| Brookland Cayce Medical Practice | |
|
1115 State St Cayce SC 29033-4342 | |
| (803) 939-0174 | |
| (803) 217-0282 |
| Full Name | Brookland Cayce Medical Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 1115 State St, Cayce, South Carolina |
| Authorized Official Name and Position | Delgado Cantave (CEO) |
| Authorized Official Contact | 8037335969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookland Cayce Medical Practice Po Box 3788 Columbia SC 29230-3788 Ph: (803) 733-5969 | Brookland Cayce Medical Practice 1115 State St Cayce SC 29033-4342 Ph: (803) 939-0174 |
| NPI Number | 1720399728 |
|---|---|
| Provider Enumeration Date | 06/24/2010 |
| Last Update Date | 02/03/2022 |
| Medicare PECOS PAC ID | 3274434220 |
|---|---|
| Medicare Enrollment ID | O20100828000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720399728 | NPI | - | NPPES |
| FQC031 | Medicaid | SC | |
| CBP018 | Medicaid | SC | |
| FQC144 | Medicaid | SC | |
| 4350 | Other | SC | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lexington Family Practice Otarre Pointe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3799 12th Street Extension, Ste 105, Cayce, SC 29033 Phone: 803-926-6820 Fax: 803-926-6821 | |
Lexington Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Knox Abbott Dr, Cayce, SC 29033 Phone: 803-791-2000 | |
Providence Family Medicine Cayce Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Knox Abbott Dr, Suite 3-c, Cayce, SC 29033 Phone: 803-865-4780 Fax: 803-865-4932 | |
Dr. John Lowry Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Knox Abbott Dr, Suite D, Cayce, SC 29033 Phone: 803-936-1530 Fax: 803-936-1535 | |
Turning Point Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Knox Abbott Dr Ste 430, Cayce, SC 29033 Phone: 803-622-5633 | |
Nova Physician Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 State St, Cayce, SC 29033 Phone: 803-832-4383 Fax: 803-306-6684 |