Mr Carroll Brooks Bannister, MD | |
701 Medical Park Dr, Suite 101, Hartsville, SC 29550-4777 | |
(843) 339-4295 | |
(843) 339-4609 |
Full Name | Mr Carroll Brooks Bannister |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 52 Years |
Location | 701 Medical Park Dr, Hartsville, 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 |
---|---|---|---|
1689692253 | NPI | - | NPPES |
077188 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 7718 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carolina Pines Regional Medical Center | Hartsville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hartsville Medical Group, Llc | 7012062714 | 40 |
Entity Name | Hartsville Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598995300 PECOS PAC ID: 7012062714 Enrollment ID: O20090902000027 |
Mailing Address | Practice Location Address |
---|---|
Mr Carroll Brooks Bannister, MD 701 Medical Park Dr, Ste 300, Hartsville, SC 29550-4777 Ph: (843) 878-1101 | Mr Carroll Brooks Bannister, MD 701 Medical Park Dr, Suite 101, Hartsville, SC 29550-4777 Ph: (843) 339-4295 |
Mr. Thomas Vanco Mincheff, MD Surgery Medicare: Medicare Enrolled Practice Location: 704 Medical Park Drive, Hartsville Surgical Center Llp, Hartsville, SC 29550 Phone: 843-332-1099 Fax: 843-332-1091 | |
Dr. Patrick E Sizemore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 Medical Park Dr, Hartsville, SC 29550 Phone: 843-332-1099 Fax: 843-339-1091 | |
Jason R Dameron, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 Medical Park Drive, Hartsville Surgical Center Llp, Hartsville, SC 29550 Phone: 843-332-1099 Fax: 843-332-1091 | |
Philip Chaipis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 Medical Park Dr, Hartsville, SC 29550 Phone: 843-332-1099 |