Dr Mitchell Wells Jacocks, MD | |
2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | |
(803) 744-4940 | |
(803) 744-4938 |
Full Name | Dr Mitchell Wells Jacocks |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 32 Years |
Location | 2728 Sunset Blvd Ste 300, 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 |
---|---|---|---|
1881667897 | NPI | - | NPPES |
CC5386 | Other | SC | RRMEDICARE |
T49604 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 20836 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lexington Medical Center | West columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lexington Health Inc | 2567872070 | 767 |
Entity Name | Prisma Health Tuomey |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548625593 PECOS PAC ID: 2163728528 Enrollment ID: O20160310001016 |
Entity Name | Lexington Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Mailing Address | Practice Location Address |
---|---|
Dr Mitchell Wells Jacocks, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: () - | Dr Mitchell Wells Jacocks, MD 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 Ph: (803) 744-4940 |
Dr. Robert Anthony Leonardi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 300, West Columbia, SC 29169 Phone: 803-744-4940 Fax: 803-744-4938 | |
Dr. Vijaya Korrapati, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 400, West Columbia, SC 29169 Phone: 803-794-7511 Fax: 803-794-7751 | |
Parthivkumar N Kundaria, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 | |
Dr. Kalpana Kumar Puri, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 131 Sunset Ct, West Columbia, SC 29169 Phone: 803-796-2222 | |
Jonathan Kyle Hewett, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 300, West Columbia, SC 29169 Phone: 803-744-4940 Fax: 803-744-4938 | |
Dr. Carl A White, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 146 N Hospital Drive, Suite 530, West Columbia, SC 29169 Phone: 803-796-7270 Fax: 803-796-0106 | |
Perrie L Ryan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 400, West Columbia, SC 29169 Phone: 803-794-7511 Fax: 803-794-7751 |