| Dr Jonathan Kittredge, MD | |
|
1280 Hospital Dr Unit 302, Mount Pleasant, SC 29464-1901 | |
| (843) 884-9900 | |
| Not Available |
| Full Name | Dr Jonathan Kittredge |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 23 Years |
| Location | 1280 Hospital Dr Unit 302, Mount 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 |
|---|---|---|---|
| 1114174125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | C1-0010094 (Delaware) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 35710 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anne's Hospital | Fall river, MA | Hospital |
| Morton Hospital | Taunton, MA | Hospital |
| Kent County Memorial Hospital | Warwick, RI | Hospital |
| Sturdy Memorial Hospital | Attleboro, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prima Care, Pc | 2567356017 | 202 |
| Prima Care, Pc | 2567356017 | 202 |
| Entity Name | Prima Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265422596 PECOS PAC ID: 2567356017 Enrollment ID: O20040214000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Kittredge, MD 1280 Hospital Dr Unit 302, Mount Pleasant, SC 29464-1901 Ph: (843) 884-9900 | Dr Jonathan Kittredge, MD 1280 Hospital Dr Unit 302, Mount Pleasant, SC 29464-1901 Ph: (843) 884-9900 |
Dr. Thomas R Wieters, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3070 N Highway 17, Suite 202, Mount Pleasant, SC 29466 Phone: 843-881-8346 Fax: 843-284-4093 | |
Mohammad Hasan Emad Salameh, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1223 Vestige Sq # 29464, Mount Pleasant, SC 29464 Phone: 843-371-4348 | |
William H Stroud Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1240 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-824-4393 | |
Thomas Hahm, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 180 Wingo Way, Suite 205, Mount Pleasant, SC 29464 Phone: 843-884-1400 Fax: 843-884-7448 | |
Harley Moit, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 1205 Two Island Ct Unit 203, Mount Pleasant, SC 29466 Phone: 843-971-2860 | |
Norman P Khoury, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-884-2247 Fax: 843-881-0653 |