| Dr Jonathan T Donaldson, MD | |
|
180 Wingo Way, Suite 304, Mt Pleasant, SC 29464-1810 | |
| (843) 884-8045 | |
| (843) 881-5081 |
| Full Name | Dr Jonathan T Donaldson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 39 Years |
| Location | 180 Wingo Way, 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 |
|---|---|---|---|
| 1881693026 | NPI | - | NPPES |
| P00930463 | Other | SC | RAILROAD MEDICARE ID-RSFPN |
| TL2583 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 16227 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roper Hospital | Charleston, SC | Hospital |
| Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
| Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
| Mount Pleasant Hospital | Mount pleasant, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Associates Of Charleston Llc | 4082079496 | 8 |
| Entity Name | Lowcountry Urology Clinics, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942242714 PECOS PAC ID: 6406869247 Enrollment ID: O20060724000104 |
| Entity Name | Roper Saint Francis Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124431606 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405 |
| Entity Name | Urology Associates Of Charleston Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699474205 PECOS PAC ID: 4082079496 Enrollment ID: O20230508000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan T Donaldson, MD Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | Dr Jonathan T Donaldson, MD 180 Wingo Way, Suite 304, Mt Pleasant, SC 29464-1810 Ph: (843) 884-8045 |
Dr. Stanley C Hall, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1122 Chuck Dawley Blvd Ste 200, Mt Pleasant, SC 29464 Phone: 843-884-8045 Fax: 843-881-5081 | |
Dr. Dennis John Kubinski, Urology Medicare: Not Enrolled in Medicare Practice Location: 1100 Queensborough Blvd Ste 102, Mt Pleasant, SC 29464 Phone: 843-625-4273 Fax: 843-790-1823 | |
Mary Henderson James, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 180 Wingo Way, Suite 304, Mt Pleasant, SC 29464 Phone: 843-884-8045 Fax: 843-881-5081 | |
Dr. Stephen Lewis Patrick, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 1122 Chuck Dawley Blvd Ste 200, Mt Pleasant, SC 29464 Phone: 843-884-8045 Fax: 843-881-5081 |