| Stephen Andrew Dersch, MD | |
|
805 Pamplico Hwy Ste B135, Florence, SC 29505-6047 | |
| (843) 674-6414 | |
| (843) 674-2642 |
| Full Name | Stephen Andrew Dersch |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 805 Pamplico Hwy Ste B135, Florence, 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 |
|---|---|---|---|
| 1699733238 | NPI | - | NPPES |
| 226785 | Medicaid | SC | |
| P00103192 | Other | SC | RAILROAD MEDICARE- PROVIDER NUMBER |
| GP4840 | Other | SC | MEDICAID GROUP |
| CN2547 | Other | SC | RAILROAD MEDICARE- GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 22678 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 22678 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Health Florence Medical Center | Florence, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100107000067 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Andrew Dersch, MD Po Box 603898, Charlotte, NC 28260-3898 Ph: (843) 792-6200 | Stephen Andrew Dersch, MD 805 Pamplico Hwy Ste B135, Florence, SC 29505-6047 Ph: (843) 674-6414 |
Dr. James Johnson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-5738 | |
Dr. Caitlin Basnight, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-5738 | |
John R. Mattheis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-2800 Fax: 843-777-2810 | |
William H. Hester, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-2800 Fax: 843-777-2810 | |
Tabitha Elizabeth Davis Stellato, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 N Ravenel St, Florence, SC 29506 Phone: 843-777-2800 | |
Dr. Vikas Anand Gupta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 N Irby St, Florence, SC 29501 Phone: 843-667-9414 | |
Gazelle Moharari, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 770-851-1735 |