| Ramiro Jay Godines, MD | |
|
3655 Mitchell St, Loris, SC 29569-2827 | |
| (843) 716-7000 | |
| (706) 660-9390 |
| Full Name | Ramiro Jay Godines |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 3655 Mitchell St, Loris, 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 |
|---|---|---|---|
| 1073596631 | NPI | - | NPPES |
| GP2672 | Medicaid | SC | |
| 162898 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 16289 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | 16289 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Under Anesthesia | 6901083724 | 7 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Beach Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215061429 PECOS PAC ID: 6103924014 Enrollment ID: O20070530000620 |
| Entity Name | Under Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194018242 PECOS PAC ID: 6901083724 Enrollment ID: O20110603000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Ramiro Jay Godines, MD Po Box 2024, Columbia, SC 29202-2024 Ph: (706) 660-8505 | Ramiro Jay Godines, MD 3655 Mitchell St, Loris, SC 29569-2827 Ph: (843) 716-7000 |
Raymond Craig Collins, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3655 Mitchell St, Loris, SC 29569 Phone: 843-716-7000 Fax: 706-660-9390 | |
Frederick William Bellamy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3655 Mitchell St, Loris, SC 29569 Phone: 843-716-7000 Fax: 706-660-9390 |