<unavail> in Chester, SC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Chester, South Carolina. The current practice location for is 120 York St, Chester, South Carolina. For appointments, you can reach them via phone at (803) 581-3000. The mailing address for is Po Box 159, 120 York Street, Chester, South Carolina and phone number is (803) 581-3000.

is licensed to practice in South Carolina (license number 19921). The clinic also participates in the medicare program and its NPI number is 1548282452. 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 (803) 581-3000.

Contact Information


	120 York St Chester SC 29706-1484
	(803) 581-3000
	(803) 581-2997

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	120 York St, Chester, South Carolina
Authorized Official Name and Position	Bamidele A Ekunsanmi (PRESIDENT/CEO)
Authorized Official Contact	8035813000
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 159 120 York Street Chester SC 29706-0159 Ph: (803) 581-3000	120 York St Chester SC 29706-1484 Ph: (803) 581-3000

NPI Details:

NPI Number	1548282452
Provider Enumeration Date	07/24/2006
Last Update Date	02/29/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	7315013463
Medicare Enrollment ID	O20080915000120

Medical Identifiers

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

Identifier	Type	State	Issuer
1548282452	NPI	-	NPPES
GP3015	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	19921 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Bamidele A Ekunsanmi
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1932156171 PECOS PAC ID: 7012089311 Enrollment ID: I20080701000611

Reviews and Comments

Clinic/Center in Chester, SC

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Chester Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Medical Park Dr, Building 4, Suite A, Chester, SC 29706 Phone: 803-581-2001
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Hudson St, Chester, SC 29706 Phone: 803-377-8111
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Bldg 4, Ste A, Chester, SC 29706 Phone: 803-581-2001
Abner Creek Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-581-3163 Fax: 803-385-5388
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Saluda St, Chester, SC 29706 Phone: 803-325-7744 Fax: 803-377-2853

- Medicare Primary Care in Chester, SC