| Justine De La Rosa Decastro, MD | |
|
1254 Yeamans Hall Rd, Hanahan, SC 29410-2787 | |
| (843) 554-8312 | |
| (337) 943-0846 |
| Full Name | Justine De La Rosa Decastro |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 1254 Yeamans Hall Rd, Hanahan, 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 |
|---|---|---|---|
| 1194936831 | NPI | - | NPPES |
| 329807 | Medicaid | SC | |
| P01214786 | Other | SC | RR-MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32980 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Charleston East | Charleston, SC | Home health agency |
| Pruitthealth Hospice- Charleston | Charleston, SC | Hospice |
| Riverside Health And Rehab | Charleston, SC | Nursing home |
| Pruitthealth-walterboro | Walterboro, SC | Nursing home |
| Pruitthealth-moncks Corner | Moncks corner, SC | Nursing home |
| Franke Health Care Center | Mount pleasant, SC | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Patient Care Of South Carolina Pc | 1951672617 | 157 |
| Ch Specialty Services Sc Llc | 6608182993 | 150 |
| Entity Name | John E Emmel Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235263534 PECOS PAC ID: 5193772747 Enrollment ID: O20050405001281 |
| Entity Name | Ch Specialty Services Sc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275915522 PECOS PAC ID: 6608182993 Enrollment ID: O20150901002450 |
| Entity Name | Elite Patient Care Of South Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866 |
| Entity Name | Charleston Carenow Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093248288 PECOS PAC ID: 3274893359 Enrollment ID: O20180209001769 |
| Mailing Address | Practice Location Address |
|---|---|
| Justine De La Rosa Decastro, MD 1509 Dulles Dr, Lafayette, LA 70506-3718 Ph: (337) 991-9276 | Justine De La Rosa Decastro, MD 1254 Yeamans Hall Rd, Hanahan, SC 29410-2787 Ph: (843) 554-8312 |
Kirt A Caton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1254 Yeamans Hall Rd, Hanahan, SC 29410 Phone: 843-554-8312 Fax: 843-554-5141 |