<unavail> in Rock Hill, SC - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Rock Hill, South Carolina. The current practice location for is 3025 Chesbrough Blvd, Rock Hill, South Carolina. For appointments, you can reach them via phone at (803) 327-4723. The mailing address for is 420 Delaware Dr, Fort Washington, Pennsylvania and phone number is (215) 661-8330.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700353448. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 327-4723.

Contact Information


	3025 Chesbrough Blvd Rock Hill SC 29732
	(803) 327-4723
	(803) 980-8625

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	3025 Chesbrough Blvd, Rock Hill, South Carolina
Authorized Official Name and Position	Susan Ahern (SVP, CFO)
Authorized Official Contact	2156618330
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
420 Delaware Dr Fort Washington PA 19034-2711 Ph: (215) 661-8330	3025 Chesbrough Blvd Rock Hill SC 29732 Ph: (803) 327-4723

NPI Details:

NPI Number	1700353448
Provider Enumeration Date	10/31/2018
Last Update Date	02/21/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5092032284
Medicare Enrollment ID	O20190123001004

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700353448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Susan Veronee Breazeale
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1366642019 PECOS PAC ID: 3678479821 Enrollment ID: I20031209000950

Provider Name	Shiniqua Lee
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1548932577 PECOS PAC ID: 6406294008 Enrollment ID: I20241107000040

Reviews and Comments

Internal Medicine in Rock Hill, SC

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- Medicare Primary Care in Rock Hill, SC