Hosea Kibet Koech, | |
3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | |
(803) 395-2200 | |
Not Available |
Full Name | Hosea Kibet Koech |
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Gender | Male |
Speciality | Registered Nurse |
Location | 3000 Saint Matthews Rd, Orangeburg, 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 |
---|---|---|---|
1760173991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 27355 (South Carolina) | Secondary |
163W00000X | Registered Nurse | 27355 (South Carolina) | Primary |
Entity Name | Ch Specialty Services Sc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275915522 PECOS PAC ID: 6608182993 Enrollment ID: O20150901002450 |
Entity Name | Elite Patient Care Of South Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866 |
Mailing Address | Practice Location Address |
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Hosea Kibet Koech, 1800 Killian Lakes Dr Apt 8309, Columbia, SC 29203-8857 Ph: (803) 363-4361 | Hosea Kibet Koech, 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 Ph: (803) 395-2200 |
Mrs. Kathryn Zeigler Gramling, RN MSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1550 Carolina Ave, Orangeburg, SC 29115 Phone: 803-268-5774 | |
Latecha Wynette Wright, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 822 Mulberry St, Orangeburg, SC 29118 Phone: 803-860-2899 | |
Calla Rose Chow, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1742 Village Park Drive, Orangeburg, SC 29118 Phone: 803-997-0856 | |
Susan South, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2319 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-536-1571 | |
Ms. Della Glynn, APN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Mrs. Taunya Llvertrice Johnson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20 Estate Ct, Orangeburg, SC 29115 Phone: 803-878-2389 | |
Angela Hutto, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1550 Carolina Ave, Orangeburg, SC 29115 Phone: 803-268-5744 Fax: 803-268-5741 |