| Jan Presberg Md Llc | |
|
1904 Sunset Blvd Suite D West Columbia SC 29169-5932 | |
| (803) 791-1485 | |
| (803) 939-9378 |
| Full Name | Jan Presberg Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1904 Sunset Blvd, West Columbia, South Carolina |
| Authorized Official Name and Position | Jan Presberg (MEDICAL DOCTOR AND OWNER) |
| Authorized Official Contact | 8037911485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Presberg Md Llc 1904 Sunset Blvd Suite D West Columbia SC 29169-5932 Ph: (803) 791-1485 | Jan Presberg Md Llc 1904 Sunset Blvd Suite D West Columbia SC 29169-5932 Ph: (803) 791-1485 |
| NPI Number | 1841412178 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 10/22/2012 |
| Medicare PECOS PAC ID | 6406956465 |
|---|---|
| Medicare Enrollment ID | O20070705000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841412178 | NPI | - | NPPES |
| 228024 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 22802 (South Carolina) | Primary |
| Provider Name | Jan Presberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386796795 PECOS PAC ID: 8022024470 Enrollment ID: I20060222000819 |
Octave Behavioral Michigan Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Meeting St, West Columbia, SC 29169 Phone: 415-360-3833 Fax: 628-234-3048 | |
Robinson Developmental, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2999 Sunset Blvd Ste 100, West Columbia, SC 29169 Phone: 803-939-9699 Fax: 803-939-9086 | |
Meditelecare Of South Carolina Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Meeting St, West Columbia, SC 29169 Phone: 860-788-6404 | |
Three Rivers Behavioral Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Sunset Blvd, West Columbia, SC 29169 Phone: 803-796-9911 | |
Palmetto Behavioral Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Marble St, West Columbia, SC 29169 Phone: 803-309-3399 Fax: 803-888-4064 | |
Choices Counseling And Advocacy Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3969 Southeastern Way, West Columbia, SC 29169 Phone: 803-851-4049 | |
Macon Changes Professional Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Inview Rd, West Columbia, SC 29169 Phone: 803-223-9010 |