Solomon Jan, MD | |
2829 E Highway 76, Mullins, SC 29574-6035 | |
(843) 431-2000 | |
Not Available |
Full Name | Solomon Jan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 20 Years |
Location | 2829 E Highway 76, Mullins, 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 |
---|---|---|---|
1457538316 | NPI | - | NPPES |
2805745 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35-90090 (Ohio) | Secondary |
209800000X | Legal Medicine | 36530 (South Carolina) | Secondary |
208M00000X | Hospitalist | 36530 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Musc Health Marion Medical Center | Mullins, SC | Hospital |
Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
Musc Health Florence Medical Center | Florence, SC | Hospital |
Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Hospitalist Services Pc | 3476855420 | 275 |
Musc Community Physicians | 6507260668 | 793 |
Sc House Calls Inc | 6800994807 | 385 |
Waccamaw Community Hospital | 9133036932 | 82 |
Entity Name | Georgetown Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
Entity Name | Waccamaw Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
Entity Name | Carolina Family Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
Entity Name | Sc House Calls Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100107000067 |
Entity Name | Mcleod Loris Seacoast Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
Entity Name | Southeastern Hospitalist Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
Entity Name | App Of South Carolina Hm Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154848786 PECOS PAC ID: 1951669688 Enrollment ID: O20171229000452 |
Entity Name | Musc Community Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Entity Name | Sjan Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104564947 PECOS PAC ID: 6800270711 Enrollment ID: O20220826000092 |
Mailing Address | Practice Location Address |
---|---|
Solomon Jan, MD Po Box 603898, Charlotte, NC 28260-3898 Ph: (843) 792-6200 | Solomon Jan, MD 2829 E Highway 76, Mullins, SC 29574-6035 Ph: (843) 431-2000 |