Jackson M Ewart, MD | |
903 N Fraser St # A, Georgetown, SC 29440-2879 | |
(843) 527-1331 | |
(843) 527-1332 |
Full Name | Jackson M Ewart |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 47 Years |
Location | 903 N Fraser St # A, Georgetown, 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 |
---|---|---|---|
1699955005 | NPI | - | NPPES |
7399 | Other | SC | MEDICARE GROUP PTAN |
088345 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 8834 (South Carolina) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 8834 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Musc Medical Center | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Musc Community Physicians | 6507260668 | 793 |
Entity Name | Georgetown Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
Entity Name | Waccamaw Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003889676 PECOS PAC ID: 8527970771 Enrollment ID: O20040506001434 |
Entity Name | Georgetown Physician Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235475930 PECOS PAC ID: 2365697398 Enrollment ID: O20130225000067 |
Entity Name | Musc Community Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
---|---|
Jackson M Ewart, MD Po Box 1519, Georgetown, SC 29442-1519 Ph: (843) 527-1331 | Jackson M Ewart, MD 903 N Fraser St # A, Georgetown, SC 29440-2879 Ph: (843) 527-1331 |
Mr. Newton Craig Brackett Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2405 N Fraser St, Georgetown, SC 29440 Phone: 843-651-3308 Fax: 843-651-4629 | |
Sara Beth Shields Tarwater, Surgery Medicare: Medicare Enrolled Practice Location: 1014 Huger Dr, Georgetown, SC 29440 Phone: 843-520-8780 |