Edward J Mayeaux, Jr, Jr, MD | |
145 Sunset Ct Ste 100, West Columbia, SC 29169-2429 | |
(803) 739-3550 | |
(803) 739-3546 |
Full Name | Edward J Mayeaux, Jr, Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 145 Sunset Ct Ste 100, 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 |
---|---|---|---|
1356368880 | NPI | - | NPPES |
1901156 | Medicaid | LA | |
356536 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35653 (South Carolina) | Primary |
207Q00000X | Family Medicine | 019451 (Louisiana) | Secondary |
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 | 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 |
---|---|
Edward J Mayeaux, Jr, Jr, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 739-3550 | Edward J Mayeaux, Jr, Jr, MD 145 Sunset Ct Ste 100, West Columbia, SC 29169-2429 Ph: (803) 739-3550 |
Dr. Robert Mackey Callis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 145 Sunset Ct, West Columbia, SC 29169 Phone: 803-739-3550 Fax: 803-739-3546 | |
Dr. Roger K Griggs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3314 Platt Springs Rd, West Columbia, SC 29170 Phone: 803-791-3494 Fax: 803-739-9854 | |
Dr. Gregory J Konduros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3314 Platt Springs Rd, West Columbia, SC 29170 Phone: 803-791-3494 Fax: 803-739-9854 | |
Robert M. Pallay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Sunset Ct Ste 100, West Columbia, SC 29169 Phone: 803-739-3550 Fax: 803-739-3546 | |
Dr. John H Fisher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3314 Platt Springs Rd, West Columbia, SC 29170 Phone: 803-791-3494 Fax: 803-739-9854 | |
Misty Burnett Gilliland, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: Carolina Health And Hearing, 3681 Leaphart Rd Ste A, West Columbia, SC 29169 Phone: 803-520-8548 |