Dr Mark S Jeanjaquet, MD | |
300 Singleton Ridge Rd, Conway, SC 29526-9142 | |
(843) 347-8015 | |
(843) 347-8017 |
Full Name | Dr Mark S Jeanjaquet |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 300 Singleton Ridge Rd, Conway, 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 |
---|---|---|---|
1336171487 | NPI | - | NPPES |
930045476 | Other | MEDICARE RAILROAD | |
180654 | Medicaid | SC | |
20017271 | Other | FIRST CHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 18065 (South Carolina) | Primary |
Entity Name | Conway Hospital Emergency Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487844510 PECOS PAC ID: 2163516980 Enrollment ID: O20070924000348 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark S Jeanjaquet, MD Po Box 829, Conway, SC 29528-0829 Ph: (843) 347-8015 | Dr Mark S Jeanjaquet, MD 300 Singleton Ridge Rd, Conway, SC 29526-9142 Ph: (843) 347-8015 |
Dr. Allen E Smolenski, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 Fax: 843-347-8017 | |
Jorge Luis Infante, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 | |
Dr. John Allen Rogowski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 Fax: 843-347-8017 | |
Amanda S Battisti, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8037 Fax: 843-347-8056 | |
Dr. Nathan P Fredrick, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 Fax: 843-347-8017 | |
Dr. Edward Thomas Grove, MD, MSPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 |