<unavail> in Rock Hill, SC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Rock Hill, South Carolina. The current practice location for is 1609 Constitution Blvd, Rock Hill, South Carolina. For appointments, you can reach them via phone at (803) 326-3000. The mailing address for is Po Box 36291, Rock Hill, South Carolina and phone number is (803) 326-3000.

is licensed to practice in South Carolina (license number 2019921). The clinic also participates in the medicare program and its NPI number is 1407860752. 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) 326-3000.

Contact Information


	1609 Constitution Blvd Rock Hill SC 29732-3047
	(803) 326-3000
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1609 Constitution Blvd, Rock Hill, South Carolina
Authorized Official Name and Position	Bamidele A Ekunsanmi (PRESIDENT/MEDICAL DIRECTOR)
Authorized Official Contact	8033263000
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 36291 Rock Hill SC 29732-0504 Ph: (803) 326-3000	1609 Constitution Blvd Rock Hill SC 29732-3047 Ph: (803) 326-3000

NPI Details:

NPI Number	1407860752
Provider Enumeration Date	07/29/2006
Last Update Date	11/04/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	3274604012
Medicare Enrollment ID	O20080620000584

Medical Identifiers

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

Identifier	Type	State	Issuer
1407860752	NPI	-	NPPES
GP3014	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	2019921 (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 Rock Hill, SC

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 1800, Rock Hill, SC 29732 Phone: 803-909-1850
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 Workman St, Rock Hill, SC 29730 Phone: 803-325-7710
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 2400, Rock Hill, SC 29732 Phone: 803-329-5131
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 Phone: 803-327-2012 Fax: 803-325-7744
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 Anderson Rd S, Rock Hill, SC 29730 Phone: 803-326-3790
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732 Phone: 803-329-5131

- Medicare Primary Care in Rock Hill, SC