Jeffrey S Molle, MD | |
114 Gateway Corporate Blvd Ste 420, Columbia, SC 29203-9785 | |
(803) 365-8650 | |
(803) 365-8659 |
Full Name | Jeffrey S Molle |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 35 Years |
Location | 114 Gateway Corporate Blvd Ste 420, 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 |
---|---|---|---|
1073577375 | NPI | - | NPPES |
010083401 | Medicaid | VA | |
N0116E | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 200901168 (North Carolina) | Secondary |
208600000X | Surgery | 0101052466 (Virginia) | Secondary |
208600000X | Surgery | 84100 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Lexington | Lexington, SC | Home health agency |
Lexington Medical Center | West columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hyper Healing | 3577821958 | 11 |
Entity Name | Providence Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285253336 PECOS PAC ID: 9638475627 Enrollment ID: O20160328001916 |
Entity Name | Hyper Healing |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508381567 PECOS PAC ID: 3577821958 Enrollment ID: O20190115001342 |
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 |
---|---|
Jeffrey S Molle, MD Po Box 935722 Suite 450, Atlanta, GA 31193-5722 Ph: (843) 792-6200 | Jeffrey S Molle, MD 114 Gateway Corporate Blvd Ste 420, Columbia, SC 29203-9785 Ph: (803) 365-8650 |
Michael David Tichenor, MD Surgery Medicare: Medicare Enrolled Practice Location: Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 Phone: 803-434-4166 Fax: 803-434-4183 | |
Ms. Taylor C Dieter, DNP, NP-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 Graces Way, Columbia, SC 29229 Phone: 180-373-64560 | |
David Deaton, Surgery Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd Ste 300, Columbia, SC 29203 Phone: 803-545-5800 Fax: 803-254-0821 | |
Dr. William Mciver Leppard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2750 Laurel St Ste 200, Columbia, SC 29204 Phone: 803-409-7130 Fax: 803-252-8280 | |
Dalton Shuler Prickett, M.D. F.A.C.S. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1850 Laurel St, Columbia, SC 29201 Phone: 803-256-3400 Fax: 803-256-2039 | |
Dr. David Douglas Moffat Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 Laurel St Ste 1a, Columbia, SC 29201 Phone: 803-376-5982 Fax: 803-376-5987 |