| Ochsner 65 Plus- Okatie | |
|
50 Terrace Dr Ridgeland SC 29936 | |
| (843) 547-4765 | |
| (843) 547-4766 |
| Full Name | Ochsner 65 Plus- Okatie |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Terrace Dr, Ridgeland, South Carolina |
| Authorized Official Name and Position | Thomas J Duncan (CEO) |
| Authorized Official Contact | 8505584665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ochsner 65 Plus- Okatie 1514 Jefferson Hwy New Orleans LA 70121-2429 Ph: () - | Ochsner 65 Plus- Okatie 50 Terrace Dr Ridgeland SC 29936 Ph: (843) 547-4765 |
| NPI Number | 1497455232 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 09/12/2023 |
| Medicare PECOS PAC ID | 5294181939 |
|---|---|
| Medicare Enrollment ID | O20231031003883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497455232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gail L Rearden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568582906 PECOS PAC ID: 7618060005 Enrollment ID: I20070830000201 |
| Provider Name | William R Gailmard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124022884 PECOS PAC ID: 8325077084 Enrollment ID: I20231113001979 |
| Provider Name | James Delroy Mayers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750906988 PECOS PAC ID: 5799100194 Enrollment ID: I20231220003198 |
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