| Berkeley Family Practice Llc | |
|
2061 Highway 52 Moncks Corner SC 29461-5017 | |
| (843) 761-8800 | |
| (843) 761-8824 |
| Full Name | Berkeley Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2061 Highway 52, Moncks Corner, South Carolina |
| Authorized Official Name and Position | Jeffrey R Santi (M.D. - PARTNER) |
| Authorized Official Contact | 8437618800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley Family Practice Llc 2061 Highway 52 Moncks Corner SC 29461-5017 Ph: (843) 761-8800 | Berkeley Family Practice Llc 2061 Highway 52 Moncks Corner SC 29461-5017 Ph: (843) 761-8800 |
| NPI Number | 1962420927 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 05/25/2022 |
| Medicare PECOS PAC ID | 0941204481 |
|---|---|
| Medicare Enrollment ID | O20060914000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962420927 | NPI | - | NPPES |
| PA2416 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeremy Ackermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417983982 PECOS PAC ID: 6709880255 Enrollment ID: I20060914000307 |
| Provider Name | Jeffrey Ramond Santi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326073412 PECOS PAC ID: 3173657038 Enrollment ID: I20100813000224 |
| Provider Name | Sarah Kaye Heincelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023339801 PECOS PAC ID: 5991944142 Enrollment ID: I20130808000209 |
| Provider Name | John D Flaugher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558700567 PECOS PAC ID: 3779718168 Enrollment ID: I20160115002465 |
| Provider Name | Samuel W Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972942134 PECOS PAC ID: 1052546488 Enrollment ID: I20160129000059 |
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