Mitchell L Earley, DO | |
1101 Bowman Rd, Mt Pleasant, SC 29464-3213 | |
(436) 067-1858 | |
(843) 606-7187 |
Full Name | Mitchell L Earley |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 1101 Bowman Rd, Mt Pleasant, 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 |
---|---|---|---|
1235179003 | NPI | - | NPPES |
398796 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3849 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | 39879 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Home Health | Oklahoma city, OK | Home health agency |
Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Oklahoma Communities | 1153468921 | 502 |
Entity Name | Mercy Clinic Oklahoma Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Mailing Address | Practice Location Address |
---|---|
Mitchell L Earley, DO Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | Mitchell L Earley, DO 1101 Bowman Rd, Mt Pleasant, SC 29464-3213 Ph: (436) 067-1858 |
Susan Cao, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3074 N Highway 17, Mt Pleasant, SC 29466 Phone: 843-884-6424 | |
Ann Gregory Kelly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466 Phone: 544-447-6768 Fax: 854-999-0549 | |
Dr. David Tyler Heinemann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3510 N Highway 17 Ste 320, Mt Pleasant, SC 29466 Phone: 843-971-3361 Fax: 843-606-8003 | |
Dr. Priscilla Wilcox Holtzclaw, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Salterbeck Ct, Ste 100, Mt Pleasant, SC 29466 Phone: 843-971-3361 Fax: 843-971-8492 | |
Mr. Philip D Rhine, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1790 Tennyson Row, Mt Pleasant, SC 29466 Phone: 803-429-3523 | |
Romita L Wallen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2736 Rush Haven Dr, Mt Pleasant, SC 29466 Phone: 843-881-7477 Fax: 843-881-7477 |