Dr Jonathan Kittredge, MD | |
1280 Hospital Dr Unit 302, Mount Pleasant, SC 29464-1901 | |
(843) 884-9900 | |
Not Available |
Full Name | Dr Jonathan Kittredge |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 22 Years |
Location | 1280 Hospital Dr Unit 302, Mount Pleasant, 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 |
---|---|---|---|
1114174125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | C1-0010094 (Delaware) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 35710 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Anne's Hospital | Fall river, MA | Hospital |
Sturdy Memorial Hospital | Attleboro, MA | Hospital |
Morton Hospital | Taunton, MA | Hospital |
Roger Williams Medical Center | Providence, RI | Hospital |
Southcoast Hospitals Group | Fall river, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prima Care Pc | 2567356017 | 186 |
Prima Care Pc | 2567356017 | 186 |
Entity Name | Prima Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265422596 PECOS PAC ID: 2567356017 Enrollment ID: O20040214000027 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Kittredge, MD 1280 Hospital Dr Unit 302, Mount Pleasant, SC 29464-1901 Ph: (843) 884-9900 | Dr Jonathan Kittredge, MD 1280 Hospital Dr Unit 302, Mount Pleasant, SC 29464-1901 Ph: (843) 884-9900 |
Dr. Thomas R Wieters, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3070 N Highway 17, Suite 202, Mount Pleasant, SC 29466 Phone: 843-881-8346 Fax: 843-284-4093 | |
Mohammad Hasan Emad Salameh, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1223 Vestige Sq # 29464, Mount Pleasant, SC 29464 Phone: 843-371-4348 | |
William H Stroud Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-824-4393 | |
Thomas Hahm, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 180 Wingo Way, Suite 205, Mount Pleasant, SC 29464 Phone: 843-884-1400 Fax: 843-884-7448 | |
Norman P Khoury, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-884-2247 Fax: 843-881-0653 | |
Dr. Sami Paul Tarabishy, MD Surgery Medicare: Medicare Enrolled Practice Location: 526 Johnnie Dodds Blvd Ste 202, Mount Pleasant, SC 29464 Phone: 843-571-4742 |