Maria Rudisill Streck, is a medicare enrolled "Allergy & Immunology" physician in Mt Pleasant, South Carolina. She went to Wake Forest University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Carolina Family Care Inc and her current practice location is
1440 Ben Sawyer Blvd, Mt Pleasant, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 876-8333.
Maria Rudisill Streck is licensed to practice in South Carolina (license number TL30868) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114963188.
Physician's Profile
| Full Name | Maria Rudisill Streck |
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| Gender | Female |
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| Speciality | Allergy/immunology |
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| Experience | 23 Years |
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| Location | 1440 Ben Sawyer Blvd, Mt Pleasant, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Maria Rudisill Streck attended and graduated from Wake Forest University School Of Medicine in 2001
NPI Data:
- NPI Number: 1114963188
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 10/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123021128
- Enrollment ID: I20081027000464
Medical Identifiers
Medical identifiers for Maria Rudisill Streck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114963188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 38389 (Tennessee) | Secondary |
| 207K00000X | Allergy & Immunology | 19404 (Mississippi) | Secondary |
| 208000000X | Pediatrics | 30868 (South Carolina) | Secondary |
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 30868 (South Carolina) | Secondary |
| 207K00000X | Allergy & Immunology | TL30868 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carolina Family Care Inc | 4587557731 | 62 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maria Rudisill Streck allows following entities to bill medicare on her behalf.
| Entity Name | Carolina Family Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184655722
PECOS PAC ID: 4587557731
Enrollment ID: O20040203000627 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maria Rudisill Streck is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Maria Rudisill Streck,
Po Box 602108,
Charlotte, NC 28260-2108
Ph: (843) 792-6200 | Maria Rudisill Streck,
1440 Ben Sawyer Blvd,
Mt Pleasant, SC 29464-5525
Ph: (843) 876-8333 |
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