| Joseph B Mcshea, DO | |
|
122 Okatie Center Blvd N Ste 100, Okatie, SC 29909-3782 | |
| (843) 706-8840 | |
| (833) 314-0430 |
| Full Name | Joseph B Mcshea |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 122 Okatie Center Blvd N Ste 100, Okatie, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972503332 | NPI | - | NPPES |
| N0031B | Medicaid | SC | |
| 1972503332 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200600315 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 1304 (South Carolina) | Primary |
| Entity Name | Caromont Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
| Entity Name | Caromont South Point Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891882551 PECOS PAC ID: 3072618396 Enrollment ID: O20070416000407 |
| Entity Name | Eventus Wholehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
| Entity Name | Eventus Value Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013680503 PECOS PAC ID: 1254736986 Enrollment ID: O20210818003793 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph B Mcshea, DO 955 Ribaut Rd, Beaufort, SC 29902-5441 Ph: (843) 522-7843 | Joseph B Mcshea, DO 122 Okatie Center Blvd N Ste 100, Okatie, SC 29909-3782 Ph: (843) 706-8840 |
Mary Lafrance Ferguson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 719 Okatie Hwy, Okatie, SC 29909 Phone: 843-987-7400 Fax: 843-987-7484 | |
Samai Supan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 719 Okatie Hwy # 170, Okatie, SC 29909 Phone: 843-987-7400 Fax: 843-987-5135 | |
Bobbi J Tenwolde, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 719 Okatie Hwy # 170, Okatie, SC 29909 Phone: 843-987-7400 | |
Lorraine M Mcrae, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 719 Okatie Hwy, Okatie, SC 29909 Phone: 843-987-7400 |