| Jewell Family And Elder Medicine Pa | |
|
1147 Ebenezer Rd Rock Hill SC 29732-2355 | |
| (803) 329-6648 | |
| (803) 985-4134 |
| Full Name | Jewell Family And Elder Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1147 Ebenezer Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | James Lee Jewell (PRESIDENT) |
| Authorized Official Contact | 8033296648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewell Family And Elder Medicine Pa 1218 Auburndale Lane Rock Hill SC 29732 Ph: (803) 366-4818 | Jewell Family And Elder Medicine Pa 1147 Ebenezer Rd Rock Hill SC 29732-2355 Ph: (803) 329-6648 |
| NPI Number | 1215982533 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 11/12/2014 |
| Medicare PECOS PAC ID | 3173578259 |
|---|---|
| Medicare Enrollment ID | O20050322000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215982533 | NPI | - | NPPES |
| GP2323 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | James Jewell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063413136 PECOS PAC ID: 5193771285 Enrollment ID: I20100115000633 |
| Provider Name | Erin Renee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255333779 PECOS PAC ID: 3779626718 Enrollment ID: I20100129000768 |
| Provider Name | Jennifer T Stutts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881084192 PECOS PAC ID: 1052630266 Enrollment ID: I20150508001340 |
| Provider Name | Clarissa Latoya Carelock-lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184075475 PECOS PAC ID: 7911293154 Enrollment ID: I20160914000881 |
| Provider Name | Anna Mataruka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497204119 PECOS PAC ID: 1658653357 Enrollment ID: I20170112001618 |
Atrium Health Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 1800, Rock Hill, SC 29732 Phone: 803-909-1850 | |
North Central Family Medical, Workman Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 Workman St, Rock Hill, SC 29730 Phone: 803-325-7710 | |
Atrium Health Primary Care Shiland Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 2400, Rock Hill, SC 29732 Phone: 803-329-5131 | |
North Central Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 Phone: 803-327-2012 Fax: 803-325-7744 | |
Carolinas Healthcare On-site Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 Anderson Rd S, Rock Hill, SC 29730 Phone: 803-326-3790 | |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |
Shiland Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732 Phone: 803-329-5131 |