| Escobedo Advanced Healthcare Solutions Llc | |
|
121 Sparkleberry Crossing Rd Ste 200 Columbia SC 29229-8639 | |
| (803) 788-2167 | |
| (803) 788-4165 |
| Full Name | Escobedo Advanced Healthcare Solutions Llc |
|---|---|
| Speciality | General Practice |
| Location | 121 Sparkleberry Crossing Rd Ste 200, Columbia, South Carolina |
| Authorized Official Name and Position | Mark Escobedo (OWNER) |
| Authorized Official Contact | 8033195457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Escobedo Advanced Healthcare Solutions Llc 121 Sparkleberry Crossing Rd Ste 200 Columbia SC 29229-8639 Ph: (803) 788-2167 | Escobedo Advanced Healthcare Solutions Llc 121 Sparkleberry Crossing Rd Ste 200 Columbia SC 29229-8639 Ph: (803) 788-2167 |
| NPI Number | 1255945754 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Medicare PECOS PAC ID | 5799186938 |
|---|---|
| Medicare Enrollment ID | O20210625001395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255945754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jeremy Lynn Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568942696 PECOS PAC ID: 5597007799 Enrollment ID: I20200519000616 |
Palmetto Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
South Carolina Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Carolina Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |
Five Points Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
Diabetes Educations Richland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040 |