| Dr Matthew Justice Kornegay Jr, MD | |
|
1483 Tobias Gadson Blvd Ste 101, Charleston, SC 29407-4795 | |
| (843) 405-1110 | |
| (855) 654-2149 |
| Full Name | Dr Matthew Justice Kornegay Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 23 Years |
| Location | 1483 Tobias Gadson Blvd Ste 101, Charleston, 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 |
|---|---|---|---|
| 1922042654 | NPI | - | NPPES |
| 311442 | Medicaid | SC | |
| P00834834 | Other | SC | RAILROAD MEDICARE ID-RSFPN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31144 (South Carolina) | Secondary |
| 208000000X | Pediatrics | 31144 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Medical Center | Charleston, SC | Hospital |
| Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Liberty Doctors Llc | 0840466017 | 41 |
| University Medical Associates Of The Medical University Of South Carol | 6305758574 | 1472 |
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| 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 | Liberty Doctors Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700162203 PECOS PAC ID: 0840466017 Enrollment ID: O20120110000683 |
| Entity Name | Charleston Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376033829 PECOS PAC ID: 8820344591 Enrollment ID: O20180711000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Justice Kornegay Jr, MD 1483 Tobias Gadson Blvd Ste 101, Charleston, SC 29407-4795 Ph: () - | Dr Matthew Justice Kornegay Jr, MD 1483 Tobias Gadson Blvd Ste 101, Charleston, SC 29407-4795 Ph: (843) 405-1110 |
Andrew M Atz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Kelly Michelle Roelf, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 125 Doughty Street, Msc 561, Charleston, SC 29403 Phone: 310-929-0627 | |
Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265 |