| Wesley S Conwell, MD | |
|
1519 Marion St, Columbia, SC 29220-2910 | |
| (803) 296-5513 | |
| (803) 296-3076 |
| Full Name | Wesley S Conwell |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 1519 Marion St, Columbia, 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 |
|---|---|---|---|
| 1124090774 | NPI | - | NPPES |
| 28797 | Other | SC | MEDICAL LICENSE |
| 287978 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 28797 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Musc Health Florence Medical Center | Florence, SC | Hospital |
| Mcleod Health Clarendon | Manning, SC | Hospital |
| Mcleod Health Cheraw | Cheraw, SC | Hospital |
| Mcleod Medical Center - Dillon | Dillon, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Radiology Associates Llc | 1658350764 | 58 |
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | Carolina Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225014657 PECOS PAC ID: 1658350764 Enrollment ID: O20040714000287 |
| 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 |
|---|---|
| Wesley S Conwell, MD 555 E. Cheves St., Attn: Radiology Department/mrmc, Florence, SC 29506-2617 Ph: (843) 777-2879 | Wesley S Conwell, MD 1519 Marion St, Columbia, SC 29220-2910 Ph: (803) 296-5513 |
Dr. Jason P Eastlack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1519 Marion St, Columbia, SC 29201 Phone: 803-296-5954 Fax: 803-296-3076 | |
Heather Burch, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 8th Division Rd, Columbia, SC 29207 Phone: 803-751-2339 | |
Dr. James Joseph Farrell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Wjb Dorn Vamc, 6439 Garners Ferry Road, Columbia, SC 29209 Phone: 803-695-6811 Fax: 803-695-6745 | |
Dr. Raleigh J Boulware, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7 Medical Park, Suite 104, Columbia, SC 29223 Phone: 803-434-3400 Fax: 803-434-3938 | |
Gerald Edmund Richmond, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Park St, Columbia, SC 29201 Phone: 803-462-3770 Fax: 803-462-3771 | |
Dr. Robert Wesley Smith, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-7000 | |
Nichole Holmes, RT(R, CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 |