| Bruce Edwin Goeckeritz, MD | |
|
145 Sunset Ct Ste 200, West Columbia, SC 29169-2464 | |
| (803) 314-9360 | |
| Not Available |
| Full Name | Bruce Edwin Goeckeritz |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 145 Sunset Ct Ste 200, West Columbia, 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 |
|---|---|---|---|
| 1366552796 | NPI | - | NPPES |
| G50371 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31856 (South Carolina) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | TL31856 (South Carolina) | Secondary |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Edwin Goeckeritz, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: () - | Bruce Edwin Goeckeritz, MD 145 Sunset Ct Ste 200, West Columbia, SC 29169-2464 Ph: (803) 314-9360 |
Andrei Yerik Hetman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 104, West Columbia, SC 29169 Phone: 803-256-0464 Fax: 803-254-5121 | |
Dr. Robert Anthony Leonardi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 300, West Columbia, SC 29169 Phone: 803-744-4940 Fax: 803-744-4938 | |
Joel Joseph, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 131 Summerplace Dr, West Columbia, SC 29169 Phone: 803-794-4585 Fax: 803-796-8924 | |
William Anderson Dunovant Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 | |
Dr. Vijaya Korrapati, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 400, West Columbia, SC 29169 Phone: 803-794-7511 Fax: 803-794-7751 | |
Parthivkumar N Kundaria, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 | |
Jonathan Kyle Hewett, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 300, West Columbia, SC 29169 Phone: 803-744-4940 Fax: 803-744-4938 |