| Jackson M Ewart, MD | |
|
903 N Fraser St # A, Georgetown, SC 29440-2879 | |
| (843) 527-1331 | |
| (843) 527-1332 |
| Full Name | Jackson M Ewart |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 903 N Fraser St # A, Georgetown, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699955005 | NPI | - | NPPES |
| 7399 | Other | SC | MEDICARE GROUP PTAN |
| 088345 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 8834 (South Carolina) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 8834 (South Carolina) | Primary |
| Entity Name | Georgetown Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
| Entity Name | Waccamaw Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003889676 PECOS PAC ID: 8527970771 Enrollment ID: O20040506001434 |
| Entity Name | Georgetown Physician Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235475930 PECOS PAC ID: 2365697398 Enrollment ID: O20130225000067 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson M Ewart, MD Po Box 1519, Georgetown, SC 29442-1519 Ph: (843) 527-1331 | Jackson M Ewart, MD 903 N Fraser St # A, Georgetown, SC 29440-2879 Ph: (843) 527-1331 |
Mr. Newton Craig Brackett Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2405 N Fraser St, Georgetown, SC 29440 Phone: 843-651-3308 Fax: 843-651-4629 | |
Dr. Amy Reed, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd Ste 301, Georgetown, SC 29440 Phone: 843-652-8120 Fax: 843-848-5335 | |
Sara Beth Shields Tarwater, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1014 Huger Dr, Georgetown, SC 29440 Phone: 843-520-8780 | |
James D Givens Iv, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd Ste 301, Georgetown, SC 29440 Phone: 843-652-8390 Fax: 843-652-8399 |