Ramiro Jay Godines, MD | |
3655 Mitchell St, Loris, SC 29569-2827 | |
(843) 716-7000 | |
(706) 660-9390 |
Full Name | Ramiro Jay Godines |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 3655 Mitchell St, Loris, 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 |
---|---|---|---|
1073596631 | NPI | - | NPPES |
GP2672 | Medicaid | SC | |
162898 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 16289 (South Carolina) | Secondary |
207L00000X | Anesthesiology | 16289 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Richland Hospital | Columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Under Anesthesia | 6901083724 | 12 |
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Under Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194018242 PECOS PAC ID: 6901083724 Enrollment ID: O20110603000459 |
Mailing Address | Practice Location Address |
---|---|
Ramiro Jay Godines, MD Po Box 2024, Columbia, SC 29202-2024 Ph: (706) 660-8505 | Ramiro Jay Godines, MD 3655 Mitchell St, Loris, SC 29569-2827 Ph: (843) 716-7000 |
Raymond Craig Collins, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3655 Mitchell St, Loris, SC 29569 Phone: 843-716-7000 Fax: 706-660-9390 | |
Frederick William Bellamy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3655 Mitchell St, Loris, SC 29569 Phone: 843-716-7000 Fax: 706-660-9390 |