<unavail> in Ridgeland, SC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Medical Specialty) in Ridgeland, South Carolina. The current practice location for is 721 N Okatie Hwy, Ridgeland, South Carolina. For appointments, you can reach them via phone at (843) 987-7400. The mailing address for is 721 N Okatie Hwy # 170, Ridgeland, South Carolina and phone number is (843) 987-7400.

is licensed to practice in South Carolina (license number FQC008). The clinic also participates in the medicare program and its NPI number is 1649276148. 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 (843) 987-7400.

Contact Information


	721 N Okatie Hwy Ridgeland SC 29936-8276
	(843) 987-7400
	(843) 987-0559

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	721 N Okatie Hwy, Ridgeland, South Carolina
Authorized Official Name and Position	Roland J. Gardner (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact	8439877400
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
721 N Okatie Hwy # 170 Ridgeland SC 29936-8276 Ph: (843) 987-7400	721 N Okatie Hwy Ridgeland SC 29936-8276 Ph: (843) 987-7400

NPI Details:

NPI Number	1649276148
Provider Enumeration Date	06/21/2005
Last Update Date	11/03/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	5597675728
Medicare Enrollment ID	O20090728000432

Medical Identifiers

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

Identifier	Type	State	Issuer
1649276148	NPI	-	NPPES
FQC008	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QC1500X	Clinic/center - Community Health	EPSD&T (South Carolina)	Secondary
261QD0000X	Clinic/center - Dental	295441 (South Carolina)	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	FQC008 (South Carolina)	Secondary
261QM1300X	Clinic/center - Multi-specialty	CBP005 (South Carolina)	Secondary
261QM2500X	Clinic/center - Medical Specialty	FQC008 (South Carolina)	Primary
332B00000X	Durable Medical Equipment & Medical Supplies	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Ridgeland, SC

Bennett Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10876a N Jacob Smart Blvd, Ridgeland, SC 29936 Phone: 843-694-7728
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936 Phone: 843-784-3101 Fax: 843-784-5313
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 W Wilson Street, Ridgeland, SC 29936 Phone: 843-717-2600 Fax: 843-717-2356
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Okatie Hwy, Ridgeland, SC 29909 Phone: 843-987-7400 Fax: 843-987-7484
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Terrace Dr, Ridgeland, SC 29936 Phone: 843-547-4765 Fax: 843-547-4766
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10911 North Jacob Smart Blvd, #d, Ridgeland, SC 29936 Phone: 843-784-3101 Fax: 843-784-5313
Altea Medical South Carolina Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 Grays Hwy, Ridgeland, SC 29936 Phone: 843-726-5581

- Medicare Primary Care in Ridgeland, SC