| Centerwell Senior Primary Care (sc) Pc | |
|
2001 E Greenville St Anderson SC 29621-1529 | |
| (864) 332-3098 | |
| (855) 232-3959 |
| Full Name | Centerwell Senior Primary Care (sc) Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 E Greenville St, Anderson, South Carolina |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care (sc) Pc 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care (sc) Pc 2001 E Greenville St Anderson SC 29621-1529 Ph: (864) 332-3098 |
| NPI Number | 1710341144 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 08/19/2024 |
| Medicare PECOS PAC ID | 8729302278 |
|---|---|
| Medicare Enrollment ID | O20160808001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710341144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Jeffery D Swartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740247279 PECOS PAC ID: 4981666955 Enrollment ID: I20101129000655 |
| Provider Name | Lisa K Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598772212 PECOS PAC ID: 2264430768 Enrollment ID: I20140329000407 |
| Provider Name | Rachel E Pruitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992089841 PECOS PAC ID: 0547496952 Enrollment ID: I20140724000633 |
| Provider Name | Michael Albert Rowley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396793550 PECOS PAC ID: 9830166800 Enrollment ID: I20140916002531 |
| Provider Name | Marva R Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922496116 PECOS PAC ID: 5698093839 Enrollment ID: I20150418000008 |
| Provider Name | Mark A George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891176491 PECOS PAC ID: 8426368556 Enrollment ID: I20151102002199 |
| Provider Name | Karen Henrichsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225228240 PECOS PAC ID: 1951498575 Enrollment ID: I20170726000207 |
| Provider Name | James Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508313867 PECOS PAC ID: 4688946312 Enrollment ID: I20170816000221 |
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