| Kenneth M Faile Jr, MD | |
|
355 S. Georgetown Hwy, Johnsonville, SC 29555 | |
| (843) 380-2000 | |
| (843) 380-2014 |
| Full Name | Kenneth M Faile Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 355 S. Georgetown Hwy, Johnsonville, 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 |
|---|---|---|---|
| 1750354858 | NPI | - | NPPES |
| T35012 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19643 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Care | Kingstree, SC | Home health agency |
| Mcleod Home Health Inc | Florence, SC | Home health agency |
| Kindred At Home | Florence, SC | Home health agency |
| Pruitthealth Home Health-florence | Florence, SC | Home health agency |
| Amedisys Home Health Of Conway | Conway, SC | Home health agency |
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Musc Health Florence Medical Center | Florence, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcleod Physician Associates Ii | 8224031307 | 535 |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Entity Name | Mcleod Health Clarendon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth M Faile Jr, MD Po Box 3239, Florence, SC 29502-3239 Ph: (843) 380-2000 | Kenneth M Faile Jr, MD 355 S. Georgetown Hwy, Johnsonville, SC 29555 Ph: (843) 380-2000 |