Dr Weems R Pennington Iii, MD | |
137 Miracle Dr, Aiken, SC 29801-6351 | |
(803) 641-4874 | |
(803) 641-0436 |
Full Name | Dr Weems R Pennington Iii |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 24 Years |
Location | 137 Miracle Dr, Aiken, 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 |
---|---|---|---|
1215027263 | NPI | - | NPPES |
G59309 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 59309 (Georgia) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 22253 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aiken Regional Medical Center | Aiken, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aiken Professional Association Llc | 0446430805 | 47 |
Entity Name | Aiken Professional Association Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639479801 PECOS PAC ID: 0446430805 Enrollment ID: O20110202000685 |
Mailing Address | Practice Location Address |
---|---|
Dr Weems R Pennington Iii, MD 367 S. Gulph Rd, Att: Ipm Credentialing, King Of Prussia, PA 19406-3121 Ph: (803) 641-4874 | Dr Weems R Pennington Iii, MD 137 Miracle Dr, Aiken, SC 29801-6351 Ph: (803) 641-4874 |
Kate Barrett Mayes, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 223 Park Ave Se, Aiken, SC 29801 Phone: 803-641-1270 Fax: 803-641-1276 | |
Thomas Mccullough, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 410 University Pkwy Ste 2500, Aiken, SC 29801 Phone: 803-648-7888 Fax: 803-648-3302 | |
Ghulam Murtaza, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 137 Miracle Dr, Aiken, SC 29801 Phone: 803-641-4874 | |
Janet L Utz, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 137 Miracle Drive, Aiken, SC 29801 Phone: 803-641-4874 Fax: 803-641-0436 | |
Dr. Amalachi Favour Ndiagwalu, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 302 University Pkwy, Aiken, SC 29801 Phone: 803-641-5000 | |
Dr. Sheetal L Higbee, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 222 University Pkwy, Aiken, SC 29801 Phone: 803-306-1438 |