| Dr Susan Marie Datta, MD | |
|
180 Wingo Way, Suite 306, Mt Pleasant, SC 29464-1810 | |
| (843) 884-1777 | |
| Not Available |
| Full Name | Dr Susan Marie Datta |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 21 Years |
| Location | 180 Wingo Way, Mt Pleasant, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528144151 | NPI | - | NPPES |
| P00924682 | Other | SC | RAILROAD MEDICARE ID-RSFPN |
| 270183 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | LL27018 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 27018 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Charleston East | Charleston, SC | Home health agency |
| Roper-st. Francis Home Health | Charleston, SC | Home health agency |
| Mount Pleasant Hospital | Mount pleasant, SC | Hospital |
| Roper Hospital | Charleston, SC | Hospital |
| Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
| East Cooper Medical Center | Mount pleasant, SC | Hospital |
| Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roper Saint Francis Physicians Network | 5193874824 | 478 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Marie Datta, MD Po Box 751649, Charlotte, NC 28275-1649 Ph: (888) 472-0043 | Dr Susan Marie Datta, MD 180 Wingo Way, Suite 306, Mt Pleasant, SC 29464-1810 Ph: (843) 884-1777 |
Dr. Michael Mikola, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 180 Wingo Way, Stse 306, Mt Pleasant, SC 29464 Phone: 843-884-1777 Fax: 843-884-0710 | |
Jonathan Edward Parrack, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464 Phone: 843-884-5200 | |
John W Mcdonald, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1208 Two Island Ct, Mt Pleasant, SC 29466 Phone: 843-884-6653 | |
Dr. Bryan H Frain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 897 Von Kolnitz Road, Suite 101, Mt Pleasant, SC 29464 Phone: 843-534-1770 Fax: 877-453-3943 | |
Dr. Robert Scott Thompson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 498 Wando Park Blvd Ste 500, Mt Pleasant, SC 29464 Phone: 843-216-8139 Fax: 866-834-5680 | |
Dr. David Michael Ingraham, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Hospital Dr, Suite 300, Mt Pleasant, SC 29464 Phone: 843-884-5200 Fax: 843-884-6417 | |
Marjorie Caroline Spitznagel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Wingo Way Ste 207, Mt Pleasant, SC 29464 Phone: 843-884-5101 Fax: 843-606-7997 |