| Dr John Evans Stavrakos, MD | |
|
103 Sum Mor Dr, West Columbia, SC 29169-4828 | |
| (803) 244-9212 | |
| Not Available |
| Full Name | Dr John Evans Stavrakos |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 24 Years |
| Location | 103 Sum Mor Dr, West Columbia, 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 |
|---|---|---|---|
| 1063426724 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pivotal Injury And Rehab Inc | 0244590370 | 5 |
| Pivotal Health And Rehab Llc | 1052841376 | 4 |
| Entity Name | Pivotal Injury And Rehab Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386150613 PECOS PAC ID: 0244590370 Enrollment ID: O20180208002719 |
| Entity Name | Pivotal Health And Rehab Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720812670 PECOS PAC ID: 1052841376 Enrollment ID: O20250214002818 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Evans Stavrakos, MD Po Box 1320, Lexington, SC 29071-1320 Ph: (803) 244-9212 | Dr John Evans Stavrakos, MD 103 Sum Mor Dr, West Columbia, SC 29169-4828 Ph: (803) 244-9212 |
Dr. Tiffany Nicole Howard, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 103 Sum Mor Dr, Vitality Medical Centers, Inc., West Columbia, SC 29169 Phone: 803-218-9886 | |
Tayvionna Etheredge, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 Dreher Road, Suite 100, West Columbia, SC 29169 Phone: 803-525-7080 | |
William Randal Westerkam, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 100&200, West Columbia, SC 29169 Phone: 803-935-8410 Fax: 803-936-7816 | |
Maeghan Edge, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Still Hopes Dr, West Columbia, SC 29169 Phone: 803-796-6490 | |
Jacquelyn F Van Dam, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 141, West Columbia, SC 29169 Phone: 803-314-9640 Fax: 803-314-9641 | |
Mr. Kenneth Dixon Acker Jr., Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1177 Sunset Blvd, West Columbia, SC 29169 Phone: 803-794-3440 Fax: 803-791-3862 |