354 |
Entity Name | Beaufort County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598713117 PECOS PAC ID: 7810809365 Enrollment ID: O20050518001061 |
Entity Name | St Josephs Candler Urgent Care Centers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922580133 PECOS PAC ID: 5092058016 Enrollment ID: O20190520001421 |
Mailing Address | Practice Location Address |
---|---|
Carroll H Fowlkes Iii, DO 955 Ribaut Rd, Bmac Credentialing, Beaufort, SC 29902-5441 Ph: (843) 522-7843 | Carroll H Fowlkes Iii, DO Beaufort Memorial Express Care & Occupational Health, 1 Burnt Church Rd, Ste A, Bluffton, SC 29910-6405 Ph: (843) 706-2185 |
Mr. Christopher M Opella, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Burnt Church Rd, Bluffton, SC 29910 Phone: 817-270-0788 Fax: 817-752-2176 | |
Dr. Atul Mohan Gupta, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 55a Sheridan Park Cir, Bluffton, SC 29910 Phone: 843-836-5111 Fax: 843-836-5112 |