Edward Johnson Jones Iii, MD | |
115 Executive Parkway, Moncks Corner, SC 29461 | |
(843) 761-2815 | |
(843) 869-8034 |
Full Name | Edward Johnson Jones Iii |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 28 Years |
Location | 115 Executive Parkway, Moncks Corner, 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 |
---|---|---|---|
1669424487 | NPI | - | NPPES |
T62189 | Medicaid | SC | |
080157309 | Other | SC | MEDICARE RAIL ROAD |
AA59077126 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 22048 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 22048 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trident Medical Center | Charleston, SC | Hospital |
Roper Hospital | Charleston, SC | Hospital |
Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palmetto Primary Care Physicians Llc | 4880508068 | 125 |
Entity Name | Palmetto Primary Care Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
Mailing Address | Practice Location Address |
---|---|
Edward Johnson Jones Iii, MD Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071 | Edward Johnson Jones Iii, MD 115 Executive Parkway, Moncks Corner, SC 29461 Ph: (843) 761-2815 |
Dr. Michael Eugene Field, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3508 S Live Oak Dr, Moncks Corner, SC 29461 Phone: 843-534-1770 Fax: 877-453-3943 | |
Dr. Omolola Ajoke Omotoso, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Executive Parkway, Moncks Corner, SC 29461 Phone: 843-899-9099 Fax: 843-899-9091 | |
Rose Delores Gibbs, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 106 W Main St, Moncks Corner, SC 29461 Phone: 843-761-1995 Fax: 843-761-3257 | |
Dr. Temisan L Etikerentse, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Executive Pkwy, Moncks Corner, SC 29461 Phone: 843-899-9099 Fax: 843-899-9091 |