| David R Hart, PA-C | |
|
354 Folly Rd Ste 5, Charleston, SC 29412-2594 | |
| (843) 225-2374 | |
| (434) 591-9238 |
| Full Name | David R Hart |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 354 Folly Rd Ste 5, Charleston, 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 |
|---|---|---|---|
| 1942342142 | NPI | - | NPPES |
| 0081PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | A763FP (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roper Hospital | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Medical Of Sc Llc | 0042550386 | 6 |
| Roper Saint Francis Physicians Network | 5193874824 | 530 |
| Entity Name | Roper Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104983055 PECOS PAC ID: 8426958919 Enrollment ID: O20040114000413 |
| Entity Name | Roper Saint Francis Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124431606 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405 |
| Entity Name | Sound Physicians Emergency Medicine of South Carolina LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730636168 PECOS PAC ID: 2163702739 Enrollment ID: O20161219000460 |
| Entity Name | Premier Medical of SC LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992276091 PECOS PAC ID: 0042550386 Enrollment ID: O20190322000975 |
| Mailing Address | Practice Location Address |
|---|---|
| David R Hart, PA-C 354 Folly Rd Ste 5, Charleston, SC 29412-2594 Ph: (843) 225-2374 | David R Hart, PA-C 354 Folly Rd Ste 5, Charleston, SC 29412-2594 Ph: (843) 225-2374 |
Christian Anton Sung, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-720-8490 |
Amy Lynn Canino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-402-1638 Fax: 843-724-2455 |
Elizabeth Poindexter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Maria Dahl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2225 Ashley River Rd Apt 378, Charleston, SC 29414 Phone: 704-661-4464 |
Matthew K Ewald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Meredith Barb Bauerband, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2180 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 865-647-5800 Fax: 865-647-5979 |
Jessica Marie Richgels, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1327 Ashley River Rd Ste B, Charleston, SC 29407 Phone: 843-577-4551 |