| Dr Ahmad I Issa, MD | |
|
1952 Long Grove Dr Ste 2, Mount Pleasant, SC 29464-7579 | |
| (854) 800-2377 | |
| Not Available |
| Full Name | Dr Ahmad I Issa |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 1952 Long Grove Dr Ste 2, Mount Pleasant, 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 |
|---|---|---|---|
| 1689946212 | NPI | - | NPPES |
| 012360600 | Medicaid | FL | |
| P01384022 | Other | FL | MEDICARE RAILROAD PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME120546 (Florida) | Secondary |
| 208M00000X | Hospitalist | ME120546 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trident Medical Center | Charleston, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Hospitalist Services Pc | 3476855420 | 264 |
| Georgetown Memorial Hospital | 8224942123 | 78 |
| Entity Name | Georgetown Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
| Entity Name | Waccamaw Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
| Entity Name | 24 On Physicians Of Sc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144877655 PECOS PAC ID: 5890127344 Enrollment ID: O20191121001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ahmad I Issa, MD 2262 Norwood Oaks Dr, Mount Pleasant, SC 29466-7027 Ph: (813) 751-5055 | Dr Ahmad I Issa, MD 1952 Long Grove Dr Ste 2, Mount Pleasant, SC 29464-7579 Ph: (854) 800-2377 |