Lewis Garrett Dickinson, MD | |
200 S Herlong Ave Ste G, Rock Hill, SC 29732-1182 | |
(803) 909-6300 | |
(803) 909-6310 |
Full Name | Lewis Garrett Dickinson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 200 S Herlong Ave Ste G, Rock Hill, 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 |
---|---|---|---|
1891779641 | NPI | - | NPPES |
T67022 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 22540 (South Carolina) | Primary |
208600000X | Surgery | M-17842 (Idaho) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Altru Hospital | Grand forks, ND | Hospital |
Chi St Alexius Health | Bismarck, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Altru Health System | 1355251604 | 520 |
St Alexius Medical Center | 8426960865 | 220 |
Entity Name | St Alexius Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
Mailing Address | Practice Location Address |
---|---|
Lewis Garrett Dickinson, MD Po Box 3239, Florence, SC 29502-3239 Ph: (843) 366-3729 | Lewis Garrett Dickinson, MD 200 S Herlong Ave Ste G, Rock Hill, SC 29732-1182 Ph: (803) 909-6300 |
Dr. Kamran Borhanian, MD Surgery Medicare: Medicare Enrolled Practice Location: 200 S. Herlong Ave., Suite G, Rock Hill, SC 29732 Phone: 803-909-6300 Fax: 803-909-6310 | |
Dr. Joliette Nicole Grace, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Herlong Ave S Ste G, Rock Hill, SC 29732 Phone: 803-909-6300 Fax: 803-909-6310 | |
Dr. Shamly Venus Dhiman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd, Suite 175, Rock Hill, SC 29732 Phone: 803-324-5256 Fax: 803-328-0440 | |
Dr. Manthan Dipak Makadia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732 Phone: 804-324-5256 | |
Dr. Christopher W Schroeder, MD Surgery Medicare: Medicare Enrolled Practice Location: 1721-07 Ebenezer Road, Suite 175, Rock Hill, SC 29732 Phone: 803-324-5256 Fax: 803-328-0440 | |
Dr. Robert D Randall Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1665 Herlong Ct, Suite A, Rock Hill, SC 29732 Phone: 803-329-8500 Fax: 803-329-8511 | |
Corey K Crain, MD Surgery Medicare: Medicare Enrolled Practice Location: 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732 Phone: 803-324-5256 Fax: 803-328-0440 |