| Dr Joseph A Nellis, DO | |
|
Nhcc Mhp, 110 Nnptc Cir, Goose Creek, SC 29445 | |
| (843) 794-6221 | |
| Not Available |
| Full Name | Dr Joseph A Nellis |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | Nhcc Mhp, Goose Creek, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053382093 | NPI | - | NPPES |
| 822587 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2005-01499 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 82258 (South Carolina) | Primary |
| Entity Name | Palmetto Primary Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph A Nellis, DO Nhcc Mhp, 110 Nnptc Cir, Goose Creek, SC 29445 Ph: (843) 794-6221 | Dr Joseph A Nellis, DO Nhcc Mhp, 110 Nnptc Cir, Goose Creek, SC 29445 Ph: (843) 794-6221 |
Mr. Titus Daniel Caddell Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 588 Old Mount Holly Rd, Goose Creek, SC 29445 Phone: 843-376-5595 Fax: 843-797-7432 | |
Dr. Leah S Trantham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 149 Saint James Ave, Goose Creek, SC 29445 Phone: 843-553-0526 Fax: 843-266-1997 | |
Dr. Beng H Ho, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Springhall Dr, Ste B, Goose Creek, SC 29445 Phone: 843-553-9500 Fax: 843-797-8234 | |
Patricia A Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110a Springhall Dr, Liberty Doctors, Llc Patricia A Campbell Md, Goose Creek, SC 29445 Phone: 843-266-2520 Fax: 843-553-4436 | |
Dr. Michael Reed Leader, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Nnptc Cir, Goose Creek, SC 29445 Phone: 081-811-6000 | |
Dr. Alexander Eye, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Nnptc Cir, Goose Creek, SC 29445 Phone: 843-794-6000 |