| Fairfield Medical Associates, Pa | |
|
880 West Moultrie St. Suite 200 Winnsboro SC 29180-1280 | |
| (803) 635-6487 | |
| (803) 635-6089 |
| Full Name | Fairfield Medical Associates, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 880 West Moultrie St., Winnsboro, South Carolina |
| Authorized Official Name and Position | Elizabeth A Mann (OFFICE MANAGER) |
| Authorized Official Contact | 8036356461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Medical Associates, Pa P.o. Box 1218 Winnsboro SC 29180-1280 Ph: (803) 635-6461 | Fairfield Medical Associates, Pa 880 West Moultrie St. Suite 200 Winnsboro SC 29180-1280 Ph: (803) 635-6487 |
| NPI Number | 1184737892 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/23/2022 |
| Medicare PECOS PAC ID | 3072519289 |
|---|---|
| Medicare Enrollment ID | O20061011000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184737892 | NPI | - | NPPES |
| RHC002 | Medicaid | SC | |
| 423840 | Other | TN | BLUE CROSS BLUE SHIELD |
| PA3996 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (South Carolina) | Primary |
| Provider Name | Gordon Weigle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093768616 PECOS PAC ID: 0446249908 Enrollment ID: I20090625000422 |
| Provider Name | Harmon Patrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174546287 PECOS PAC ID: 7012827843 Enrollment ID: I20100812000235 |
| Provider Name | Deborah Stuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912913435 PECOS PAC ID: 3870689417 Enrollment ID: I20100812000256 |
| Provider Name | Roger Gaddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669495917 PECOS PAC ID: 1658281480 Enrollment ID: I20100812000283 |
| Provider Name | Craig Andrew Stuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386604783 PECOS PAC ID: 7416136056 Enrollment ID: I20110127000890 |
| Provider Name | Susan Grosslight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821100835 PECOS PAC ID: 0840452991 Enrollment ID: I20120507000467 |
| Provider Name | Louis J Leblanc |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679652457 PECOS PAC ID: 5597748293 Enrollment ID: I20130104000387 |
| Provider Name | Aimee Gintera Newsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043695570 PECOS PAC ID: 7618284530 Enrollment ID: I20150909002678 |
| Provider Name | James Richard Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497105258 PECOS PAC ID: 9335432590 Enrollment ID: I20160726000541 |
| Provider Name | Jamie Easterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376194399 PECOS PAC ID: 7618301813 Enrollment ID: I20191220002277 |
| Provider Name | Stephen A. Brunton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134116957 PECOS PAC ID: 9739105156 Enrollment ID: I20210426000368 |
| Provider Name | Amanda Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952073827 PECOS PAC ID: 7810379112 Enrollment ID: I20220803001853 |
| Provider Name | Rebecca Rowell Munger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306594460 PECOS PAC ID: 7416334438 Enrollment ID: I20221007000586 |
Winnsboro Pediatrics & Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1136 Kincaid Bridge Rd, Ste. A, Winnsboro, SC 29180 Phone: 803-635-1052 Fax: 803-712-9724 | |
Rapha Wells Primary Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Kincaid Bridge Rd, Winnsboro, SC 29180 Phone: 803-402-0558 | |
John A Martin Primary Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56 Us Hwy 321 Bypass N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Ph Family Medicine Winnsboro Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Ph Family Medicine Winnsboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Fairfield Medical 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 W Moultrie St, Winnsboro, SC 29180 Phone: 803-635-6461 Fax: 803-635-4200 |