Savannah Lakes Family Medicine - Medicare Mental Health Clinic in Mc Cormick, SC

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Savannah Lakes Family Medicine is a medicare enrolled mental health clinic (Family Medicine) in Mc Cormick, South Carolina. The current practice location for Savannah Lakes Family Medicine is 131 Holiday Rd, Mc Cormick, South Carolina. For appointments, you can reach them via phone at (864) 391-2025. The mailing address for Savannah Lakes Family Medicine is Po Box 887, Abbeville, South Carolina and phone number is (864) 366-5011.

Savannah Lakes Family Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1649816216. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (864) 391-2025.

Contact Information

Savannah Lakes Family Medicine
131 Holiday Rd
Mc Cormick
SC 29835-3402
(864) 391-2025
(864) 391-2030

Map and Direction


Mental Health Clinic Profile

Full NameSavannah Lakes Family Medicine
SpecialityFamily Medicine
Location131 Holiday Rd, Mc Cormick, South Carolina
Authorized Official Name and PositionMary Margaret Jackson (CHIEF COMPLIANCE OFFICER)
Authorized Official Contact8643663279
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Savannah Lakes Family Medicine
Po Box 887
Abbeville
SC 29620-0887

Ph: (864) 366-5011		Savannah Lakes Family Medicine
131 Holiday Rd
Mc Cormick
SC 29835-3402

Ph: (864) 391-2025

NPI Details:

NPI Number1649816216
Provider Enumeration Date11/19/2019
Last Update Date01/06/2023
Certification Date01/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7719891506
Medicare Enrollment IDO20031117000214

Medical Identifiers

Medical identifiers for Savannah Lakes Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649816216NPI-NPPES
GP9590MedicaidSC
42D2178584OtherSCCLIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
208600000XSurgery (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Savannah Lakes Family Medicine acts as a billing entity for following providers:
Provider NameAlanna E Angel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124005541
PECOS PAC ID: 5890697635
Enrollment ID: I20040122001031
Provider NameHeidi E Rodillo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124194451
PECOS PAC ID: 2567421837
Enrollment ID: I20041004000853
Provider NameDerek S Harwell
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1285614396
PECOS PAC ID: 5395648653
Enrollment ID: I20041006000768
Provider NameKerry T Lee
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1760452296
PECOS PAC ID: 0345209201
Enrollment ID: I20041006000794
Provider NameJeffrey A Dean
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1417927302
PECOS PAC ID: 6002875978
Enrollment ID: I20041006000859
Provider NameJohn M Shingler
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1891775227
PECOS PAC ID: 0648239525
Enrollment ID: I20041006000941
Provider NameGus Z Bazan
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1639159791
PECOS PAC ID: 4486613361
Enrollment ID: I20041006000997
Provider NameWilliam F Hubbard
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1306826417
PECOS PAC ID: 9335108224
Enrollment ID: I20041006001068
Provider NameRobert J Dibenedetto
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1457331977
PECOS PAC ID: 9739148636
Enrollment ID: I20041006001120
Provider NameKevin R Fuqua
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1871573964
PECOS PAC ID: 0143289041
Enrollment ID: I20041006001163
Provider NameMichael Turner
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1003800764
PECOS PAC ID: 3779558572
Enrollment ID: I20060727000385
Provider NameChristopher Oxendine
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1194985234
PECOS PAC ID: 5799838405
Enrollment ID: I20090728000732
Provider NameChristopher M Ceraldi
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770661555
PECOS PAC ID: 6103971239
Enrollment ID: I20090826000042
Provider NameGene E Floyd
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1194855346
PECOS PAC ID: 7810023470
Enrollment ID: I20100407000534
Provider NameDawne F Hershberger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871572107
PECOS PAC ID: 8527198720
Enrollment ID: I20100615000517
Provider NameCharles Allen Kolb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043213622
PECOS PAC ID: 5597854190
Enrollment ID: I20100723000692
Provider NameDan W Robinson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447244777
PECOS PAC ID: 7719874577
Enrollment ID: I20100812000734
Provider NameTheresa Bishop
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1659304483
PECOS PAC ID: 0840324653
Enrollment ID: I20100816000817
Provider NameGlen Scott
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1184656233
PECOS PAC ID: 0042279044
Enrollment ID: I20101026000206
Provider NamePaul J Velky
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1437139235
PECOS PAC ID: 1557541893
Enrollment ID: I20110203000869
Provider NameDouglas B Moore
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396064804
PECOS PAC ID: 0345418349
Enrollment ID: I20110718000800
Provider NameSteven Adams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053349357
PECOS PAC ID: 4587734579
Enrollment ID: I20110914000437
Provider NameKaren Leslie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629053400
PECOS PAC ID: 8527227792
Enrollment ID: I20120307000302
Provider NameCourtney Ashley Burton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497015184
PECOS PAC ID: 4688830474
Enrollment ID: I20120723000954
Provider NameKeith A Scott
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740280718
PECOS PAC ID: 5698683829
Enrollment ID: I20120802000731
Provider NameJulie Moore
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275848020
PECOS PAC ID: 0446405104
Enrollment ID: I20130301000315
Provider NameWilliam Long
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1447486980
PECOS PAC ID: 1850535857
Enrollment ID: I20130912000667
Provider NameBlake Mcneill Hodges
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659710440
PECOS PAC ID: 4082830260
Enrollment ID: I20140724000101
Provider NameBridgett H Seagroves
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275829871
PECOS PAC ID: 3577781558
Enrollment ID: I20140904002117
Provider NameJennifer Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831557149
PECOS PAC ID: 1456640671
Enrollment ID: I20160511001602
Provider NameEmily Horne Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669900296
PECOS PAC ID: 1153689609
Enrollment ID: I20171211002566
Provider NameBrandon Everett Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245798727
PECOS PAC ID: 7315376639
Enrollment ID: I20200407001580
Provider NameRosanna Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306458237
PECOS PAC ID: 6608296710
Enrollment ID: I20201012000845
Provider NameAmy M Rodgers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104436799
PECOS PAC ID: 3173936796
Enrollment ID: I20201228001979
Provider NameBrian Mark Melancon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417526146
PECOS PAC ID: 1254734759
Enrollment ID: I20210721002136

Reviews and Comments

Family Medicine in Mc Cormick, SC


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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