Russell E Ditzler, MD | |
109 Barton Creek Court, Columbia, SC 29229 | |
(803) 256-2286 | |
Not Available |
Full Name | Russell E Ditzler |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | 109 Barton Creek Court, Columbia, 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 |
---|---|---|---|
1053378588 | NPI | - | NPPES |
128524 | Medicaid | SC | |
12852 | Other | SC | DITZLER STATE LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS1201X | Family Medicine - Sleep Medicine | 12852 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 12852 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Camden | Camden, SC | Home health agency |
Lexington Medical Center | West columbia, SC | Hospital |
Prisma Health Richland Hospital | Columbia, SC | Hospital |
Prisma Health Baptist | Columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lexington Health Inc | 2567872070 | 767 |
Entity Name | Lexington Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Mailing Address | Practice Location Address |
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Russell E Ditzler, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: () - | Russell E Ditzler, MD 109 Barton Creek Court, Columbia, SC 29229 Ph: (803) 256-2286 |
Pamela I Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7033 Saint Andrews Rd Ste 101, Columbia, SC 29212 Phone: 803-749-1155 Fax: 803-749-1786 | |
Dr. Elmer Gordon Long, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1818 Henderson St, Columbia, SC 29201 Phone: 803-758-2600 Fax: 803-253-8896 | |
Dr. Charles Joseph Carter Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3209 Colonial Dr, Columbia, SC 29203 Phone: 803-434-6113 Fax: 803-434-7231 | |
April Tamara Singleton Clarke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2012 Harden St Ste 112, Columbia, SC 29204 Phone: 803-434-6116 Fax: 803-434-8545 | |
Dr. Hance H Oliver, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Forest Dr Ste 300, Columbia, SC 29204 Phone: 803-749-5101 Fax: 803-933-3045 | |
Justin Andrew Mullner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3209 Colonial Drive, Family Medicine Department, Columbia, SC 29203 Phone: 803-434-6116 Fax: 803-434-8545 | |
Kristian Jorgensen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3209 Colonial Dr, Columbia, SC 29203 Phone: 803-434-7399 |