| Yvette-marie Pellegrino, MD | |
|
Beaufort Memorial Lady's Island Internal Medicine, 117 Sea Island Parkway, Beaufort, SC 29907-1500 | |
| (843) 522-7240 | |
| (843) 522-7249 |
| Full Name | Yvette-marie Pellegrino |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | Beaufort Memorial Lady's Island Internal Medicine, Beaufort, South Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578536504 | NPI | - | NPPES |
| 81547 | Other | SC | SC STATE MD LICENSE |
| 5902403 | Medicaid | NC | |
| 010724821 | Other | NC | TAX ID # |
| 815470 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 81574 (South Carolina) | Primary |
| 207Q00000X | Family Medicine | 200501189 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Beaufort | Ladys island, SC | Home health agency |
| Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cora South Carolina Llc | 3173766334 | 98 |
| Beaufort County Memorial Hospital | 7810809365 | 131 |
| Entity Name | Beaufort County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871335018 PECOS PAC ID: 7810809365 Enrollment ID: O20050208000354 |
| Entity Name | Beaufort County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598713117 PECOS PAC ID: 7810809365 Enrollment ID: O20050518001061 |
| Mailing Address | Practice Location Address |
|---|---|
| Yvette-marie Pellegrino, MD 955 Ribaut Rd, Bmac Credentialing, Beaufort, SC 29902-5441 Ph: (843) 522-7240 | Yvette-marie Pellegrino, MD Beaufort Memorial Lady's Island Internal Medicine, 117 Sea Island Parkway, Beaufort, SC 29907-1500 Ph: (843) 522-7240 |
Melissa Dawn Bowers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 272 Robert Smalls Pkwy, Suite 320, Beaufort, SC 29906 Phone: 843-521-4357 Fax: 843-521-4566 | |
Bertram Dodson Garrett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Fort Lyttleton, Beaufort, SC 29906 Phone: 843-422-1033 | |
Dr. Alexander Hray Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5253 | |
Dr. Todd Eric Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 670 Boulevard De France, Beaufort, SC 29902 Phone: 843-228-5200 | |
Floyd Ashton Cribbs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 335 Pleasant Point Dr, Beaufort, SC 29907 Phone: 803-699-9073 Fax: 866-527-0937 | |
Dr. Wendy D Kloesz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 335 Pleasant Point Dr, Beaufort, SC 29907 Phone: 803-699-9073 Fax: 866-527-0937 | |
Dr. James Hosea Barnebee Iii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5409 Fax: 843-228-5555 |