| Michael A Jayne, | |
|
2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | |
| (843) 852-4100 | |
| Not Available |
| Full Name | Michael A Jayne |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2100 Charlie Hall Blvd, Charleston, 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 |
|---|---|---|---|
| 1144499690 | NPI | - | NPPES |
| 1760596480 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6204 (South Carolina) | Primary |
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Entity Name | Charleston Counseling Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Jayne, 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 Ph: () - | Michael A Jayne, 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 Ph: (843) 852-4100 |
Mrs. Christi J. Wright, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3125 Ashley Phosphate Rd, Suite 117, Charleston, SC 29418 Phone: 843-552-1220 Fax: 843-552-0502 | |
Dr. John Moss Painter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Joyce A Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100 | |
Cheryl S Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100 | |
Tiffany Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100 | |
Rebecca Winstead, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100 | |
Mr. Ian Rivers Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100 |