| Samuel Owens Schumann Jr, MD | |
|
104 Funk Ave, Saint Stephen, SC 29479-3383 | |
| (843) 567-3206 | |
| (843) 567-3287 |
| Full Name | Samuel Owens Schumann Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 104 Funk Ave, Saint Stephen, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386649085 | NPI | - | NPPES |
| 135507 | Medicaid | SC | |
| P00449862 | Other | SC | RR MEDICARE |
| GPPA0169 | Other | SC | MEDICAID GROUP |
| GP3821 | Other | SC | MEDICAID GROUP LIVE OAK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13550 (South Carolina) | Primary |
| Entity Name | Palmetto Primary Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Owens Schumann Jr, MD Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071 | Samuel Owens Schumann Jr, MD 104 Funk Ave, Saint Stephen, SC 29479-3383 Ph: (843) 567-3206 |
Barbara F Gregg, CFNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 Funk Ave, Saint Stephen, SC 29479 Phone: 843-567-3206 Fax: 843-567-3287 | |
Clay J. Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Funk Ave, Saint Stephen, SC 29479 Phone: 843-567-3206 Fax: 843-567-3287 | |
Dr. Sarah Holleman Brown, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 137 Cedar Dr, Saint Stephen, SC 29479 Phone: 843-567-4000 Fax: 843-567-3000 |