Justine De La Rosa Decastro, MD | |
1254 Yeamans Hall Rd, Hanahan, SC 29410-2787 | |
(843) 554-8312 | |
(337) 943-0846 |
Full Name | Justine De La Rosa Decastro |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1254 Yeamans Hall Rd, Hanahan, 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 |
---|---|---|---|
1194936831 | NPI | - | NPPES |
329807 | Medicaid | SC | |
P01214786 | Other | SC | RR-MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 32980 (South Carolina) | Primary |
Entity Name | Doctors Care, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366499048 PECOS PAC ID: 6204731300 Enrollment ID: O20040112000069 |
Entity Name | John E Emmel Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235263534 PECOS PAC ID: 5193772747 Enrollment ID: O20050405001281 |
Entity Name | Ch Specialty Services Sc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275915522 PECOS PAC ID: 6608182993 Enrollment ID: O20150901002450 |
Entity Name | Elite Patient Care Of South Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866 |
Entity Name | Charleston Carenow Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093248288 PECOS PAC ID: 3274893359 Enrollment ID: O20180209001769 |
Mailing Address | Practice Location Address |
---|---|
Justine De La Rosa Decastro, MD 1509 Dulles Dr, Lafayette, LA 70506-3718 Ph: (337) 991-9276 | Justine De La Rosa Decastro, MD 1254 Yeamans Hall Rd, Hanahan, SC 29410-2787 Ph: (843) 554-8312 |
Kirt A Caton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1254 Yeamans Hall Rd, Hanahan, SC 29410 Phone: 843-554-8312 Fax: 843-554-5141 |