| Colonial Family Practice Wesmark | |
|
308 W Wesmark Blvd Sumter SC 29150 | |
| (803) 773-5227 | |
| (803) 774-5400 |
| Full Name | Colonial Family Practice Wesmark |
|---|---|
| Speciality | Family Medicine |
| Location | 308 W Wesmark Blvd, Sumter, South Carolina |
| Authorized Official Name and Position | Stephanie K Disher (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8037735227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Family Practice Wesmark 325 Broad St Suite 100 Sumter SC 29150-4167 Ph: (803) 773-5227 | Colonial Family Practice Wesmark 308 W Wesmark Blvd Sumter SC 29150 Ph: (803) 773-5227 |
| NPI Number | 1497060719 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 03/22/2021 |
| Medicare PECOS PAC ID | 9931017118 |
|---|---|
| Medicare Enrollment ID | O20191004001341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497060719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3006640 (South Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Palmetto Adult Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1295 Wilson Hall Rd, Sumter, SC 29150 Phone: 803-905-6800 Fax: 803-905-6810 | |
Sumter Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 Barnette Dr, Sumter, SC 29150 Phone: 803-773-5442 Fax: 803-778-2394 | |
Tandem Health Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Barnette Drive, Sumter, SC 29150 Phone: 803-774-3600 Fax: 803-774-4560 | |
Cfp Specialties Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 385 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-773-5227 Fax: 803-753-9121 | |
Colonial Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Broad St Ste 200, Sumter, SC 29150 Phone: 803-773-5227 Fax: 803-418-0202 | |
Invostix Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 E Wesmark Blvd Ste 2, Sumter, SC 29150 Phone: 803-757-1238 | |
Colonial Family Practice Liberty Street Location Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 674 W Liberty St, Sumter, SC 29150 Phone: 803-773-5227 |