| Jaime Christine Wise, MD | |
|
800 W Meeting St, Lancaster, SC 29720-2202 | |
| (803) 286-1214 | |
| (888) 507-9833 |
| Full Name | Jaime Christine Wise |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 800 W Meeting St, Lancaster, 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 |
|---|---|---|---|
| 1740319904 | NPI | - | NPPES |
| NC1055 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2008-00306 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | MMD.36408MD (South Carolina) | Primary |
| Entity Name | Healogics Specialty Physicians Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033531850 PECOS PAC ID: 8325261209 Enrollment ID: O20140521002244 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime Christine Wise, MD Po Box 848886, Boston, MA 02284-8886 Ph: (904) 446-3451 | Jaime Christine Wise, MD 800 W Meeting St, Lancaster, SC 29720-2202 Ph: (803) 286-1214 |
Dr. Steven M Culp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 W Meeting St, Suite 200, Lancaster, SC 29720 Phone: 803-285-7414 Fax: 803-283-4329 | |
Mrs. Cassie Callahan Jenkins, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1025 W Meeting St, Lancaster, SC 29720 Phone: 803-285-7414 | |
Mr. Amrendra Kumar, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1130 Hwy 9 Bypass W, Lancaster, SC 29720 Phone: 803-285-2225 | |
Roy A Still, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1228 Colonial Commons Ct, Lancaster, SC 29720 Phone: 803-283-2011 Fax: 803-286-9962 | |
Dr. Keith D Shealy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 W Meeting St, Suite 200, Lancaster, SC 29720 Phone: 803-285-7414 Fax: 803-283-4329 | |
Dr. Linda C Daily, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1025 W Meeting St, Suite 200, Lancaster, SC 29720 Phone: 803-285-7414 Fax: 803-283-4329 | |
Dr. Kristin Shannon Black, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 820 W Meeting St, Lancaster, SC 29720 Phone: 803-285-5441 |