Dr Charles Rast Hubbard Jr, MD | |
1519 Marion St, Columbia, SC 29201-2910 | |
(803) 296-5954 | |
Not Available |
Full Name | Dr Charles Rast Hubbard Jr |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 44 Years |
Location | 1519 Marion St, 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 |
---|---|---|---|
1417905654 | NPI | - | NPPES |
119632 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 11963 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Baptist | Columbia, SC | Hospital |
Prisma Health Richland Hospital | Columbia, SC | Hospital |
Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
Providence Health | Columbia, SC | Hospital |
Kershawhealth | Camden, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Pitts Radiological Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629029863 PECOS PAC ID: 1355245747 Enrollment ID: O20031126000485 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730786096 PECOS PAC ID: 8325950983 Enrollment ID: O20201029000932 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Rast Hubbard Jr, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8617 | Dr Charles Rast Hubbard Jr, MD 1519 Marion St, Columbia, SC 29201-2910 Ph: (803) 296-5954 |
Dr. Jason P Eastlack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1519 Marion St, Columbia, SC 29201 Phone: 803-296-5954 Fax: 803-296-3076 | |
Dr. James Joseph Farrell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Wjb Dorn Vamc, 6439 Garners Ferry Road, Columbia, SC 29209 Phone: 803-695-6811 Fax: 803-695-6745 | |
Dr. Raleigh J Boulware, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7 Medical Park, Suite 104, Columbia, SC 29223 Phone: 803-434-3400 Fax: 803-434-3938 | |
Gerald Edmund Richmond, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Park St, Columbia, SC 29201 Phone: 803-462-3770 Fax: 803-462-3771 | |
Dr. Robert Wesley Smith, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-7000 | |
Nichole Holmes, RT(R, CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 | |
Mrs. Jennifer Cecile Wood, Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-6766 |