| Jack E Dobkin, DO | |
|
106 Parkview Dr, Laurens, SC 29360-2652 | |
| (864) 984-0571 | |
| (864) 984-3610 |
| Full Name | Jack E Dobkin |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 42 Years |
| Location | 106 Parkview Dr, Laurens, 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 |
|---|---|---|---|
| 1194771469 | NPI | - | NPPES |
| 00AX80760 | Medicaid | CA | |
| 044862 | Other | HEALHT NET ID # | |
| 020A80760 | Other | BLUE SHIELD ID # | |
| 60066531 | Other | RAILROAD | |
| 60066532 | Other | RAILROAD | |
| 517088 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 20A8076 (California) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 51708 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ghs Laurens County Memorial Hospital | Clinton, SC | Hospital |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Prisma Health Baptist Easley Hospital | Easley, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health University Medical Group | 8325950983 | 2450 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack E Dobkin, DO Dept La 23039, Pasadena, CA 91185-3039 Ph: (562) 282-4038 | Jack E Dobkin, DO 106 Parkview Dr, Laurens, SC 29360-2652 Ph: (864) 984-0571 |
Brian E Weirick, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 22580 Highway 76 E, Suite 200, Laurens, SC 29360 Phone: 864-833-0055 Fax: 864-833-4008 |