| Dr George R Richardson, MD | |
|
1106 Chuck Dawley Blvd, Suite 200, Mt Pleasant, SC 29464-4183 | |
| (843) 849-1551 | |
| Not Available |
| Full Name | Dr George R Richardson |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 32 Years |
| Location | 1106 Chuck Dawley Blvd, Mt Pleasant, 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 |
|---|---|---|---|
| 1417932252 | NPI | - | NPPES |
| 175642 | Medicaid | SC | |
| 320058385 | Other | SC | STANDARD TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 17564 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Medical Center | Charleston, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Medical Associates Of The Medical University Of South Carol | 6305758574 | 1472 |
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George R Richardson, MD 217 Dozier Blvd, Suite 100, Florence, SC 29501-4090 Ph: (843) 669-5162 | Dr George R Richardson, MD 1106 Chuck Dawley Blvd, Suite 200, Mt Pleasant, SC 29464-4183 Ph: (843) 849-1551 |
Dr. Michael Mosier, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1625 Hospital Dr, Mt Pleasant, SC 29464 Phone: 843-849-1551 Fax: 843-884-0629 | |
Dr. John F Johnson, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1106 Chuck Dawley Blvd, Suite200, Mt Pleasant, SC 29464 Phone: 843-849-1551 | |
William Hendrik Devries, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1909 N Highway 17 Ste Q, Mt Pleasant, SC 29464 Phone: 843-416-9026 Fax: 843-531-6223 | |
Dr. Leonard E Forrest, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1106 Chuck Dawley Blvd, Suite 200, Mt Pleasant, SC 29464 Phone: 800-741-6920 | |
Dawn Durante, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 311 Johnnie Dodds Blvd Unit 111, Mt Pleasant, SC 29464 Phone: 843-416-8718 | |
Gregory Lenhart, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1341 Old Georgetown Rd Ste C, Mt Pleasant, SC 29464 Phone: 843-936-3385 Fax: 843-388-4868 |