| Jonathan L Sack, Md, Pc | |
|
2 Marshland Rd Hilton Head SC 29926-2305 | |
| (843) 842-6357 | |
| (843) 842-6352 |
| Full Name | Jonathan L Sack, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2 Marshland Rd, Hilton Head, South Carolina |
| Authorized Official Name and Position | Jonathan L Sack (PRESIDENT/OWNER) |
| Authorized Official Contact | 8438426357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan L Sack, Md, Pc 2 Marshland Rd Hilton Head SC 29926-2305 Ph: (843) 842-6357 | Jonathan L Sack, Md, Pc 2 Marshland Rd Hilton Head SC 29926-2305 Ph: (843) 842-6357 |
| NPI Number | 1689639247 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 05/01/2008 |
| Medicare PECOS PAC ID | 7214945476 |
|---|---|
| Medicare Enrollment ID | O20060329000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689639247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
| Provider Name | Jonathan L Sack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194780726 PECOS PAC ID: 9931117199 Enrollment ID: I20060330000017 |
| Provider Name | Tricia L Amelung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902358393 PECOS PAC ID: 2860773116 Enrollment ID: I20191021000030 |
| Provider Name | Bentley Lauren Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689223851 PECOS PAC ID: 6204251143 Enrollment ID: I20200810000757 |
| Provider Name | Leigh James Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639833247 PECOS PAC ID: 5193177517 Enrollment ID: I20240122000531 |
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