Dr Albert D Mims, MD | |
148 Sauls St, Lake City, SC 29560-2631 | |
(843) 374-3621 | |
(843) 374-3624 |
Full Name | Dr Albert D Mims |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 46 Years |
Location | 148 Sauls St, Lake City, 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 |
---|---|---|---|
1609972314 | NPI | - | NPPES |
P011055604 | Other | SC | RR PTAN |
093525 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9352 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Care | Kingstree, SC | Home health agency |
Musc Health At Home By Bayada-conway | Conway, SC | Home health agency |
Kindred At Home | Myrtle beach, SC | Home health agency |
Musc Health Florence Medical Center | Florence, SC | Hospital |
Musc Medical Center | Charleston, SC | Hospital |
Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical University Hospital Authority | 1557268950 | 173 |
Musc Community Physicians | 6507260668 | 793 |
Entity Name | Medical University Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
Entity Name | Carolina Family Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
Entity Name | Carolinas Medical Alliance Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023238490 PECOS PAC ID: 9739096769 Enrollment ID: O20050201000341 |
Entity Name | Musc Community Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
---|---|
Dr Albert D Mims, MD Po Box 603898, Charlotte, NC 28260-3898 Ph: (843) 374-3621 | Dr Albert D Mims, MD 148 Sauls St, Lake City, SC 29560-2631 Ph: (843) 374-3621 |
Dr. Benjamin Wade Lamb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 148 Sauls St, Lake City, SC 29560 Phone: 843-374-3621 Fax: 843-374-3624 | |
Dr. Ernest M Atkinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 148 Sauls St, Lake City, SC 29560 Phone: 843-374-3621 Fax: 843-374-3624 | |
Dr. Richard K Ellis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 148 Sauls St, Lake City, SC 29560 Phone: 843-374-3621 Fax: 843-374-3624 | |
Dr. James J Thomy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 258 N Ron Mcnair Blvd, Lake City, SC 29560 Phone: 843-374-2036 Fax: 843-374-5111 | |
Dr. David W Moon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 276 N Ron Mcnair Blvd, Lake City, SC 29560 Phone: 843-394-5471 Fax: 843-394-5459 | |
Dr. Daniel E Decamps, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 276 N Ron Mcnair Blvd, Lake City, SC 29560 Phone: 843-394-5471 Fax: 843-394-5459 |