| Jacquelyn F Van Dam, MD | |
|
146 E Hospital Dr Ste 141, West Columbia, SC 29169-4800 | |
| (803) 314-9640 | |
| (803) 314-9641 |
| Full Name | Jacquelyn F Van Dam |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 30 Years |
| Location | 146 E Hospital Dr Ste 141, West Columbia, 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 |
|---|---|---|---|
| 1477703940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 22508 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lexington Health Inc | 2567872070 | 824 |
| Entity Name | Palmetto Bone And Joint |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720295793 PECOS PAC ID: 4385545565 Enrollment ID: O20040120000455 |
| 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 |
|---|---|
| Jacquelyn F Van Dam, MD 104 Saluda Pointe Dr, Lexington, SC 29072-7295 Ph: (803) 227-8000 | Jacquelyn F Van Dam, MD 146 E Hospital Dr Ste 141, West Columbia, SC 29169-4800 Ph: (803) 314-9640 |
Dr. Tiffany Nicole Howard, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 103 Sum Mor Dr, Vitality Medical Centers, Inc., West Columbia, SC 29169 Phone: 803-218-9886 | |
Dr. John Evans Stavrakos, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 103 Sum Mor Dr, West Columbia, SC 29169 Phone: 803-244-9212 | |
Tayvionna Etheredge, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 Dreher Road, Suite 100, West Columbia, SC 29169 Phone: 803-525-7080 | |
William Randal Westerkam, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 100&200, West Columbia, SC 29169 Phone: 803-935-8410 Fax: 803-936-7816 | |
Maeghan Edge, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Still Hopes Dr, West Columbia, SC 29169 Phone: 803-796-6490 | |
Mr. Kenneth Dixon Acker Jr., Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1177 Sunset Blvd, West Columbia, SC 29169 Phone: 803-794-3440 Fax: 803-791-3862 |