| Benjamin John Archambault, | |
|
171 Ashley Ave, Charleston, SC 29425-0100 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | Benjamin John Archambault |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 5 Years |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336716265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 95921 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Tidelands Health | Georgetown, SC | Hospital |
| Musc Health Florence Medical Center | Florence, SC | Hospital |
| Musc Health Columbia Medical Center Downtown | Columbia, SC | Hospital |
| Kershaw Medical Center | Camden, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musc Community Physicians | 6507260668 | 1353 |
| 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 | MUSC Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin John Archambault, 171 Ashley Ave, Charleston, SC 29425-0100 Ph: (843) 792-1414 | Benjamin John Archambault, 171 Ashley Ave, Charleston, SC 29425-0100 Ph: (843) 792-1414 |
Karen L Spodarek, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2154 Fax: 843-805-6277 |
Johnny Phillips Campbell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2988 |
Breanna Marie Koetter, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Nancy Curry, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Donna Rae Roberts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Christopher Jason Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9228 Medical Plaza Dr, Charleston, SC 29406 Phone: 843-876-7080 Fax: 843-876-7111 |
Dr. Vincent Paul Grzywacz Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9330 Medical Plaza Dr, Charleston, SC 29406 Phone: 843-847-4571 |