| Jacob Sooter, | |
|
2061 Highway 52, Moncks Corner, SC 29461-5017 | |
| (316) 208-4591 | |
| Not Available |
| Full Name | Jacob Sooter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 2061 Highway 52, Moncks Corner, 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 |
|---|---|---|---|
| 1851946453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gentiva Health Services | Hickory, NC | Home health agency |
| Unc Health Blue Ridge | Morganton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Burke Primary Care Llc | 1759339948 | 24 |
| Entity Name | Burke Primary Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225085707 PECOS PAC ID: 1759339948 Enrollment ID: O20050104000943 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Sooter, 2061 Highway 52, Moncks Corner, SC 29461-5017 Ph: (843) 761-8800 | Jacob Sooter, 2061 Highway 52, Moncks Corner, SC 29461-5017 Ph: (316) 208-4591 |
Cindy L Fiacco, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 115 Executive Pkwy, Moncks Corner, SC 29461 Phone: 843-761-2815 Fax: 843-899-4723 |
Svetlana Stuck, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 Executive Pkwy, Moncks Corner, SC 29461 Phone: 843-899-9099 |
Kennedy Jordahl, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2061 Highway 52, Moncks Corner, SC 29461 Phone: 843-761-8824 |
Lucy N. Lapoint, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Executive Park Way, Moncks Corner, SC 29461 Phone: 843-899-9099 |
Julia Megan Raye, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3508 S Live Oak Dr Ste 200, Moncks Corner, SC 29461 Phone: 843-723-8823 Fax: 843-606-8059 |
Lindsey Taylor Eriksen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 730 Stony Landing Rd Ste 100, Moncks Corner, SC 29461 Phone: 843-761-6556 Fax: 843-761-2660 |
Ashlyn Burns, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2061 Highway 52, Moncks Corner, SC 29461 Phone: 843-761-8800 |