| Mt. Pleasant Psychiatry Llc | |
|
874 Whipple Rd Ste 200 Mt Pleasant SC 29464-8901 | |
| (843) 400-4089 | |
| (877) 832-2114 |
| Full Name | Mt. Pleasant Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 874 Whipple Rd Ste 200, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Richard Cannon Phelps (PSYCHIATRIST) |
| Authorized Official Contact | 8434004089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Pleasant Psychiatry Llc 874 Whipple Rd Ste 200 Mt Pleasant SC 29464-8901 Ph: (843) 400-4089 | Mt. Pleasant Psychiatry Llc 874 Whipple Rd Ste 200 Mt Pleasant SC 29464-8901 Ph: (843) 400-4089 |
| NPI Number | 1013280650 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 02/13/2012 |
| Medicare PECOS PAC ID | 7719297209 |
|---|---|
| Medicare Enrollment ID | O20151112003187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013280650 | NPI | - | NPPES |
| 000000556470 | Other | SC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | SC1442.MDO (South Carolina) | Primary |
| Provider Name | Richard Phelps |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942490016 PECOS PAC ID: 1759420128 Enrollment ID: I20110802000444 |
| Provider Name | Brittany B Albright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265796726 PECOS PAC ID: 3779737945 Enrollment ID: I20161004000374 |
| Provider Name | Elmina L Summerall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427250620 PECOS PAC ID: 1254529837 Enrollment ID: I20170531000095 |
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