| Charles N Clark Jr, MD | |
|
125 Doughty St, Suite 420, Charleston, SC 29403 | |
| (843) 723-3441 | |
| (843) 805-4040 |
| Full Name | Charles N Clark Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 23 Years |
| Location | 125 Doughty St, 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 |
|---|---|---|---|
| 1528012382 | NPI | - | NPPES |
| 244042 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | TL24404 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roper Hospital | Charleston, SC | Hospital |
| Mount Pleasant Hospital | Mount pleasant, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Charleston Pa | 4082607361 | 35 |
| Bon Secours St Francis Xavier Hospital Inc | 8325008717 | 182 |
| Entity Name | Anesthesia Associates Of Charleston Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396776670 PECOS PAC ID: 4082607361 Enrollment ID: O20040405000080 |
| Entity Name | Bon Secours St Francis Xavier Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740502822 PECOS PAC ID: 8325008717 Enrollment ID: O20100607000884 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles N Clark Jr, MD Po Box 22206, Charleston, SC 29413-2206 Ph: (843) 723-3441 | Charles N Clark Jr, MD 125 Doughty St, Suite 420, Charleston, SC 29403 Ph: (843) 723-3441 |
Dr. William Nolan Bagnal, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 | |
Dr. Robert Boone Coleman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2322 | |
Dr. Caroline Salvatrice Schlee, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 167 Ashley Avenue, Suite 301 Msc 912, Charleston, SC 29425 Phone: 843-792-2322 | |
Tod A Brown, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1000 | |
Catherine K Ellyn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 125 Doughty St, Ste 420, Charleston, SC 29403 Phone: 843-723-3441 Fax: 843-805-4040 | |
Dr. Marc Hassid, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Michelle Sher Rovner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |