| Robert Lee Clodfelter Jr, MD | |
|
25 Hospital Medical Center, Hilton Head, SC 29926 | |
| (843) 689-8281 | |
| Not Available |
| Full Name | Robert Lee Clodfelter Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 44 Years |
| Location | 25 Hospital Medical Center, Hilton Head, 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 |
|---|---|---|---|
| 1407806557 | NPI | - | NPPES |
| 20028894 | Other | SELECT HEALTH | |
| P00114180 | Other | RR MEDICARE | |
| 194453 | Medicaid | SC | |
| 115145684A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 19445 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 732 |
| Entity Name | Hilton Head Emergency Physicians, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326047176 PECOS PAC ID: 4688665235 Enrollment ID: O20040521000446 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255170361 PECOS PAC ID: 6608056171 Enrollment ID: O20240731002689 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Lee Clodfelter Jr, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Robert Lee Clodfelter Jr, MD 25 Hospital Medical Center, Hilton Head, SC 29926 Ph: (843) 689-8281 |
Brett Jeffrey Cargill, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Hospital Center Blvd, Hilton Head, SC 29926 Phone: 843-689-8281 | |
Patrick Michael Jordan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Greenwood Dr, Suite C, Hilton Head, SC 29928 Phone: 843-341-3232 Fax: 843-341-3234 | |
Michael R Kaup, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Hospital Center Blvd, Hilton Head, SC 29926 Phone: 843-689-8281 | |
Dr. Joel M Johnson Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 93 Main St, Hilton Head, SC 29926 Phone: 843-681-3777 Fax: 843-681-9996 |