| Mr Kenneth Dixon Acker Jr, | |
|
1177 Sunset Blvd, West Columbia, SC 29169-6863 | |
| (803) 794-3440 | |
| (803) 791-3862 |
| Full Name | Mr Kenneth Dixon Acker Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 24 Years |
| Location | 1177 Sunset Blvd, West Columbia, 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 |
|---|---|---|---|
| 1508961020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 4243 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Rehabilitation Clinic Inc | 2668431644 | 13 |
| Entity Name | Columbia Rehabilitation Clinic |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1164404711 PECOS PAC ID: 2668431644 Enrollment ID: O20090928000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Dixon Acker Jr, 1177 Sunset Blvd, Columbia Rehabilitation Clinic, West Columbia, SC 29169-6863 Ph: (803) 794-3440 | Mr Kenneth Dixon Acker Jr, 1177 Sunset Blvd, West Columbia, SC 29169-6863 Ph: (803) 794-3440 |
Dr. Tiffany Nicole Howard, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 103 Sum Mor Dr, Vitality Medical Centers, Inc., West Columbia, SC 29169 Phone: 803-218-9886 | |
Dr. John Evans Stavrakos, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 103 Sum Mor Dr, West Columbia, SC 29169 Phone: 803-244-9212 | |
Tayvionna Etheredge, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 Dreher Road, Suite 100, West Columbia, SC 29169 Phone: 803-525-7080 | |
William Randal Westerkam, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 100&200, West Columbia, SC 29169 Phone: 803-935-8410 Fax: 803-936-7816 | |
Maeghan Edge, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Still Hopes Dr, West Columbia, SC 29169 Phone: 803-796-6490 | |
Jacquelyn F Van Dam, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 141, West Columbia, SC 29169 Phone: 803-314-9640 Fax: 803-314-9641 |