| Johnna Hicks Stevens, MD | |
|
Beaufort Memorial Bluffton Primary Care, 11 Arley Way, Ste 201, Bluffton, SC 29910-4883 | |
| (843) 706-8690 | |
| (844) 295-9802 |
| Full Name | Johnna Hicks Stevens |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 12 Years |
| Location | Beaufort Memorial Bluffton Primary Care, Bluffton, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184973109 | NPI | - | NPPES |
| 81571 | Other | SC | STATE LICENSE BOARD |
| 815719 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 78307 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 81571 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Agape Hospice Of The Lowcountry | Charleston, SC | Hospice |
| Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
| Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
| Candler Hospital | Savannah, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaufort County Memorial Hospital | 7810809365 | 131 |
| Entity Name | Beaufort County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871335018 PECOS PAC ID: 7810809365 Enrollment ID: O20050208000354 |
| Entity Name | Beaufort County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598713117 PECOS PAC ID: 7810809365 Enrollment ID: O20050518001061 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnna Hicks Stevens, MD 955 Ribaut Rd, Bmac Credentialing, Beaufort, SC 29902-5441 Ph: (843) 522-7843 | Johnna Hicks Stevens, MD Beaufort Memorial Bluffton Primary Care, 11 Arley Way, Ste 201, Bluffton, SC 29910-4883 Ph: (843) 706-8690 |
Timothy Scharold, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Mallett Way, Suite 101, Bluffton, SC 29910 Phone: 843-681-9300 Fax: 843-815-5650 | |
Dr. Kathy Lyn Christman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Buckwalter Place Blvd Ste 120, Bluffton, SC 29910 Phone: 843-836-7120 Fax: 843-815-8014 | |
John C. Lystash, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 29 Plantation Park Dr, Bluffton, SC 29910 Phone: 843-706-7090 | |
Kyle Ryan Mcmillen, Internal Medicine Medicare: Medicare Enrolled Practice Location: 375 Hope Pond Way Unit 107, Bluffton, SC 29910 Phone: 854-235-2840 | |
Dr. Kelsey Nelle Mijares, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4818 Bluffton Pkwy, Bluffton, SC 29910 Phone: 843-706-0600 Fax: 843-706-0601 | |
Dr. Anemaria Lutas, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 10 Oak Forest Rd Ste C, Bluffton, SC 29910 Phone: 843-815-3006 |