| Edward J Mayeaux, Jr, Jr, MD | |
|
145 Sunset Ct Ste 100, West Columbia, SC 29169-2429 | |
| (803) 739-3550 | |
| (803) 739-3546 |
| Full Name | Edward J Mayeaux, Jr, Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 145 Sunset Ct Ste 100, West Columbia, 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 |
|---|---|---|---|
| 1356368880 | NPI | - | NPPES |
| 1901156 | Medicaid | LA | |
| 356536 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35653 (South Carolina) | Primary |
| 207Q00000X | Family Medicine | 019451 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lexington Health Inc | 2567872070 | 824 |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J Mayeaux, Jr, Jr, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 739-3550 | Edward J Mayeaux, Jr, Jr, MD 145 Sunset Ct Ste 100, West Columbia, SC 29169-2429 Ph: (803) 739-3550 |
Bryce Alan Jones, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 145 Sunset Ct Ste 100, West Columbia, SC 29169 Phone: 803-739-3550 | |
Dr. Robert Mackey Callis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 145 Sunset Ct, West Columbia, SC 29169 Phone: 803-739-3550 Fax: 803-739-3546 | |
Dr. Garrett Ella Harris, MD, MBS Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 145 Sunset Ct Ste 100, West Columbia, SC 29169 Phone: 803-739-3550 | |
Dr. Gregory J Konduros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3314 Platt Springs Rd, West Columbia, SC 29170 Phone: 803-791-3494 Fax: 803-739-9854 | |
Robert M. Pallay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Sunset Ct Ste 100, West Columbia, SC 29169 Phone: 803-739-3550 Fax: 803-739-3546 | |
William Daniel Altman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Sunset Ct Ste 100, West Columbia, SC 29169 Phone: 803-739-3550 | |
Dr. John H Fisher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3314 Platt Springs Rd, West Columbia, SC 29170 Phone: 803-791-3494 Fax: 803-739-9854 |