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

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Charleston, South Carolina. The current practice location for is 112 Rutledge Ave Ste A, Charleston, South Carolina. For appointments, you can reach them via phone at (843) 577-2674. The mailing address for is 112 Rutledge Ave Ste A, Charleston, South Carolina and phone number is () -.

is licensed to practice in South Carolina (license number 1704). The clinic also participates in the medicare program and its NPI number is 1447758032. 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) 577-2674.

Contact Information


	112 Rutledge Ave Ste A Charleston SC 29401-1333
	(843) 577-2674
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	112 Rutledge Ave Ste A, Charleston, South Carolina
Authorized Official Name and Position	Cody Smouse (OWNER)
Authorized Official Contact	7246895073
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
112 Rutledge Ave Ste A Charleston SC 29401-1333 Ph: () -	112 Rutledge Ave Ste A Charleston SC 29401-1333 Ph: (843) 577-2674

NPI Details:

NPI Number	1447758032
Provider Enumeration Date	01/29/2018
Last Update Date	01/29/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	3971865114
Medicare Enrollment ID	O20180327002846

Medical Identifiers

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

Identifier	Type	State	Issuer
1447758032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	1704 (South Carolina)	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	Cody Smouse
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1770845489 PECOS PAC ID: 4082847736 Enrollment ID: I20140502000856

Reviews and Comments

Clinic/Center in Charleston, SC

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Ashley Crossing Dr Ste 155, Charleston, SC 29414 Phone: 843-990-5866 Fax: 843-868-8041
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077

- Medicare Primary Care in Charleston, SC