| Dr Christian Raymond Kegg, DO | |
|
295 Midland Pkwy, Summerville, SC 29485-8104 | |
| (843) 832-5255 | |
| Not Available |
| Full Name | Dr Christian Raymond Kegg |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Critical Care Medicine |
| Location | 295 Midland Pkwy, Summerville, 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 |
|---|---|---|---|
| 1396061313 | NPI | - | NPPES |
| 009673200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 39372 (South Carolina) | Primary |
| 208000000X | Pediatrics | OS12250 (Florida) | Secondary |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christian Raymond Kegg, DO 12 Plantation Cir, Summerville, SC 29485-3472 Ph: (304) 646-7991 | Dr Christian Raymond Kegg, DO 295 Midland Pkwy, Summerville, SC 29485-8104 Ph: (843) 832-5255 |
Dr. Esther Spiegle Wilson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 202 Bentons Lodge Rd, Summerville, SC 29485 Phone: 843-871-2588 | |
Andrew Bain Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 102 W 8th North St Ste B, Summerville, SC 29483 Phone: 844-975-6683 Fax: 843-606-8056 | |
Dr. Emily Kathleen Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2016 1st Ave, Summerville, SC 29486 Phone: 843-873-4545 Fax: 843-873-1561 | |
Elizabeth Brown Heyward, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 Midland Pkwy, Summerville, SC 29485 Phone: 843-970-5000 | |
Mr. Benjamin L Rodgers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 748 Orangeburg Rd, Summerville, SC 29483 Phone: 843-832-8606 Fax: 843-285-7272 | |
Paul William Halczenko, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 295 Midland Pkwy, Summerville, SC 29485 Phone: 843-970-5255 | |
Mr. Mark Jeffrey Mccall, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 312 Midland Pkwy, Summerville, SC 29485 Phone: 843-875-6262 Fax: 843-873-7958 |