David Blair Mahoney, MD | |
4278 Ladson Rd, Ladson, SC 29456-5452 | |
(843) 203-2240 | |
(843) 203-2241 |
Full Name | David Blair Mahoney |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 4278 Ladson Rd, Ladson, 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 |
---|---|---|---|
1205039872 | NPI | - | NPPES |
351844 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101248387 (Virginia) | Secondary |
207Q00000X | Family Medicine | 35184 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lewisgale Hospital Montgomery | Blacksburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wildwood Physician Services Llc | 1850649310 | 20 |
Entity Name | Wildwood Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629560917 PECOS PAC ID: 1850649310 Enrollment ID: O20180731003816 |
Entity Name | Lake Spring Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568954287 PECOS PAC ID: 1254689482 Enrollment ID: O20180806000449 |
Mailing Address | Practice Location Address |
---|---|
David Blair Mahoney, MD 2000 Health Park Dr, Brentwood, TN 37027-4692 Ph: (615) 373-7600 | David Blair Mahoney, MD 4278 Ladson Rd, Ladson, SC 29456-5452 Ph: (843) 203-2240 |
Dr. Patrick Norris Grover, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4278 Ladson Rd, Ladson, SC 29456 Phone: 843-203-2240 Fax: 843-203-2241 | |
Mr. Douglas E Sloan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4278 Ladson Rd, Ladson, SC 29456 Phone: 843-203-2240 Fax: 843-203-2241 | |
Jennifer Bailey Nelson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4278 Ladson Rd, Ladson, SC 29456 Phone: 843-203-2240 Fax: 843-203-2241 |