| Jeffrey Russell Pike, PA | |
|
5070 International Blvd Ste 131, N Charleston, SC 29418-6007 | |
| (843) 402-5053 | |
| (843) 724-1325 |
| Full Name | Jeffrey Russell Pike |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 5070 International Blvd Ste 131, N Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689825895 | NPI | - | NPPES |
| AA86079223 | Other | SC | MEDICARE PIN |
| 0744PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1385 (South Carolina) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Russell Pike, PA Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | Jeffrey Russell Pike, PA 5070 International Blvd Ste 131, N Charleston, SC 29418-6007 Ph: (843) 402-5053 |
Mrs. Christina L Chandler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2880 Tricom St, N Charleston, SC 29406 Phone: 843-797-5050 Fax: 843-797-3633 |
Benjamin William Brewer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3815 Faber Place Dr, N Charleston, SC 29405 Phone: 843-767-9312 Fax: 843-767-9313 |
Ms. Jamie L Walter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8648 Arthur Hills Cir, N Charleston, SC 29420 Phone: 919-830-3303 |
Paul F Jacques, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2233 Northwoods Blvd, N Charleston, SC 29405 Phone: 866-448-1641 |
Molly Elizabeth Mcnamara, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3815 Faber Place Dr, N Charleston, SC 29405 Phone: 843-767-9312 Fax: 843-767-9313 |
Danielle Peplinski O'shea, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8950 University Blvd Ste 100, N Charleston, SC 29406 Phone: 843-402-5053 Fax: 843-724-1325 |
Rachel Henderson Burt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2910 Tricom St, N Charleston, SC 29406 Phone: 843-572-9211 |