| Jason R Dameron, MD | |
|
704 Medical Park Drive, Hartsville Surgical Center Llp, Hartsville, SC 29550 | |
| (843) 332-1099 | |
| (843) 332-1091 |
| Full Name | Jason R Dameron |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 25 Years |
| Location | 704 Medical Park Drive, Hartsville, 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 |
|---|---|---|---|
| 1700863404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 25489 (South Carolina) | Primary |
| 208600000X | Surgery | 200500562 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolina Pines Regional Medical Center | Hartsville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartsville Surgical Center Llp | 1456363662 | 3 |
| Mcleod Physician Associates Ii | 8224031307 | 452 |
| Entity Name | Hartsville Surgical Center Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093760969 PECOS PAC ID: 1456363662 Enrollment ID: O20060706000175 |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason R Dameron, MD 1205 Oakhaven Circle, Hartsville, SC 29550 Ph: (843) 332-1716 | Jason R Dameron, MD 704 Medical Park Drive, Hartsville Surgical Center Llp, Hartsville, SC 29550 Ph: (843) 332-1099 |
Mr. Thomas Vanco Mincheff, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 Medical Park Drive, Hartsville Surgical Center Llp, Hartsville, SC 29550 Phone: 843-332-1099 Fax: 843-332-1091 | |
Dr. Patrick E Sizemore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 Medical Park Dr, Hartsville, SC 29550 Phone: 843-332-1099 Fax: 843-339-1091 | |
Mr. Carroll Brooks Bannister, MD Surgery Medicare: Medicare Enrolled Practice Location: 701 Medical Park Dr, Suite 101, Hartsville, SC 29550 Phone: 843-339-4295 Fax: 843-339-4609 | |
Philip Chaipis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 Medical Park Dr, Hartsville, SC 29550 Phone: 843-332-1099 |