Gomed Charleston Llc - Medicare Primary Care in Mount Pleasant, SC

Gomed Charleston Llc is a medicare enrolled primary clinic (Family Medicine) in Mount Pleasant, South Carolina. The current practice location for Gomed Charleston Llc is 1671 Belle Isle Ave Ste 110j, Mount Pleasant, South Carolina. For appointments, you can reach them via phone at (844) 994-6633. The mailing address for Gomed Charleston Llc is 2011 Commerce Dr N, Peachtree City, Georgia and phone number is (844) 994-6633.

Gomed Charleston Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1790254365. 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 (844) 994-6633.

Contact Information

Gomed Charleston Llc
1671 Belle Isle Ave Ste 110j
Mount Pleasant
SC 29464-8336
(844) 994-6633
(470) 235-1861

Map and Direction


Primary Care Clinic Profile

Full NameGomed Charleston Llc
SpecialityFamily Medicine
Location1671 Belle Isle Ave Ste 110j, Mount Pleasant, South Carolina
Authorized Official Name and PositionRobert Allan Mester (MEDICAL DIRECTOR)
Authorized Official Contact8133603957
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gomed Charleston Llc
2011 Commerce Dr N
Peachtree City
GA 30269-3538

Ph: (844) 994-6633
Gomed Charleston Llc
1671 Belle Isle Ave Ste 110j
Mount Pleasant
SC 29464-8336

Ph: (844) 994-6633

NPI Details:

NPI Number1790254365
Provider Enumeration Date11/13/2018
Last Update Date01/06/2025

Medicare PECOS Information:

Medicare PECOS PAC ID6608114251
Medicare Enrollment IDO20190206003330

Medical Identifiers

Medical identifiers for Gomed Charleston Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790254365NPI-NPPES
42D2160532OtherSCCLIA WAIVER CERTIFICATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily 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. Gomed Charleston Llc acts as a billing entity for following providers:
Provider NameDaniel William Fisher
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457670358
PECOS PAC ID: 8820252851
Enrollment ID: I20141010002426
Provider NameRobert Mester
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1366604415
PECOS PAC ID: 3274794227
Enrollment ID: I20161215001413
Provider NameKimberly Oliger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124692538
PECOS PAC ID: 5890196265
Enrollment ID: I20210623002970
Provider NameAustin Darbyshire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689285538
PECOS PAC ID: 9335554153
Enrollment ID: I20211130003154
Provider NameLisa P Mack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568822252
PECOS PAC ID: 8527344654
Enrollment ID: I20211210002126
Provider NameCori Elizabeth Sondervan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710433792
PECOS PAC ID: 0446529374
Enrollment ID: I20240201000926
Provider NamePaul Alan Rhodes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558887463
PECOS PAC ID: 4183979560
Enrollment ID: I20240429001315
Provider NameRobyn Lynn Gauthier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427811413
PECOS PAC ID: 3274078894
Enrollment ID: I20240708003094

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.