Dr Dewey Todd Detar, DO | |
1595 Central Ave, Summerville, SC 29483-5529 | |
(843) 212-8080 | |
(843) 789-1521 |
Full Name | Dr Dewey Todd Detar |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 1595 Central Ave, Summerville, 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 |
---|---|---|---|
1750499604 | NPI | - | NPPES |
004836 | Medicaid | SC | |
SC14336067 | Other | SC | MEDICARE PIN |
SC14336084 | Other | SC | MEDICARE PIN |
SC1433J577 | Other | SC | MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2020-00089 (North Carolina) | Primary |
207Q00000X | Family Medicine | 483 (South Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Shelby, NC | Home health agency |
Four Seasons Compassion For Life | Flat rock, NC | Hospice |
Liberty Home Care And Hospice | Raeford, NC | Hospice |
Hospice Of Davidson County | Lexington, NC | Hospice |
Carolinas Healthcare System-blue Ridge | Morganton, NC | Hospital |
Cherokee Medical Center | Gaffney, SC | Hospital |
Haywood Regional Medical Center | Clyde, NC | Hospital |
The Oaks At Sweeten Creek | Arden, NC | Nursing home |
Smoky Mountain Health And Rehabilitation Center | Waynesville, NC | Nursing home |
Summerstone Health And Rehabilitation Center | Kernersville, NC | Nursing home |
Accordius Health At Lexington | Lexington, NC | Nursing home |
Magnolia Lane Nursing And Rehabilitation Center | Morganton, NC | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cherokee Medical Center | 5991041212 | 41 |
Geriatric Consultants Pllc | 5294132387 | 32 |
Entity Name | Geriatric Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801478086 PECOS PAC ID: 5294132387 Enrollment ID: O20210915003266 |
Entity Name | Careconnectmd North Carolina P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104507441 PECOS PAC ID: 3971965898 Enrollment ID: O20230809002596 |
Mailing Address | Practice Location Address |
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Dr Dewey Todd Detar, DO Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Dr Dewey Todd Detar, DO 1595 Central Ave, Summerville, SC 29483-5529 Ph: (843) 212-8080 |
Dr. David Paul Smith, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 133 E 1st North St, Suite 2 Magnolia Square, Summerville, SC 29483 Phone: 843-871-1800 Fax: 843-871-5121 | |
Dr. Suzann Hutto Weathers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 87 Springview Ln, Summerville, SC 29485 Phone: 843-876-7979 | |
Anthony Joel Yuen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1112 N Main St, Summerville, SC 29483 Phone: 843-212-8080 Fax: 843-212-8081 | |
Dr. Merritt Stanley Huber Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 1st Avenue, Summerville, SC 29486 Phone: 843-876-7930 | |
Dr. Amy Carol Forren, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1724 State Rd Unit 6b, Summerville, SC 29486 Phone: 843-606-7100 | |
Dana L Simpson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 679 Orangeburg Rd, Suite F, Summerville, SC 29483 Phone: 843-261-2600 Fax: 888-839-6837 | |
Dr. Walter David Leventhal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 299 Midland Pkwy # A, Summerville, SC 29485 Phone: 843-875-7901 Fax: 843-832-2038 |