Suchita Shirish Pancholi, MD | |
2 Medical Park Rd Ste 203, Columbia, SC 29203-6839 | |
(803) 545-5444 | |
(803) 933-3042 |
Full Name | Suchita Shirish Pancholi |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 13 Years |
Location | 2 Medical Park Rd Ste 203, Columbia, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144516386 | NPI | - | NPPES |
1144516386 | Medicaid | NC | |
612108 | Medicaid | SC | |
18652 | Other | NC | BCBS NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2014-00900 (North Carolina) | Secondary |
207R00000X | Internal Medicine | 61210 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Homecare | Columbia, SC | Home health agency |
Prisma Health Richland Hospital | Columbia, SC | Hospital |
Prisma Health Baptist | Columbia, SC | Hospital |
Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health Medical Group-midlands | 5991099707 | 881 |
Entity Name | Prisma Health Medical Group-midlands |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Mailing Address | Practice Location Address |
---|---|
Suchita Shirish Pancholi, MD Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7320 | Suchita Shirish Pancholi, MD 2 Medical Park Rd Ste 203, Columbia, SC 29203-6839 Ph: (803) 545-5444 |
William Cole Andrew, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-8721 | |
Seetharamprasad Madala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 Fax: 803-434-4160 | |
Michael Martin, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd, Columbia, SC 29203 Phone: 803-434-6956 | |
Dr. Terry A Grainger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-3800 Fax: 803-744-2759 | |
Dr. Adelero Olayinka Adebajo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Laurel St, Columbia, SC 29201 Phone: 803-799-8407 Fax: 803-252-9070 | |
James Pratt Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 | |
Jeff Z Brooker Jr., MD, RETIRED Internal Medicine Medicare: Medicare Enrolled Practice Location: 1625 Bernardin Ave, Columbia, SC 29204 Phone: 803-251-8985 |