Beaufort County Memorial Hospital | |
Beaufort Memorial Primary Care 989 Ribaut Rd, Ste 260 Beaufort SC 29902-5499 | |
(843) 522-7600 | |
(844) 295-9674 |
Full Name | Beaufort County Memorial Hospital |
---|---|
Speciality | Internal Medicine |
Location | Beaufort Memorial Primary Care, Beaufort, South Carolina |
Authorized Official Name and Position | Edmond Russell Baxley (CEO) |
Authorized Official Contact | 8435225140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beaufort County Memorial Hospital 955 Ribaut Rd Bmac Credentialing Coordinator Beaufort SC 29902-5441 Ph: (843) 522-5790 | Beaufort County Memorial Hospital Beaufort Memorial Primary Care 989 Ribaut Rd, Ste 260 Beaufort SC 29902-5499 Ph: (843) 522-7600 |
NPI Number | 1598713117 |
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Provider Enumeration Date | 05/05/2006 |
Last Update Date | 05/30/2024 |
Medicare PECOS PAC ID | 7810809365 |
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Medicare Enrollment ID | O20050518001061 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598713117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Philip N Chaipis |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1760449920 PECOS PAC ID: 0446163653 Enrollment ID: I20031112000337 |
Provider Name | James C Tober |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1538132931 PECOS PAC ID: 7810887502 Enrollment ID: I20040317000418 |
Provider Name | James A Amlicke |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1740219013 PECOS PAC ID: 2062403314 Enrollment ID: I20040524001168 |
Provider Name | James D Reid |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1295826881 PECOS PAC ID: 4284618166 Enrollment ID: I20040617000351 |
Provider Name | Ravindra Prakash Srivastava |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497822738 PECOS PAC ID: 4880646272 Enrollment ID: I20050214000736 |
Provider Name | William P Clare |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861449662 PECOS PAC ID: 4183655012 Enrollment ID: I20050830000644 |
Provider Name | Howell K Jones |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1841237138 PECOS PAC ID: 8123000841 Enrollment ID: I20051020000609 |
Provider Name | Leland C Stoddard |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1073683207 PECOS PAC ID: 1355355561 Enrollment ID: I20060126000692 |
Provider Name | Kathryn Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275593402 PECOS PAC ID: 3274549290 Enrollment ID: I20060301000181 |
Provider Name | Robert M Parrick |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679643910 PECOS PAC ID: 8729099437 Enrollment ID: I20060509000869 |
Provider Name | Mark Allen Bechtel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962493361 PECOS PAC ID: 3476533928 Enrollment ID: I20060814000541 |
Provider Name | Richard Fitzgerald |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1912942129 PECOS PAC ID: 3779501895 Enrollment ID: I20060817000137 |
Provider Name | Amy E Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235352600 PECOS PAC ID: 4587748454 Enrollment ID: I20080303000027 |
Provider Name | Joseph Russell Williams |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225038656 PECOS PAC ID: 6608974332 Enrollment ID: I20080327000476 |
Provider Name | Lynn Goetze |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093746042 PECOS PAC ID: 6709955875 Enrollment ID: I20080514000889 |
Provider Name | Neal L Shealy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538169354 PECOS PAC ID: 3476639451 Enrollment ID: I20080826000208 |
Provider Name | Michael Robert Kaup |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497704613 PECOS PAC ID: 8921099581 Enrollment ID: I20081003000558 |
Provider Name | Robert Vyge |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760400881 PECOS PAC ID: 7214092428 Enrollment ID: I20090220000552 |
Provider Name | Edward Burrus |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1780656595 PECOS PAC ID: 7416008859 Enrollment ID: I20090625000303 |
Provider Name | Holton Timberlake Pearce |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1174595961 PECOS PAC ID: 0143110817 Enrollment ID: I20090625000464 |
Provider Name | Stephen Sisco |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1952373763 PECOS PAC ID: 2466503719 Enrollment ID: I20090625000549 |
Provider Name | John H Dewitt |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1952497653 PECOS PAC ID: 3971659947 Enrollment ID: I20090916000021 |
Provider Name | William P Banish |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1760468110 PECOS PAC ID: 6305988668 Enrollment ID: I20100125000470 |
Provider Name | Nicholas J Sanito |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1407964877 PECOS PAC ID: 7810903044 Enrollment ID: I20100511000937 |
Provider Name | Robert W Lisle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619916012 PECOS PAC ID: 4789713496 Enrollment ID: I20100518000644 |
Provider Name | Mary Wynn Hill |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184683880 PECOS PAC ID: 2769474402 Enrollment ID: I20100624000273 |
Provider Name | Edward R Blocker |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1356411599 PECOS PAC ID: 6800974510 Enrollment ID: I20100629000079 |
Provider Name | Angela M Court |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760406037 PECOS PAC ID: 3779616735 Enrollment ID: I20100728000806 |
Provider Name | Kimberly Ann Bean |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255656070 PECOS PAC ID: 7416080486 Enrollment ID: I20100728000911 |
Provider Name | Joseph B Mcshea |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972503332 PECOS PAC ID: 2365455938 Enrollment ID: I20100917000741 |
Provider Name | Kurt M Gambla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982699591 PECOS PAC ID: 4688866080 Enrollment ID: I20101004000948 |
Provider Name | Andrea D Hucks |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679568216 PECOS PAC ID: 9931391331 Enrollment ID: I20101004000967 |
Provider Name | Steven R Kessel |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1063409662 PECOS PAC ID: 1658563051 Enrollment ID: I20101004000984 |
Provider Name | Glen Welcker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972605194 PECOS PAC ID: 5496735300 Enrollment ID: I20101014000367 |
Provider Name | Roger Wesley Ulrich |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1932336849 PECOS PAC ID: 6709073513 Enrollment ID: I20101206001061 |
Provider Name | Deanna Rochelle Mansker |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1205924198 PECOS PAC ID: 3577741818 Enrollment ID: I20110711000006 |
Provider Name | Andrew C Bowe |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275738866 PECOS PAC ID: 4486822194 Enrollment ID: I20110725000562 |
Provider Name | Nikki A Keisler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740441757 PECOS PAC ID: 0042480568 Enrollment ID: I20110818000904 |
Provider Name | Erik Baker |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225071673 PECOS PAC ID: 8729034046 Enrollment ID: I20120213000260 |
Provider Name | Philip A Cusumano |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295767572 PECOS PAC ID: 2466483755 Enrollment ID: I20120404000693 |
Provider Name | Milton Randall Dalbow |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972561314 PECOS PAC ID: 7012070683 Enrollment ID: I20120619000673 |
Provider Name | Mary Donovan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558630533 PECOS PAC ID: 5496993826 Enrollment ID: I20130524000314 |
Provider Name | Ronda I Oconnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902152911 PECOS PAC ID: 2769617588 Enrollment ID: I20131104001075 |
Provider Name | Patricia S Rickenbaker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154387470 PECOS PAC ID: 3577612944 Enrollment ID: I20131208000009 |
Provider Name | Kent B Sizemore |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1639199664 PECOS PAC ID: 7517878325 Enrollment ID: I20140310001733 |
Provider Name | Paul A Saconn |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1255518734 PECOS PAC ID: 2264600196 Enrollment ID: I20140317000782 |
Provider Name | Carroll H Fowlkes |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578523890 PECOS PAC ID: 3274661293 Enrollment ID: I20140501002000 |
Provider Name | James A Benn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790100287 PECOS PAC ID: 5799900015 Enrollment ID: I20140630001671 |
Provider Name | John Jeffrey Cortina |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194834275 PECOS PAC ID: 0042280539 Enrollment ID: I20150323000242 |
Provider Name | Susan L Draves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831170505 PECOS PAC ID: 6406916709 Enrollment ID: I20150429000327 |
Provider Name | John Melbourne Mcgraw |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043249386 PECOS PAC ID: 5597834507 Enrollment ID: I20150816000050 |
Provider Name | Eric Saunders |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1477555274 PECOS PAC ID: 0749240927 Enrollment ID: I20151026000531 |
Provider Name | Robert Francis Webb |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699723262 PECOS PAC ID: 7416020052 Enrollment ID: I20151209002542 |
Provider Name | Kurt Richard Ellenberger |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1053376111 PECOS PAC ID: 7113161415 Enrollment ID: I20160329002373 |
Provider Name | Melanie Mooney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861462970 PECOS PAC ID: 1759369747 Enrollment ID: I20160823002398 |
Provider Name | Brandon Mcelroy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740620657 PECOS PAC ID: 3274855945 Enrollment ID: I20160829000229 |
Provider Name | Ravi Kumar Veeraswamy |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1225068471 PECOS PAC ID: 5698778405 Enrollment ID: I20161114001145 |
Provider Name | Katherine R Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992257703 PECOS PAC ID: 4486935236 Enrollment ID: I20170110001134 |
Provider Name | Allison Vigil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710412242 PECOS PAC ID: 7416225131 Enrollment ID: I20170621000161 |
Provider Name | Mathew D Wooster |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1336415454 PECOS PAC ID: 6800168790 Enrollment ID: I20170828003575 |
Provider Name | Sharon Lynn W Shealy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245213321 PECOS PAC ID: 1052539830 Enrollment ID: I20171004001006 |
Provider Name | William L Schreffler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568915783 PECOS PAC ID: 0840565552 Enrollment ID: I20171005002631 |
Provider Name | Brad Kelly |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609284223 PECOS PAC ID: 3375820368 Enrollment ID: I20171006002263 |
Provider Name | Pamela Jarrell Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306846142 PECOS PAC ID: 9638444219 Enrollment ID: I20171006002576 |
Provider Name | Margaret E Benton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215146352 PECOS PAC ID: 7113946526 Enrollment ID: I20171010000163 |
Provider Name | Alejandro J Garciasalas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811209877 PECOS PAC ID: 8729226394 Enrollment ID: I20171010001152 |
Provider Name | Victoria Rivers Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144220971 PECOS PAC ID: 0244477321 Enrollment ID: I20171025001029 |
Provider Name | Joe Douglas Haines |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275504938 PECOS PAC ID: 0143480392 Enrollment ID: I20171103000117 |
Provider Name | Dennis Edward Mayer |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1992817092 PECOS PAC ID: 2961496096 Enrollment ID: I20180312000233 |
Provider Name | Andrea R Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023520715 PECOS PAC ID: 0244593093 Enrollment ID: I20180410000777 |
Provider Name | Valentino Piacentino |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1174780605 PECOS PAC ID: 3173832342 Enrollment ID: I20180510002294 |
Provider Name | Julian Charles Levin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124098645 PECOS PAC ID: 4880941137 Enrollment ID: I20180718002180 |
Provider Name | Christopher Keen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528324050 PECOS PAC ID: 9133346943 Enrollment ID: I20181025001067 |
Provider Name | Vandit Sardana |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1104345594 PECOS PAC ID: 5991059883 Enrollment ID: I20181112002711 |
Provider Name | Johnna Hicks Stevens |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184973109 PECOS PAC ID: 5395040992 Enrollment ID: I20181113003138 |
Provider Name | Daniel Bradley Algert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811218936 PECOS PAC ID: 4981885258 Enrollment ID: I20181116000535 |
Provider Name | Yvette-marie C Pellegrino |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578536504 PECOS PAC ID: 5193746519 Enrollment ID: I20181126000065 |
Provider Name | Marianne M Hagood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346645389 PECOS PAC ID: 3072836923 Enrollment ID: I20190212001231 |
Provider Name | Lawrence R Coleman |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912962630 PECOS PAC ID: 7911928247 Enrollment ID: I20190416002470 |
Provider Name | David Randall Castor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073735155 PECOS PAC ID: 1759559461 Enrollment ID: I20190429000807 |
Provider Name | Jennifer Hill Craft |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1871891184 PECOS PAC ID: 0648509661 Enrollment ID: I20190916003508 |
Provider Name | Robyn Odzark |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326487703 PECOS PAC ID: 6901049485 Enrollment ID: I20190917003480 |
Provider Name | Jose Ernesto Lopez Tablas |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1235494568 PECOS PAC ID: 1951549815 Enrollment ID: I20191001003496 |
Provider Name | Miranda Elizabeth Moss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326697442 PECOS PAC ID: 1557794369 Enrollment ID: I20191210000902 |
Provider Name | Johanna Delacroix |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1689807315 PECOS PAC ID: 7214238856 Enrollment ID: I20200324003853 |
Provider Name | Deena Wise |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1982683488 PECOS PAC ID: 7517031115 Enrollment ID: I20200406000895 |
Provider Name | Elizabeth Kelly Huntley |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1508387861 PECOS PAC ID: 0547526717 Enrollment ID: I20200715000569 |
Provider Name | Ross M Watson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639699051 PECOS PAC ID: 5395018428 Enrollment ID: I20200721003279 |
Provider Name | Rhonda Lou Wallace |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154341782 PECOS PAC ID: 4880698992 Enrollment ID: I20200730002100 |
Provider Name | James Eric Greensmith |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1518918655 PECOS PAC ID: 1658328026 Enrollment ID: I20200902000706 |
Provider Name | Stephen Gerard Tiley |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1245425966 PECOS PAC ID: 3375784671 Enrollment ID: I20201113001302 |
Provider Name | Carri Knapp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710584941 PECOS PAC ID: 4082021126 Enrollment ID: I20210407002294 |
Provider Name | Nathan Michael Nowell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447823422 PECOS PAC ID: 6002205440 Enrollment ID: I20211105000882 |
Provider Name | Linda Burk |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1104880038 PECOS PAC ID: 8729374707 Enrollment ID: I20220131000380 |
Provider Name | Christopher Opella |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134184716 PECOS PAC ID: 8820981244 Enrollment ID: I20220316004097 |
Provider Name | Robert L Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669583779 PECOS PAC ID: 3274597810 Enrollment ID: I20230310001439 |
Provider Name | Charles Nechtman |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1124556998 PECOS PAC ID: 9032485693 Enrollment ID: I20230601002639 |
Provider Name | Scott A Walmer |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053607564 PECOS PAC ID: 8325274244 Enrollment ID: I20230605001643 |
Provider Name | Haille Riddle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831833599 PECOS PAC ID: 0648632869 Enrollment ID: I20230818002347 |
Provider Name | Samuel Todd Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194384602 PECOS PAC ID: 6305253246 Enrollment ID: I20230830003420 |
Provider Name | Lori Simon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699218859 PECOS PAC ID: 6103189568 Enrollment ID: I20231114002338 |
Provider Name | Katie C Durden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841683224 PECOS PAC ID: 6204203151 Enrollment ID: I20240112000249 |
Provider Name | Kathryn C Sams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497740732 PECOS PAC ID: 1456256783 Enrollment ID: I20240112000306 |
Provider Name | Paige Dudley |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1013278043 PECOS PAC ID: 4587941141 Enrollment ID: I20240304002431 |
Provider Name | Stephen Clark Miller |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1922593185 PECOS PAC ID: 5294072658 Enrollment ID: I20240318002601 |
Provider Name | Bruce S Vincent |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538110309 PECOS PAC ID: 8224088711 Enrollment ID: I20240320002629 |
Provider Name | Aubrey L Place |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1760919088 PECOS PAC ID: 7517210800 Enrollment ID: I20240423001493 |
Coastal Caremd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 974 Ribaut Rd, Beaufort, SC 29902 Phone: 843-524-3344 Fax: 843-524-5574 | |
Beaufort County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 Phone: 843-522-5775 Fax: 843-522-5945 | |
Beaufort Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10a Marshellen Dr, Beaufort, SC 29902 Phone: 843-525-9015 Fax: 843-525-9020 | |
United States Marine Corps, United States Navy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-2602 | |
Good Neighbor Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Professional Village Cir, Beaufort, SC 29907 Phone: 843-470-9088 Fax: 843-470-0299 | |
Primary & Specialty Care For Assisted Living & Independent Living Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Wrights Point Cir, Beaufort, SC 29902 Phone: 404-274-3291 | |
Senior Health Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Pleasant Point Dr, Beaufort, SC 29907 Phone: 803-757-1173 |