Dr Russell David Kitch, MD | |
2850 Tricom Street, North Charleston, SC 29406-9192 | |
(843) 863-1188 | |
(843) 863-8286 |
Full Name | Dr Russell David Kitch |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 39 Years |
Location | 2850 Tricom Street, North Charleston, 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 |
---|---|---|---|
1992705099 | NPI | - | NPPES |
GP2380 | Medicaid | SC | |
152943 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 15299 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trident Medical Center | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Low Country Ent Pa | 1557392651 | 3 |
Summerville Sleep Consultants Llc | 5799759791 | 3 |
Entity Name | Summerville Sleep Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265507404 PECOS PAC ID: 5799759791 Enrollment ID: O20040825000236 |
Entity Name | Low Country Ent Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740478288 PECOS PAC ID: 1557392651 Enrollment ID: O20090218000257 |
Mailing Address | Practice Location Address |
---|---|
Dr Russell David Kitch, MD 2850 Tricom Street, North Charleston, SC 29406-9192 Ph: (843) 863-1188 | Dr Russell David Kitch, MD 2850 Tricom Street, North Charleston, SC 29406-9192 Ph: (843) 863-1188 |
Dr. Joseph L. A. Russell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7555 Northside Dr, North Charleston, SC 29420 Phone: 843-576-3302 Fax: 843-797-8372 | |
Robert A Marwick, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9229 University Blvd, Suite E, North Charleston, SC 29406 Phone: 843-797-2721 Fax: 843-797-0271 | |
Peter Michael Horwich, MD FRCSC Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9228 Medical Plaza Dr, North Charleston, SC 29406 Phone: 843-574-5696 |