| Dr Clarence Sylvester Davis Iii, MD | |
|
2720 Sunset Blvd, West Columbia, SC 29169-4810 | |
| (803) 791-2460 | |
| (803) 791-2519 |
| Full Name | Dr Clarence Sylvester Davis Iii |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 2720 Sunset Blvd, West Columbia, 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 |
|---|---|---|---|
| 1982633426 | NPI | - | NPPES |
| 111444 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 11144 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lexington Medical Center | West columbia, SC | Hospital |
| Edward W Sparrow Hospital | Lansing, MI | Hospital |
| Riverside University Health System-medical Center | Moreno valley, CA | Hospital |
| Presbyterian Hospital | Albuquerque, NM | Hospital |
| University Medical Center | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| On-line Radiology Medical Group Inc | 0648311548 | 64 |
| Radiology Associates Of Albuquerque Pa | 2860304482 | 93 |
| Empire State Radiology P C | 4385075241 | 246 |
| Pco Pc | 5395179329 | 72 |
| Central Valley Community Medical Imaging | 5799679874 | 92 |
| Lexington Radiology Associates | 7315342185 | 30 |
| Humboldt Park Health | 8921907072 | 93 |
| Interfaith Professional Physician Services Pc | 9931378171 | 348 |
| Lubbock County Hospital District | 4385538941 | 73 |
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1153 |
| Edward W Sparrow Hospital Association | 6709799166 | 633 |
| Thorek Radiology Group Nfp | 1658786421 | 36 |
| Humboldt Park Health | 8921907072 | 93 |
| Entity Name | On-line Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710158498 PECOS PAC ID: 0648311548 Enrollment ID: O20171116002696 |
| Entity Name | Pco Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881230563 PECOS PAC ID: 5395179329 Enrollment ID: O20200116001008 |
| Entity Name | Central Valley Community Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376637264 PECOS PAC ID: 5799679874 Enrollment ID: O20200511000613 |
| Entity Name | Empire State Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255962783 PECOS PAC ID: 4385075241 Enrollment ID: O20200512003135 |
| 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 |
| Entity Name | Lexington Radiology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063095628 PECOS PAC ID: 7315342185 Enrollment ID: O20210818000577 |
| Entity Name | Radiology Associates Of Albuquerque Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881666998 PECOS PAC ID: 2860304482 Enrollment ID: O20230426002922 |
| Entity Name | Lansing Radiology Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669425658 PECOS PAC ID: 4486552148 Enrollment ID: O20230724002679 |
| Entity Name | Radiology Associates Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083491906 PECOS PAC ID: 3779932959 Enrollment ID: O20231213002158 |
| Entity Name | Humboldt Park Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740417153 PECOS PAC ID: 8921907072 Enrollment ID: O20250205000035 |
| Entity Name | Central Texas Radiological Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861452864 PECOS PAC ID: 4385740141 Enrollment ID: O20250422000109 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clarence Sylvester Davis Iii, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: () - | Dr Clarence Sylvester Davis Iii, MD 2720 Sunset Blvd, West Columbia, SC 29169-4810 Ph: (803) 791-2460 |
Dr. John William Haynes, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 508 Hulon Lane, West Columbia, SC 29169 Phone: 803-791-2460 Fax: 803-791-2519 | |
Dr. William Perry Edenfield Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, Radiology Department, West Columbia, SC 29169 Phone: 803-791-2000 Fax: 803-791-2660 | |
Dr. Michael Mcdonald Davis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2460 Fax: 803-791-2519 | |
Dr. Layne Richard Clemenz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 508 Hulon Lane, West Columbia, SC 29169 Phone: 803-791-2460 Fax: 803-791-2519 | |
Ashley Joy Schlafstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2575 Fax: 803-791-2577 | |
Jonathan K West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2460 Fax: 803-791-2519 | |
Nicholas Dean Mayes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2519 |