Consultorio Medico Latino in North Charleston, SC

Consultorio Medico Latino is a medicare enrolled primary clinic (Family Medicine) in North Charleston, South Carolina. The current practice location for Consultorio Medico Latino is 2810 Ashley Phosphate Rd Ste B4, North Charleston, South Carolina. For appointments, you can reach them via phone at (843) 553-7744. The mailing address for Consultorio Medico Latino is 2810 Ashley Phosphate Rd Ste B4, North Charleston, South Carolina and phone number is (843) 553-7744.

Consultorio Medico Latino is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1790319408. 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) 553-7744.

Contact Information

	Consultorio Medico Latino
	2810 Ashley Phosphate Rd Ste B4 North Charleston SC 29418-6406
	(843) 553-7744
	(843) 553-7734

Map and Direction

Primary Care Clinic Profile

Full Name	Consultorio Medico Latino
Speciality	Family Medicine
Location	2810 Ashley Phosphate Rd Ste B4, North Charleston, South Carolina
Authorized Official Name and Position	Stephanie Jaquez (SOLE MBR)
Authorized Official Contact	8437351887
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Consultorio Medico Latino 2810 Ashley Phosphate Rd Ste B4 North Charleston SC 29418-6406 Ph: (843) 553-7744	Consultorio Medico Latino 2810 Ashley Phosphate Rd Ste B4 North Charleston SC 29418-6406 Ph: (843) 553-7744

NPI Details:

NPI Number	1790319408
Provider Enumeration Date	03/03/2020
Last Update Date	07/06/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	7911338587
Medicare Enrollment ID	O20200514001920

Medical Identifiers

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

Identifier	Type	State	Issuer
1790319408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Consultorio Medico Latino acts as a billing entity for following providers:

Provider Name	Terry Duane Johnson
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1730167651 PECOS PAC ID: 2466502398 Enrollment ID: I20090616000364

Reviews and Comments

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Consultorio Medico Latino - Medicare Primary Care in North Charleston, SC