Dr Pinckney Johnstone Maxwell Iv, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Charleston, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice University Medical Associates and his current practice location is
171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 792-1414.
Dr Pinckney Johnstone Maxwell Iv is licensed to practice in Pennsylvania (license number MD433246) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306952221.
Physician's Profile
Full Name | Dr Pinckney Johnstone Maxwell Iv |
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Gender | Male |
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Speciality | Colorectal Surgery (proctology) |
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Experience | 24 Years |
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Location | 171 Ashley Ave, Charleston, South Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Pinckney Johnstone Maxwell Iv attended and graduated from Medical University Of South Carolina College Of Medicine in 2000
NPI Data:
- NPI Number: 1306952221
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 10/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 0042211294
- Enrollment ID: I20111006000783
Medical Identifiers
Medical identifiers for Dr Pinckney Johnstone Maxwell Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306952221 | NPI | - | NPPES |
102200676 0001 | Medicaid | PA | |
0172740 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 025237 (Louisiana) | Secondary |
208C00000X | Colon & Rectal Surgery | MD433246 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Medical Associates | 6305758574 | 1311 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Pinckney Johnstone Maxwell Iv allows following entities to bill medicare on his behalf.
Entity Name | University Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pinckney Johnstone Maxwell Iv is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Pinckney Johnstone Maxwell Iv, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: () - | Dr Pinckney Johnstone Maxwell Iv, MD 171 Ashley Ave, Charleston, SC 29425-8908 Ph: (843) 792-1414 |
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