Main Street Medical Pc | |
93 Main St Hilton Head SC 29926-1648 | |
(843) 681-3777 | |
(843) 681-9996 |
Full Name | Main Street Medical Pc |
---|---|
Speciality | Clinic/Center |
Location | 93 Main St, Hilton Head, South Carolina |
Authorized Official Name and Position | Joel Mandus Johnson (CEO DOCTOR) |
Authorized Official Contact | 8436813777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Main Street Medical Pc 93 Main St Hilton Head SC 29926-1648 Ph: (843) 681-3777 | Main Street Medical Pc 93 Main St Hilton Head SC 29926-1648 Ph: (843) 681-3777 |
NPI Number | 1922192194 |
---|---|
Provider Enumeration Date | 10/03/2006 |
Last Update Date | 01/15/2020 |
Medicare PECOS PAC ID | 8325952963 |
---|---|
Medicare Enrollment ID | O20031118000096 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922192194 | NPI | - | NPPES |
42D0940826 | Other | SC | CLIA NUMBER |
020038172 | Other | SC | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 18011 (South Carolina) | Primary |
Provider Name | Joel M Johnson |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1619902442 PECOS PAC ID: 9032023676 Enrollment ID: I20031118000116 |
Provider Name | Van A Gauby |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811945355 PECOS PAC ID: 7719871110 Enrollment ID: I20040521000553 |
Provider Name | Lydia C Torres-rozof |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770678096 PECOS PAC ID: 4688626104 Enrollment ID: I20070530000587 |
Provider Name | Francis C Imbarrato |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548214612 PECOS PAC ID: 6103967039 Enrollment ID: I20210901001222 |
Provider Name | Nicole Clegg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033873450 PECOS PAC ID: 9032586003 Enrollment ID: I20221103001711 |
Provider Name | Amanda P Wooten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013610864 PECOS PAC ID: 1254777840 Enrollment ID: I20240305004178 |
Palmetto Assisted Living Medical Group Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 China Cockle Way, Hilton Head, SC 29926 Phone: 717-994-1711 | |
Heart Associate Of Hilton Head Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 Hospital Center Cmns, Ste 101, Hilton Head, SC 29926 Phone: 843-682-4673 | |
Hilton Head Internists, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 Bill Fries Drive, Building H, Hilton Head, SC 29926 Phone: 843-681-2222 Fax: 843-681-4721 | |
Dr Paul Long, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 89 Main St, Hilton Head, SC 29926 Phone: 843-681-5305 Fax: 843-689-5210 | |
Sea Pines Circle Immediate Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Greenwood Dr, Hilton Head, SC 29928 Phone: 843-341-2700 | |
Family Medicine Of Hilton Head Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 843 William Hilton Pkwy, Hilton Head, SC 29928 Phone: 843-842-3331 Fax: 843-686-2035 |