Dr Kimberly D Rakes-stephens, MD | |
134 Jungle Rd, Edisto Island, SC 29438-3005 | |
(843) 897-7757 | |
(843) 897-7877 |
Full Name | Dr Kimberly D Rakes-stephens |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 134 Jungle Rd, Edisto Island, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457354888 | NPI | - | NPPES |
226954 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 17943 (South Carolina) | Primary |
208M00000X | Hospitalist | 17943 (South Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Charleston East | Charleston, SC | Home health agency |
Patriot Hospice | Greenville, SC | Hospice |
Colleton Medical Center | Walterboro, SC | Hospital |
Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
Musc Medical Center | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Liberty Doctors Llc | 0840466017 | 40 |
Coastal Carolina Multispecialty Associates Llc | 9931105046 | 48 |
Entity Name | Coastal Carolina Multispecialty Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518079102 PECOS PAC ID: 9931105046 Enrollment ID: O20061012000646 |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902476443 PECOS PAC ID: 9032021175 Enrollment ID: O20071217000080 |
Entity Name | Liberty Doctors Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700162203 PECOS PAC ID: 0840466017 Enrollment ID: O20120110000683 |
Mailing Address | Practice Location Address |
---|---|
Dr Kimberly D Rakes-stephens, MD 134 Jungle Rd, Edisto Island, SC 29438-3005 Ph: (843) 217-1695 | Dr Kimberly D Rakes-stephens, MD 134 Jungle Rd, Edisto Island, SC 29438-3005 Ph: (843) 897-7757 |