Dr Wilson Alaric Van Dam, MD | |
14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | |
(803) 296-9200 | |
(803) 296-9697 |
Full Name | Dr Wilson Alaric Van Dam |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 27 Years |
Location | 14 Richland Medical Park Dr, 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 |
---|---|---|---|
1346218211 | NPI | - | NPPES |
224260 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | T6565 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lexington Medical Center | West columbia, SC | Hospital |
Newberry County Memorial Hospital | Newberry, SC | Hospital |
The Heritage At Lowman Rehab And Healthcare | White rock, SC | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palmetto Bone And Joint Pa | 4385545565 | 12 |
Entity Name | Prisma Health-midlands |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205889458 PECOS PAC ID: 6800708330 Enrollment ID: O20031110000506 |
Entity Name | Palmetto Bone & Joint Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720295793 PECOS PAC ID: 4385545565 Enrollment ID: O20040120000455 |
Mailing Address | Practice Location Address |
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Dr Wilson Alaric Van Dam, MD Po Box 22265, Belfast, ME 04915-4473 Ph: (803) 296-7320 | Dr Wilson Alaric Van Dam, MD 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 Ph: (803) 296-9200 |
Dr. Pranitha Reddy Nallu, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203 Phone: 803-296-9200 | |
Mr. Bruce David Filler, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2362 Two Notch Rd, Columbia Rehabilitation Clinic, Columbia, SC 29204 Phone: 803-799-7007 Fax: 803-256-8410 | |
Matthew Maccarthy, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9 Richland Medical Park Dr Ste 410, Columbia, SC 29203 Phone: 720-628-3021 | |
Dr. Eduardo F Irizarry, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 22 Godbold Ct., Columbia, SC 29204 Phone: 803-546-8004 | |
John Clavet, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203 Phone: 803-296-9200 Fax: 803-296-9697 | |
Dr. Bhagyalakshmi Muniswamy Reddy, M.D Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 Fax: 803-695-7932 | |
Kelly Blake Cantu, PA-C Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2000 Center Point Rd Ste 2360, Columbia, SC 29210 Phone: 803-233-5500 Fax: 803-258-6395 |