<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 1483 Tobias Gadson Blvd Ste 101, Charleston, South Carolina. For appointments, you can reach them via phone at (843) 405-1110. The mailing address for is 1483 Tobias Gadson Blvd Ste 101, Charleston, South Carolina and phone number is (843) 405-1110.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376033829. 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) 405-1110.

Contact Information


	1483 Tobias Gadson Blvd Ste 101 Charleston SC 29407-4795
	(843) 405-1110
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1483 Tobias Gadson Blvd Ste 101, Charleston, South Carolina
Authorized Official Name and Position	Matthew Justice Kornegay (MANAGING PARTNER)
Authorized Official Contact	8436147953
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1483 Tobias Gadson Blvd Ste 101 Charleston SC 29407-4795 Ph: (843) 405-1110	1483 Tobias Gadson Blvd Ste 101 Charleston SC 29407-4795 Ph: (843) 405-1110

NPI Details:

NPI Number	1376033829
Provider Enumeration Date	05/10/2018
Last Update Date	05/10/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	8820344591
Medicare Enrollment ID	O20180711000371

Medical Identifiers

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

Identifier	Type	State	Issuer
1376033829	NPI	-	NPPES
311442	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (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. acts as a billing entity for following providers:

Provider Name	Matthew J Kornegay
Provider Type	Practitioner - Pediatric Medicine
Provider Identifiers	NPI Number: 1922042654 PECOS PAC ID: 9032113485 Enrollment ID: I20081112000080

Reviews and Comments

Clinic/Center in Charleston, SC

Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2067 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-573-2535
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2450 Fax: 843-724-2455
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