Roderick Taylor Dippel, MD, | |
955 Ribaut Rd, Beaufort, SC 29902-5441 | |
(843) 522-5005 | |
(843) 522-5017 |
Full Name | Roderick Taylor Dippel |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 955 Ribaut Rd, Beaufort, 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 |
---|---|---|---|
1699721852 | NPI | - | NPPES |
T19584 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 17989 (South Carolina) | Primary |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100107000067 |
Mailing Address | Practice Location Address |
---|---|
Roderick Taylor Dippel, MD, P.o. Box 403631, Atlanta, GA 30284-3631 Ph: (770) 740-0895 | Roderick Taylor Dippel, MD, 955 Ribaut Rd, Beaufort, SC 29902-5441 Ph: (843) 522-5005 |
Mr. Steven Royal Kessel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 989 Ribaut Rd, Ste 260, Beaufort, SC 29902 Phone: 843-522-7600 Fax: 743-522-7612 | |
Edward J Mcneil Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Spanish Point Dr, Beaufort, SC 29902 Phone: 843-812-2838 | |
Dr. Patricia M Devers, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 843-522-5005 Fax: 843-522-5017 | |
Dr. Nicholas P Dardes, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906 Phone: 843-770-0404 Fax: 844-296-2308 | |
Dr. Fletcher Carl Derrick Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Beaufort Memorial Lowcountry Medical Group, 300 Midtown Dr, Beaufort, SC 29906 Phone: 843-770-0404 Fax: 844-296-2308 | |
Dr. Scott Dryzer, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 865-719-2232 | |
Dr. Gina Y Jordan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 27 Kemmerlin Lane, Beaufort, SC 29907 Phone: 843-524-2100 Fax: 843-525-9613 |