Dr Melton R Stuckey, MD | |
1415 Blanding Street Suite 2, Columbia, SC 29201 | |
(803) 256-1518 | |
(803) 256-9719 |
Full Name | Dr Melton R Stuckey |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1415 Blanding Street Suite 2, Columbia, 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 |
---|---|---|---|
1861463432 | NPI | - | NPPES |
054087 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5408 (South Carolina) | Primary |
207QG0300X | Family Medicine - Geriatric Medicine | 5408 (South Carolina) | Secondary |
Entity Name | Palmetto Primary Care Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
Mailing Address | Practice Location Address |
---|---|
Dr Melton R Stuckey, MD 201 Sigma Dr Ste 100, Summerville, SC 29486-7722 Ph: (843) 695-6071 | Dr Melton R Stuckey, MD 1415 Blanding Street Suite 2, Columbia, SC 29201 Ph: (803) 256-1518 |
Pamela I Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7033 Saint Andrews Rd Ste 101, Columbia, SC 29212 Phone: 803-749-1155 Fax: 803-749-1786 | |
Dr. Elmer Gordon Long, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1818 Henderson St, Columbia, SC 29201 Phone: 803-758-2600 Fax: 803-253-8896 | |
Dr. Charles Joseph Carter Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3209 Colonial Dr, Columbia, SC 29203 Phone: 803-434-6113 Fax: 803-434-7231 | |
April Tamara Singleton Clarke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2012 Harden St Ste 112, Columbia, SC 29204 Phone: 803-434-6116 Fax: 803-434-8545 | |
Dr. Hance H Oliver, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Forest Dr Ste 300, Columbia, SC 29204 Phone: 803-749-5101 Fax: 803-933-3045 | |
Justin Andrew Mullner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3209 Colonial Drive, Family Medicine Department, Columbia, SC 29203 Phone: 803-434-6116 Fax: 803-434-8545 | |
Kristian Jorgensen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3209 Colonial Dr, Columbia, SC 29203 Phone: 803-434-7399 |