Dr Elaine B Baxley, MD | |
1060 Highway 1 S, Lugoff, SC 29078-9630 | |
(803) 438-9759 | |
(803) 438-9783 |
Full Name | Dr Elaine B Baxley |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1060 Highway 1 S, Lugoff, 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 |
---|---|---|---|
1831150226 | NPI | - | NPPES |
125796 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12579 (South Carolina) | Primary |
207P00000X | Emergency Medicine | 12579 (South Carolina) | Secondary |
Entity Name | Kershaw Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316322027 PECOS PAC ID: 2668773698 Enrollment ID: O20151221002384 |
Mailing Address | Practice Location Address |
---|---|
Dr Elaine B Baxley, MD 1818 Henderson St, Columbia, SC 29201-2619 Ph: (803) 782-4278 | Dr Elaine B Baxley, MD 1060 Highway 1 S, Lugoff, SC 29078-9630 Ph: (803) 438-9759 |
James C Kearse Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Dewitt Dr, Lugoff, SC 29078 Phone: 803-438-7566 Fax: 803-438-4371 | |
Dr. Joel Richard Oliver, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1060 Highway 1 S, Lugoff, SC 29078 Phone: 803-438-9759 Fax: 803-438-9783 | |
Min Kang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Dewitt Dr, Lugoff, SC 29078 Phone: 803-438-1806 Fax: 803-438-4371 | |
Patrice L High, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Baldwin Ave, Lugoff, SC 29078 Phone: 803-408-3262 Fax: 803-408-8895 |