| Dr Fletcher Carl Derrick Iii, MD | |
|
Beaufort Memorial Lowcountry Medical Group, 300 Midtown Dr, Beaufort, SC 29906-5200 | |
| (843) 770-0404 | |
| (844) 296-2308 |
| Full Name | Dr Fletcher Carl Derrick Iii |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | Beaufort Memorial Lowcountry Medical Group, Beaufort, 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 |
|---|---|---|---|
| 1083784110 | NPI | - | NPPES |
| 184767 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18476 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Beaufort | Ladys island, SC | Home health agency |
| Kindred At Home | Walterboro, SC | Home health agency |
| Amedisys Home Health Of Bluffton | Bluffton, SC | Home health agency |
| Hospice Care Of The Lowcountry | Bluffton, SC | Hospice |
| Agape Hospice Of The Lowcountry | Charleston, SC | Hospice |
| Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
| Colleton Medical Center | Walterboro, SC | Hospital |
| Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
| Sprenger Health Care Of Port Royal | Port royal, SC | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Hospitalist Services Pc | 3476855420 | 264 |
| Beaufort County Memorial Hospital | 7810809365 | 131 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588613343 PECOS PAC ID: 5698688141 Enrollment ID: O20031111000018 |
| Entity Name | Beaufort County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871335018 PECOS PAC ID: 7810809365 Enrollment ID: O20050208000354 |
| Entity Name | Coastal Inpatient Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215043872 PECOS PAC ID: 4688671365 Enrollment ID: O20061024000044 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100107000067 |
| Entity Name | South Carolina Group Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609212232 PECOS PAC ID: 1759525777 Enrollment ID: O20130912000800 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fletcher Carl Derrick Iii, MD 955 Ribaut Rd, Bmac Credentialing, Beaufort, SC 29902-5441 Ph: (843) 522-5674 | Dr Fletcher Carl Derrick Iii, MD Beaufort Memorial Lowcountry Medical Group, 300 Midtown Dr, Beaufort, SC 29906-5200 Ph: (843) 770-0404 |
Mr. Steven Royal Kessel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 989 Ribaut Rd, Ste 260, Beaufort, SC 29902 Phone: 843-522-7600 Fax: 743-522-7612 | |
Edward J Mcneil Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Spanish Point Dr, Beaufort, SC 29902 Phone: 843-812-2838 | |
Dr. Patricia M Devers, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 843-522-5005 Fax: 843-522-5017 | |
Dr. Nicholas P Dardes, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906 Phone: 843-770-0404 Fax: 844-296-2308 | |
Dr. Scott Dryzer, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 865-719-2232 | |
Philip A Cusumano, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 117 Sea Island Parkway, Beaufort, SC 29907 Phone: 843-522-7240 Fax: 843-522-7249 |