| Mark Joseph Siegel, MD | |
|
169 Ashley Ave, Room 202 Main Hospital Musc333, Charleston, SC 29425 | |
| (843) 792-3876 | |
| (843) 876-1435 |
| Full Name | Mark Joseph Siegel |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 10 Years |
| Location | 169 Ashley Ave, Charleston, 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 |
|---|---|---|---|
| 1437536463 | NPI | - | NPPES |
| 38050 | Other | SC | MEDICAL LICENSE |
| 380509 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 38050 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mt Pleasant Dermatology | 6204721285 | 7 |
| University Medical Associates Of The Medical University Of South Carol | 6305758574 | 1472 |
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Entity Name | Mt Pleasant Dermatology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048828 PECOS PAC ID: 6204721285 Enrollment ID: O20040218000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Joseph Siegel, MD 570 Long Point Rd Ste 200, Mt Pleasant, SC 29464-7940 Ph: (843) 881-0320 | Mark Joseph Siegel, MD 169 Ashley Ave, Room 202 Main Hospital Musc333, Charleston, SC 29425 Ph: (843) 792-3876 |
Cynthia Irby Wilson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8 Farmfield Ave Ste D, Charleston, SC 29407 Phone: 843-469-5641 | |
Hudson C Rogers, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 9295 Medical Plaza Dr, Suite B, Charleston, SC 29406 Phone: 843-797-3960 Fax: 843-553-4216 | |
Dr. John C Maize Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9295 Medical Plaza Dr, Suite A, Charleston, SC 29406 Phone: 843-797-3960 Fax: 843-553-4216 | |
Benjamin Sue-ming Kuo, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Pearon G Lang Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. John Plante, MD, MSCR Dermatology Medicare: Not Enrolled in Medicare Practice Location: 268 Calhoun St, Charleston, SC 29425 Phone: 843-792-5252 | |
Catherine Reeves Griffin, NP Dermatology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |