| Jeffrey Cabot Clevenger, MD | |
|
300 Palmetto Health Pkwy Ste 400, Columbia, SC 29212-1764 | |
| (803) 434-3800 | |
| (803) 744-2759 |
| Full Name | Jeffrey Cabot Clevenger |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 35 Years |
| Location | 300 Palmetto Health Pkwy Ste 400, Columbia, 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 |
|---|---|---|---|
| 1801876909 | NPI | - | NPPES |
| 1266W | Other | NC | BCBS ID# |
| 40724 | Other | NC | PARTNERS ID# |
| 1285682310 | Other | NC | WSCA GRP NPI # |
| 891266W | Medicaid | NC | |
| 1801876909 | Medicaid | VA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chesapeake General Hospital, Chesapeake Reg Mc | Chesapeake, VA | Hospital |
| Intermountain Health St Vincent Regional Hospital | Billings, MT | Hospital |
| Holy Rosary Healthcare | Miles city, MT | Hospital |
| Cody Regional Health | Cody, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chesapeake Regional Medical Group | 8426113663 | 148 |
| Scl Health Medical Group - Billings Llc | 9638491574 | 291 |
| Entity Name | Chesapeake Regional Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699940270 PECOS PAC ID: 8426113663 Enrollment ID: O20090223000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Cabot Clevenger, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 695-6697 | Jeffrey Cabot Clevenger, MD 300 Palmetto Health Pkwy Ste 400, Columbia, SC 29212-1764 Ph: (803) 434-3800 |
William Cole Andrew, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-8721 |
Seetharamprasad Madala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 Fax: 803-434-4160 |
Dr. Terry A Grainger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-3800 Fax: 803-744-2759 |
Dr. Adelero Olayinka Adebajo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Laurel St, Columbia, SC 29201 Phone: 803-799-8407 Fax: 803-252-9070 |
James Pratt Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 |
Jeff Z Brooker Jr., MD, RETIRED Internal Medicine Medicare: Medicare Enrolled Practice Location: 1625 Bernardin Ave, Columbia, SC 29204 Phone: 803-251-8985 |
Dr. Ronald L Collins, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1711 Saint Julian Pl, Columbia, SC 29204 Phone: 803-779-0911 Fax: 803-256-2480 |