Sea Island Medical Care | |
2114 Highway 41 Suite 105 Mount Pleasant SC 29466 | |
(843) 388-9000 | |
(843) 388-6937 |
Full Name | Sea Island Medical Care |
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Speciality | Clinic/Center |
Location | 2114 Highway 41, Mount Pleasant, South Carolina |
Authorized Official Name and Position | Elizabeth C Rhodes (OWNER) |
Authorized Official Contact | 8432521150 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sea Island Medical Care 2114 Highway 41 Ste 105 Mount Pleasant SC 29466-6204 Ph: (843) 388-9000 | Sea Island Medical Care 2114 Highway 41 Suite 105 Mount Pleasant SC 29466 Ph: (843) 388-9000 |
NPI Number | 1528561453 |
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Provider Enumeration Date | 03/16/2018 |
Last Update Date | 12/21/2021 |
Medicare PECOS PAC ID | 0941540819 |
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Medicare Enrollment ID | O20190313001108 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528561453 | NPI | - | NPPES |
1326141938 | Other | NPI | |
1982116331 | Other | NPI | |
1164427811 | Other | NPI | |
1932437662 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | John W Ward |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942250758 PECOS PAC ID: 1052370137 Enrollment ID: I20041005000632 |
Provider Name | Anoma S Gamage |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326141938 PECOS PAC ID: 4183678949 Enrollment ID: I20050304000549 |
Provider Name | Lauren Dubose Neese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427320068 PECOS PAC ID: 6002075538 Enrollment ID: I20120301000935 |
Provider Name | Mary Virginia G Lucas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255732798 PECOS PAC ID: 9234451923 Enrollment ID: I20141209000209 |
Provider Name | William H Cantey |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1164427811 PECOS PAC ID: 8729017496 Enrollment ID: I20160211000712 |
Provider Name | Alyssa W Ursini |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013471101 PECOS PAC ID: 9335489129 Enrollment ID: I20190313002363 |
Provider Name | Lauren Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134724628 PECOS PAC ID: 4789099466 Enrollment ID: I20210210000242 |
Provider Name | Samantha Jo Pecunes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801480041 PECOS PAC ID: 6305235433 Enrollment ID: I20211111001179 |
Provider Name | Donna Sanderson Davidson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194488403 PECOS PAC ID: 5193181451 Enrollment ID: I20230512000185 |
Provider Name | Sareena Coleman Hafey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740041896 PECOS PAC ID: 5890132823 Enrollment ID: I20240326001236 |
Provider Name | Kimberly Ann Vanesko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730519687 PECOS PAC ID: 6204065154 Enrollment ID: I20240507003292 |
Sports Medicine & Orthopaedic Centers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-473-4331 Fax: 843-473-4398 | |
Life Essentials Health Solutions Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 Fax: 843-606-2528 | |
Life Essentials Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 | |