Dr Tamika M Bolden Ravenell, DPM | |
180 Wingo Way, Suite 201, Mount Pleasant, SC 29464-1810 | |
(843) 856-5337 | |
Not Available |
Full Name | Dr Tamika M Bolden Ravenell |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 18 Years |
Location | 180 Wingo Way, Mount Pleasant, 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 |
---|---|---|---|
1598924581 | NPI | - | NPPES |
GP9889 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | POD.607 POD (South Carolina) | Primary |
Provider Name | Coastal Podiatry Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588965586 PECOS PAC ID: 7214110865 Enrollment ID: O20110321000260 |
Mailing Address | Practice Location Address |
---|---|
Dr Tamika M Bolden Ravenell, DPM Po Box 783, Mount Pleasant, SC 29465-0783 Ph: (916) 215-1234 | Dr Tamika M Bolden Ravenell, DPM 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464-1810 Ph: (843) 856-5337 |
East Cooper Podiatry, P.a. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 389 Johnnie Dodds Blvd, Suite 100, Mount Pleasant, SC 29464 Phone: 843-881-3668 Fax: 843-881-9191 | |
Associated Foot Specialists, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 180 Wingo Way, Suite 101, Mount Pleasant, SC 29464 Phone: 843-856-5337 | |
Coastal Podiatry Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464 Phone: 843-856-5337 Fax: 843-606-2483 | |
Gregory Santamaria, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1112 Johnnie Dodds Blvd, Mount Pleasant, SC 29464 Phone: 843-981-5008 Fax: 843-981-5016 | |
Coastal Podiatry, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464 Phone: 916-215-1234 Fax: 843-606-2483 | |
Coastal Podiatry, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 180 Wingo Way, Suite 101, Mount Pleasant, SC 29464 Phone: 843-856-5337 Fax: 843-856-5339 |