Gordon Thompson, MD | |
109 Bee Street, Charleston, SC 29401 | |
(843) 572-1200 | |
(843) 553-0424 |
Full Name | Gordon Thompson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 109 Bee Street, Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871545517 | NPI | - | NPPES |
202710 | Medicaid | SC | |
GP1548 | Other | SC | MEDICAID GROUP |
080169774 | Other | SC | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20271 (South Carolina) | Primary |
Entity Name | Palmetto Primary Care Physicians Llc |
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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 |
---|---|
Gordon Thompson, MD 109 Bee Street, Charleston, SC 29401 Ph: (843) 577-5011 | Gordon Thompson, MD 109 Bee Street, Charleston, SC 29401 Ph: (843) 572-1200 |
Huyen Bui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 650 Ellis Oak Dr, Charleston, SC 29412 Phone: 843-792-3451 | |
Dr. Charles T Tweel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 51 Nassau St, Charleston, SC 29403 Phone: 803-722-4112 | |
Alexander Chessman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Justin William Dean, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2125 Charlie Hall Bvld, Ste 2, Charleston, SC 29414 Phone: 843-876-3151 | |
Yolanda Bryant, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Lizina Blessing Green, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Dr. Donald P Hurley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2270 Ashley Crossing Dr Ste 150, Charleston, SC 29414 Phone: 843-766-1936 Fax: 843-766-1206 |