<unavail> in Lake City, SC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Lake City, South Carolina. The current practice location for is 148 Sauls St Ste E, Lake City, South Carolina. For appointments, you can reach them via phone at (843) 669-9183. The mailing address for is Po Box 23467, New York, New York and phone number is (843) 792-6200.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457950222. 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) 669-9183.

Contact Information


	148 Sauls St Ste E Lake City SC 29560-2677
	(843) 669-9183
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	148 Sauls St Ste E, Lake City, South Carolina
Authorized Official Name and Position	Karyn Rae (CHIEF)
Authorized Official Contact	8438761344
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 23467 New York NY 10087-3467 Ph: (843) 792-6200	148 Sauls St Ste E Lake City SC 29560-2677 Ph: (843) 669-9183

NPI Details:

NPI Number	1457950222
Provider Enumeration Date	10/22/2020
Last Update Date	09/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	1557268950
Medicare Enrollment ID	O20210423000359

Medical Identifiers

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

Identifier	Type	State	Issuer
1457950222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Lake City, SC

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Live Oak Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Sauls St., Lake City, SC 29560 Phone: 843-687-0435
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- Medicare Primary Care in Lake City, SC