Dr Jesse Michael West, PHD | |
1268 S 4th St, Hartsville, SC 29550-0703 | |
(843) 332-3422 | |
(843) 332-3985 |
Full Name | Dr Jesse Michael West |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1268 S 4th St, Hartsville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609850825 | NPI | - | NPPES |
PS0243 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 664 (South Carolina) | Primary |
Entity Name | Caresouth Carolina Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280 |
Mailing Address | Practice Location Address |
---|---|
Dr Jesse Michael West, PHD Po Box 1090, Hartsville, SC 29551-1090 Ph: (843) 857-0111 | Dr Jesse Michael West, PHD 1268 S 4th St, Hartsville, SC 29550-0703 Ph: (843) 332-3422 |
Teresa W Redfearn, MS, LPES, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 E Home Ave, Hartsville, SC 29550 Phone: 843-917-0495 Fax: 864-751-4179 | |
Dr. Iva Jill Banks, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 E College Ave, Hartsville, SC 29550 Phone: 843-383-8099 | |
Mrs. Megan W. Gardner, MS, SSP, LPES Psychologist Medicare: Not Enrolled in Medicare Practice Location: 718 S 4th St, Hartsville, SC 29550 Phone: 843-917-0495 | |
Brandy Ward Castro, LPES Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 E Home Ave, Hartsville, SC 29550 Phone: 843-917-0495 |