| Roman Peele Blount Iv, | |
|
1846 Dutch Fork Rd, Irmo, SC 29063-8830 | |
| (803) 781-5200 | |
| Not Available |
| Full Name | Roman Peele Blount Iv |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 1846 Dutch Fork Rd, Irmo, 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 |
|---|---|---|---|
| 1003496720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | BLOU-LA8994 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 92561 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lexington Health Inc | 2567872070 | 824 |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Roman Peele Blount Iv, Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 791-2203 | Roman Peele Blount Iv, 1846 Dutch Fork Rd, Irmo, SC 29063-8830 Ph: (803) 781-5200 |
Dianna Lyn Neal, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Rachel L. Callis-wolfe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1846 Dutch Fork Road, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843 | |
Dr. Sean Douglas Fuller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Dr. Michael L Nunnery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1846 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843 | |
Dr. Sarah Marie Schumacher, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-274-6263 Fax: 803-973-6636 | |
Dr. Jamee H Steen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1079 Dutch Fork Road, Irmo, SC 29063 Phone: 803-749-8900 Fax: 803-749-8899 |