| Dr Manuel Fachado Jr, DO | |
|
800 W Meeting St, Lancaster, SC 29720-2202 | |
| (803) 286-1479 | |
| (803) 286-1369 |
| Full Name | Dr Manuel Fachado Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 800 W Meeting St, Lancaster, 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 |
|---|---|---|---|
| 1740228394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 940 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 940 (South Carolina) | Primary |
| Entity Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376595041 PECOS PAC ID: 9032021175 Enrollment ID: O20031105000630 |
| Entity Name | Newberry County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891219887 PECOS PAC ID: 8123927464 Enrollment ID: O20171017002233 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manuel Fachado Jr, DO 12315 Greenville Hwy, Lyman, SC 29365-1515 Ph: (864) 439-4376 | Dr Manuel Fachado Jr, DO 800 W Meeting St, Lancaster, SC 29720-2202 Ph: (803) 286-1479 |
Dr. Steven M Culp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 W Meeting St, Suite 200, Lancaster, SC 29720 Phone: 803-285-7414 Fax: 803-283-4329 | |
Mrs. Cassie Callahan Jenkins, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1025 W Meeting St, Lancaster, SC 29720 Phone: 803-285-7414 | |
Mr. Amrendra Kumar, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1130 Hwy 9 Bypass W, Lancaster, SC 29720 Phone: 803-285-2225 | |
Roy A Still, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1228 Colonial Commons Ct, Lancaster, SC 29720 Phone: 803-283-2011 Fax: 803-286-9962 | |
Dr. Keith D Shealy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 W Meeting St, Suite 200, Lancaster, SC 29720 Phone: 803-285-7414 Fax: 803-283-4329 | |
Dr. Linda C Daily, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1025 W Meeting St, Suite 200, Lancaster, SC 29720 Phone: 803-285-7414 Fax: 803-283-4329 | |
Dr. Kristin Shannon Black, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 820 W Meeting St, Lancaster, SC 29720 Phone: 803-285-5441 |