| Dr Jeremy Paul Skotko, MD | |
|
3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | |
| (803) 395-2200 | |
| Not Available |
| Full Name | Dr Jeremy Paul Skotko |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 3000 Saint Matthews Rd, Orangeburg, 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 |
|---|---|---|---|
| 1053572685 | NPI | - | NPPES |
| 400685 | Medicaid | SC | |
| GP5587 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 33635 (South Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Pleasant Hospital | Mount pleasant, SC | Hospital |
| Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
| Roper Hospital | Charleston, SC | Hospital |
| Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Broad River Physicians Group, Llc | 8123385143 | 56 |
| Entity Name | Georgetown Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
| Entity Name | Waccamaw Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922063858 PECOS PAC ID: 8527970771 Enrollment ID: O20040112000062 |
| Entity Name | Roper Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104983055 PECOS PAC ID: 8426958919 Enrollment ID: O20040114000413 |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003889676 PECOS PAC ID: 8527970771 Enrollment ID: O20040506001434 |
| Entity Name | Bon Secours St Francis Xavier Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770867442 PECOS PAC ID: 8325008717 Enrollment ID: O20041011000439 |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366527566 PECOS PAC ID: 8527970771 Enrollment ID: O20061212000397 |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270 |
| Entity Name | Roper St. Francis Mount Pleasant Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629499298 PECOS PAC ID: 1658567326 Enrollment ID: O20110207000316 |
| Entity Name | Sound Physicians Emergency Medicine Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730636168 PECOS PAC ID: 2163702739 Enrollment ID: O20161219000460 |
| Entity Name | Broad River Physicians Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295443000 PECOS PAC ID: 8123385143 Enrollment ID: O20230103000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Paul Skotko, MD Po Box 1245, Orangeburg, SC 29116-1245 Ph: (803) 395-4497 | Dr Jeremy Paul Skotko, MD 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 Ph: (803) 395-2200 |
Dr. George Thomas Bayer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2205 | |
Jordana Ruffner, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200 | |
Patrick Moyer, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 Saint Matthews Road, Po Box 1806, Orangeburg, SC 29118 Phone: 803-533-2200 | |
Dr. Terry Lee Macmath, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-347-1472 Fax: 803-395-2065 | |
Dr. Amy Quynh-trang Pham, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Benjamin J. Droisen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-4459 |