| Mr James Joseph Pavao, PA-C | |
|
2145 Henry Tecklenburg Dr, Charleston, SC 29414-5893 | |
| (843) 723-8823 | |
| Not Available |
| Full Name | Mr James Joseph Pavao |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 2145 Henry Tecklenburg Dr, Charleston, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952490013 | NPI | - | NPPES |
| GP5006 | Other | SC | MEDICAID GROUP # |
| GP5005 | Other | SC | MEDICAID GROUP # |
| GP5072 | Other | SC | MEDICAID GROUP # |
| 5551 | Other | SC | MEDICARE GROUP # |
| 0733PA | Medicaid | SC | |
| GP5004 | Other | SC | MEDICAID GROUP # |
| P00648630 | Other | SC | RAILROAD MEDICARE ID |
| GP5007 | Other | SC | MEDICAID GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 1582 (Massachusetts) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 1325 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Joseph Pavao, PA-C Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | Mr James Joseph Pavao, PA-C 2145 Henry Tecklenburg Dr, Charleston, SC 29414-5893 Ph: (843) 723-8823 |
Amy Lynn Canino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-402-1638 Fax: 843-724-2455 | |
Elizabeth Poindexter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Maria Dahl, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2225 Ashley River Rd Apt 378, Charleston, SC 29414 Phone: 704-661-4464 | |
Matthew K Ewald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Meredith Barb Bauerband, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2180 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 865-647-5800 Fax: 865-647-5979 | |
Jessica Marie Greenwood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 641 Saint Andrews Blvd, Charleston, SC 29407 Phone: 843-766-9747 | |
Taryn Bentler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave, Charleston, SC 29425 Phone: 843-792-3531 |