| Enon Maci, MD | |
|
9330 Medical Plaza Dr, Charleston, SC 29406-9104 | |
| (843) 847-3225 | |
| (843) 847-3247 |
| Full Name | Enon Maci |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 9330 Medical Plaza Dr, 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 |
|---|---|---|---|
| 1750473096 | NPI | - | NPPES |
| 301612 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 241487 (New York) | Secondary |
| 207R00000X | Internal Medicine | 30161 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trident Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Hospitalist Services Pc | 3476855420 | 264 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
| Entity Name | 24 On Physicians Of Sc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144877655 PECOS PAC ID: 5890127344 Enrollment ID: O20191121001203 |
| Entity Name | Impact Physician Group South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215521752 PECOS PAC ID: 9638579352 Enrollment ID: O20210616002604 |
| Mailing Address | Practice Location Address |
|---|---|
| Enon Maci, MD 9330 Medical Plaza Dr, Charleston, SC 29406-9104 Ph: (843) 847-3225 | Enon Maci, MD 9330 Medical Plaza Dr, Charleston, SC 29406-9104 Ph: (843) 847-3225 |
Nikko Rowe Asuncion Tabliago, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 135 Rutledge Ave Rm 1209, Charleston, SC 29425 Phone: 843-792-4541 | |
Moses K Asempah, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 717-491-3745 | |
Paige Nicole Laverick, PA-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. James Howard Benson Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 843-792-4074 | |
Amit Agrawal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Yevgeniy Gelfand, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-0111 | |
Patrick A Flume, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |