Mark C Pettus, MD | |
3578 Toomer Kiln Cir, Mt Pleasant, SC 29466-9260 | |
(843) 884-4810 | |
Not Available |
Full Name | Mark C Pettus |
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Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 3578 Toomer Kiln Cir, 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 |
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1528055209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 28214 (South Carolina) | Primary |
Entity Name | Berkshire Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295765261 PECOS PAC ID: 1355232711 Enrollment ID: O20040324000088 |
Entity Name | Berkshire Faculty Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548212939 PECOS PAC ID: 8224068424 Enrollment ID: O20050817001122 |
Mailing Address | Practice Location Address |
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Mark C Pettus, MD 138 Patricia Ave, Dalton, MA 01226-2045 Ph: (413) 684-2305 | Mark C Pettus, MD 3578 Toomer Kiln Cir, Mt Pleasant, SC 29466-9260 Ph: (843) 884-4810 |
Dr. Michael Mikola, MD Nephrology Medicare: Medicare Enrolled Practice Location: 180 Wingo Way, Stse 306, Mt Pleasant, SC 29464 Phone: 843-884-1777 Fax: 843-884-0710 | |
Jonathan Edward Parrack, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464 Phone: 843-884-5200 | |
John W Mcdonald, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1208 Two Island Ct, Mt Pleasant, SC 29466 Phone: 843-884-6653 | |
Dr. Bryan H Frain, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 897 Von Kolnitz Road, Suite 101, Mt Pleasant, SC 29464 Phone: 843-534-1770 Fax: 877-453-3943 | |
Dr. Robert Scott Thompson, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 498 Wando Park Blvd Ste 500, Mt Pleasant, SC 29464 Phone: 843-216-8139 Fax: 866-834-5680 | |
Dr. David Michael Ingraham, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1300 Hospital Dr, Suite 300, Mt Pleasant, SC 29464 Phone: 843-884-5200 Fax: 843-884-6417 | |
Jaimin Rameshbhai Patel, D.O Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3510 N Highway 17 Ste 220, Mt Pleasant, SC 29466 Phone: 843-724-2011 Fax: 843-606-7991 |