Dr Devin Antonovich, MD | |
176 Mcswain Dr, West Columbia, SC 29169-4825 | |
(843) 797-3636 | |
Not Available |
Full Name | Dr Devin Antonovich |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 8 Years |
Location | 176 Mcswain Dr, West 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 |
---|---|---|---|
1770036410 | NPI | - | NPPES |
399251 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 39925 (South Carolina) | Secondary |
207L00000X | Anesthesiology | MMD.39925.LL (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trident Pain Center Pa | 7911897269 | 13 |
Entity Name | Trident Pain Center Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801992961 PECOS PAC ID: 7911897269 Enrollment ID: O20040318001454 |
Entity Name | Hyper Healing |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508381567 PECOS PAC ID: 3577821958 Enrollment ID: O20190115001342 |
Mailing Address | Practice Location Address |
---|---|
Dr Devin Antonovich, MD 9267 Medical Plaza Dr Ste G, N Charleston, SC 29406-9139 Ph: (843) 797-3636 | Dr Devin Antonovich, MD 176 Mcswain Dr, West Columbia, SC 29169-4825 Ph: (843) 797-3636 |
Dr. Jonathan Cates, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-936-7372 Fax: 803-936-4102 | |
Andrew S. Weisinger, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Patrick L. Laporte, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8535 Fax: 803-791-2660 | |
Dr. Charles E Corley, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-254-2394 Fax: 803-254-7125 | |
Dr. Charles T Campbell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Dr. James F Knight, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-0000 | |
Jialiu David Li, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 100&200, West Columbia, SC 29169 Phone: 803-935-8410 Fax: 803-936-7816 |