| John Vincent Pastore, MD | |
|
171 Ashley Ave, Charleston, SC 29425-1009 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | John Vincent Pastore |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 30 Years |
| Location | 171 Ashley Ave, 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 |
|---|---|---|---|
| 1295786978 | NPI | - | NPPES |
| 051021000000 | Other | FIDELIS | |
| 1212816 | Other | IHA | |
| 00026960701 | Other | UNIVERA | |
| 000528058003 | Other | BC/BS | |
| 02414482 | Medicaid | NY | |
| 000528058001 | Other | BC/BS | |
| 050301000096 | Other | FIDELIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 223318 (New York) | Secondary |
| 208000000X | Pediatrics | 87253 (South Carolina) | Primary |
| 208M00000X | Hospitalist | 87253 (South Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Medical Associates Of The Medical University Of South Carol | 6305758574 | 1472 |
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Mailing Address | Practice Location Address |
|---|---|
| John Vincent Pastore, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | John Vincent Pastore, MD 171 Ashley Ave, Charleston, SC 29425-1009 Ph: (843) 792-1414 |
Andrew M Atz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Kelly Michelle Roelf, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 125 Doughty Street, Msc 561, Charleston, SC 29403 Phone: 310-929-0627 | |
Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265 |