Dr Jose A Luis, MD | |
74 Physician Dr., Aiken Pediatrics, P.a., Aiken, SC 29801-6388 | |
(803) 649-0578 | |
(803) 649-2788 |
Full Name | Dr Jose A Luis |
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Gender | Male |
Speciality | Pediatrics |
Location | 74 Physician Dr., Aiken, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730272410 | NPI | - | NPPES |
039493900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME34113 (Florida) | Primary |
Entity Name | Rural Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053362111 PECOS PAC ID: 8527046010 Enrollment ID: O20040712000202 |
Entity Name | Rural Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790846608 PECOS PAC ID: 8527046010 Enrollment ID: O20150430001240 |
Entity Name | Rural Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447530431 PECOS PAC ID: 8527046010 Enrollment ID: O20150430001494 |
Entity Name | Rural Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043775703 PECOS PAC ID: 8527046010 Enrollment ID: O20200217004199 |
Mailing Address | Practice Location Address |
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Dr Jose A Luis, MD Po Box 557367, Miami, FL 33255 Ph: (786) 624-5845 | Dr Jose A Luis, MD 74 Physician Dr., Aiken Pediatrics, P.a., Aiken, SC 29801-6388 Ph: (803) 649-0578 |
Jonathan C Collins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 206 Centre South Blvd, Aiken, SC 29803 Phone: 803-642-9204 Fax: 803-648-3633 | |
Christopher Gary Bryant, Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Town Creek Rd, Aiken, SC 29803 Phone: 803-508-7651 Fax: 803-508-7655 | |
Dr. John Burton Tiffany, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Town Creek Rd, Aiken, SC 29803 Phone: 803-508-7651 Fax: 803-508-7655 | |
Dr. Ashley Elizabeth Miller, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 Town Creek Rd, Aiken, SC 29803 Phone: 803-508-7651 Fax: 803-508-7655 | |
Paula Anne Luther, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 206 Centre South Blvd, Aiken, SC 29803 Phone: 803-642-9204 Fax: 803-648-3633 | |
Dr. Francis J Dibona, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 755 Medical Park Dr, Aiken, SC 29801 Phone: 803-648-0718 Fax: 803-641-9143 | |
Dr. Victoria M. Stoeppler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Clyburn Pl, Aiken, SC 29801 Phone: 803-649-0578 Fax: 803-649-2788 |