| Jonathan D King, MD | |
|
157 Corley Mill Rd, Ste 510, Lexington, SC 29072-7600 | |
| (803) 256-2483 | |
| (803) 799-4624 |
| Full Name | Jonathan D King |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 37 Years |
| Location | 157 Corley Mill Rd, Lexington, 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 |
|---|---|---|---|
| 1811938830 | NPI | - | NPPES |
| 621111 | Other | SELECT HEALTH | |
| C14633 | Other | RAILROAD MEDICARE GRP NUMBER | |
| PA1382 | Other | MEDICAID GROUP NUMBER | |
| 040011784 | Other | RAILROAD MEDICARE | |
| 191937 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 19193 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Prisma Health Baptist | Columbia, SC | Hospital |
| Lexington Medical Center | West columbia, SC | Hospital |
| Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centa Medical Group Pa | 9335108778 | 8 |
| Entity Name | Centa Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881626133 PECOS PAC ID: 9335108778 Enrollment ID: O20041011000075 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan D King, MD 157 Corley Mill Road, Lexington, SC 29072 Ph: (803) 256-2483 | Jonathan D King, MD 157 Corley Mill Rd, Ste 510, Lexington, SC 29072-7600 Ph: (803) 256-2483 |
William A Wells, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4711 Sunset Blvd, Lexington, SC 29072 Phone: 803-626-9164 Fax: 803-426-3589 | |
Dr. Aaron Michael Hilton, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 157 Corley Mill Rd, Lexington, SC 29072 Phone: 803-256-2483 Fax: 803-799-4624 | |
John Cameron Kirchner, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 157 Corley Mill Rd, Lexington, SC 29072 Phone: 803-256-2483 Fax: 803-799-4624 |