Mr Fred Michael Kimbrell, MD | |
201 W Meeting St, Ste A, Lancaster, SC 29720-2380 | |
(803) 286-4666 | |
(803) 283-1951 |
Full Name | Mr Fred Michael Kimbrell |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 201 W Meeting St, Lancaster, 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 |
---|---|---|---|
1518965193 | NPI | - | NPPES |
106478 | Medicaid | SC | |
AK1353731 | Other | OTHER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 10647 (South Carolina) | Primary |
Entity Name | Palmetto Tri-county Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366702615 PECOS PAC ID: 4284890302 Enrollment ID: O20120718000167 |
Mailing Address | Practice Location Address |
---|---|
Mr Fred Michael Kimbrell, MD 201 W Meeting St Ste A, Ste A, Lancaster, SC 29720-2380 Ph: (803) 286-4666 | Mr Fred Michael Kimbrell, MD 201 W Meeting St, Ste A, Lancaster, SC 29720-2380 Ph: (803) 286-4666 |
Swapna Patel, M. D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Meeting St, Lancaster, SC 29720 Phone: 803-286-1310 Fax: 803-313-3126 | |
Dr. Dharmendra Bhaskaran, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 834 W Meeting St, Suite F, Lancaster, SC 29720 Phone: 803-285-8777 Fax: 803-285-8776 | |
Emmanuel Otu Quaye, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 N White St, Lancaster, SC 29720 Phone: 803-374-4460 Fax: 954-635-5513 | |
Dr. Victor M Amato, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Healthcare Dr, Lancaster, SC 29720 Phone: 803-286-9963 Fax: 803-283-6330 | |
Paul A Slota, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1029 W Meeting St, Lancaster, SC 29720 Phone: 803-285-2041 Fax: 803-285-3852 | |
Fatai B Oluyadi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Meeting St, Lancaster, SC 29720 Phone: 347-751-5490 | |
Tracey Karen Buama Topacio, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 800 W Meeting St, Lancaster, SC 29720 Phone: 803-286-1214 |