John M Ciccone, MD | |
3510 Hwy 17 North, Ste 325, Mt. Pleasant, SC 29466-8232 | |
(843) 606-8982 | |
(843) 606-8077 |
Full Name | John M Ciccone |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 3510 Hwy 17 North, Mt. Pleasant, 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 |
---|---|---|---|
1750378824 | NPI | - | NPPES |
1K9389 | Other | HEALTHNET | |
ES226 | Other | OXFORD | |
0963382002 | Other | CIGNA | |
1075758 | Other | HORIZON MERCY | |
1747304 | Medicaid | NJ | |
4094234 | Other | AETNA | |
81554 | Other | AMERIGROUP | |
010000347500 | Other | AMERICHOICE | |
0199893000 | Other | AMERIHEALTH | |
5710570 | Other | GHI | |
28F431 | Other | WELLCHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | MA37832 (New Jersey) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 34588 (South Carolina) | Primary |
Entity Name | University Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
Entity Name | Coastal Cardiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881645893 PECOS PAC ID: 1850484783 Enrollment ID: O20070907000502 |
Entity Name | Roper Saint Francis Physicians Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346752383 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405 |
Entity Name | Roper St. Francis Mount Pleasant Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629499298 PECOS PAC ID: 1658567326 Enrollment ID: O20110207000316 |
Mailing Address | Practice Location Address |
---|---|
John M Ciccone, MD Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | John M Ciccone, MD 3510 Hwy 17 North, Ste 325, Mt. Pleasant, SC 29466-8232 Ph: (843) 606-8982 |