| Kelton Banks Wigington, MD | |
|
1773 Ebenezer Rd, Rock Hill, SC 29732-1101 | |
| (803) 981-5614 | |
| (803) 325-8473 |
| Full Name | Kelton Banks Wigington |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 11 Years |
| Location | 1773 Ebenezer Rd, Rock Hill, 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 |
|---|---|---|---|
| 1679914212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | LL36094 (South Carolina) | Secondary |
| 207W00000X | Ophthalmology | 36094 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rock Hill Eye Clinic Pa | 8921083502 | 5 |
| Entity Name | Rock Hill Eye Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003873308 PECOS PAC ID: 8921083502 Enrollment ID: O20040618001062 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelton Banks Wigington, MD 1773 Ebenezer Rd, Rock Hill, SC 29732-1101 Ph: (803) 328-0168 | Kelton Banks Wigington, MD 1773 Ebenezer Rd, Rock Hill, SC 29732-1101 Ph: (803) 981-5614 |
Dr. Charles L Tucker, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 724 Arden Lane, Suite 220, Rock Hill, SC 29732 Phone: 803-323-2020 Fax: 803-329-7897 | |
Dr. Erin Booher Goshorn, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1674 Cranium Dr Ste 104, Rock Hill, SC 29732 Phone: 803-327-3937 Fax: 803-792-0545 | |
Mr. L D Bartel, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1565 Ebenezer Rd, Rock Hill, SC 29732 Phone: 803-328-0168 Fax: 803-325-8473 | |
Mr. Bryan K Anderson, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1565 Ebenezer Road, Rock Hill, SC 29732 Phone: 803-328-0168 Fax: 803-325-8473 | |
Jennifer Threatt Perry, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1773 Ebenezer Rd, Rock Hill, SC 29732 Phone: 803-328-0168 Fax: 803-325-8473 | |
Dr. Nasrollah Samiy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 724 Arden Lane, Suite 220, Rock Hill, SC 29732 Phone: 803-323-2020 Fax: 803-329-7897 | |
Dr. David Brian Nelson, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 410 S Herlong Ave, Suite 103, Rock Hill, SC 29732 Phone: 803-985-3937 Fax: 803-985-3922 |