Edwin Leo Blitch Iv, DPM | |
9313 Medical Plaza Dr, 301, Charleston, SC 29406-9155 | |
(843) 553-2909 | |
(843) 553-4684 |
Full Name | Edwin Leo Blitch Iv |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 33 Years |
Location | 9313 Medical Plaza Dr, Charleston, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376518795 | NPI | - | NPPES |
PD1340 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 134 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trident Medical Center | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coastal Carolina Podiatry Inc | 7214932201 | 5 |
Provider Name | Coastal Carolina Podiatry Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154331544 PECOS PAC ID: 7214932201 Enrollment ID: O20060926000214 |
Mailing Address | Practice Location Address |
---|---|
Edwin Leo Blitch Iv, DPM 9313 Medical Plaza Dr, 301, Charleston, SC 29406-9155 Ph: (843) 553-2909 | Edwin Leo Blitch Iv, DPM 9313 Medical Plaza Dr, 301, Charleston, SC 29406-9155 Ph: (843) 553-2909 |
Dr. Brandon Bultsma, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1565 Sam Rittenberg Blvd Ste 104, Charleston, SC 29407 Phone: 854-444-3129 | |
Marshall N. Kalinsky Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 325 Folly Rd, Ste 101, Charleston, SC 29412 Phone: 843-766-1632 Fax: 843-763-9430 | |
Dr. Brian G Ralph, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2270 Ashley Crossing Dr Ste 110, Charleston, SC 29414 Phone: 843-853-3474 Fax: 843-853-3500 | |
Dennis Emerson Martin, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9279 Medical Plaza Dr, Suite D, Charleston, SC 29406 Phone: 843-553-2223 Fax: 843-553-2275 | |
Dr. Matthew Fernandez, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1012 Physicians Dr, Charleston, SC 29414 Phone: 843-571-0602 | |
Musc Physicians Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Advanced Care Foot And Ankle Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 930 Folly Rd Ste D, Charleston, SC 29412 Phone: 843-606-0019 Fax: 843-604-0566 |