| John Mark Redwine Sr, MD | |
|
5325 Appian Way, Charleston, SC 29420 | |
| (843) 552-0400 | |
| (843) 552-1618 |
| Full Name | John Mark Redwine Sr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 5325 Appian Way, Charleston, 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 |
|---|---|---|---|
| 1548227101 | NPI | - | NPPES |
| 135213 | Medicaid | SC | |
| GP6882 | Other | SC | MEDICAID GROUP |
| 060041439 | Other | SC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13521 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare | North charleston, SC | Home health agency |
| Amedisys Home Health Of Charleston | North charleston, SC | Home health agency |
| Trident Medical Center | Charleston, SC | Hospital |
| Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
| Musc Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palmetto Primary Care Physicians Llc | 4880508068 | 124 |
| Entity Name | Palmetto Primary Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
| Mailing Address | Practice Location Address |
|---|---|
| John Mark Redwine Sr, MD Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071 | John Mark Redwine Sr, MD 5325 Appian Way, Charleston, SC 29420 Ph: (843) 552-0400 |
Huyen Bui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 650 Ellis Oak Dr, Charleston, SC 29412 Phone: 843-792-3451 | |
Dr. Charles T Tweel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 51 Nassau St, Charleston, SC 29403 Phone: 803-722-4112 | |
Alexander Chessman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Justin William Dean, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2125 Charlie Hall Bvld, Ste 2, Charleston, SC 29414 Phone: 843-876-3151 | |
Dr. Julie Fritz Casasco, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Folly Rd, Charleston, SC 29412 Phone: 843-762-2360 Fax: 843-762-2340 | |
Lizina Blessing Green, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Dr. Donald P Hurley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2270 Ashley Crossing Dr Ste 150, Charleston, SC 29414 Phone: 843-766-1936 Fax: 843-766-1206 |