| Dr Deewan Deewan, MD | |
|
1655 Bernardin Ave Ste 200, Columbia, SC 29204-2044 | |
| (803) 256-1137 | |
| (803) 256-1138 |
| Full Name | Dr Deewan Deewan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 1655 Bernardin Ave Ste 200, 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 |
|---|---|---|---|
| 1811292055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 40554 (South Carolina) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 40554 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Columbia Northeast Kidney Center | Columbia, SC | Dialysis facility |
| Providence Health | Columbia, SC | Hospital |
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Kershawhealth | Camden, SC | Hospital |
| Lexington Medical Center | West columbia, SC | Hospital |
| Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Kidney Specialists, Llc | 2567462575 | 5 |
| Entity Name | Carolina Kidney Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952482903 PECOS PAC ID: 2567462575 Enrollment ID: O20061221000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deewan Deewan, MD 1655 Bernardin Ave Ste 200, Columbia, SC 29204-2044 Ph: (803) 256-1137 | Dr Deewan Deewan, MD 1655 Bernardin Ave Ste 200, Columbia, SC 29204-2044 Ph: (803) 256-1137 |
William Cole Andrew, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-8721 | |
Seetharamprasad Madala, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 Fax: 803-434-4160 | |
Michael Martin, Nephrology Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd, Columbia, SC 29203 Phone: 803-434-6956 | |
Dr. Terry A Grainger, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-3800 Fax: 803-744-2759 | |
Dr. Adelero Olayinka Adebajo, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1520 Laurel St, Columbia, SC 29201 Phone: 803-799-8407 Fax: 803-252-9070 | |
James Pratt Iii, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 | |
Jeff Z Brooker Jr., MD, RETIRED Nephrology Medicare: Medicare Enrolled Practice Location: 1625 Bernardin Ave, Columbia, SC 29204 Phone: 803-251-8985 |