| Kishor Valajibhai Patel, PA-C | |
|
9789 Charlotte Hwy, Suite 1400, Fort Mill, SC 29707-7177 | |
| (803) 548-7007 | |
| (803) 802-2015 |
| Full Name | Kishor Valajibhai Patel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 9789 Charlotte Hwy, Fort Mill, 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 |
|---|---|---|---|
| 1841613437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2048 (South Carolina) | Primary |
| 363A00000X | Physician Assistant | 0010-04710 (North Carolina) | Secondary |
| Entity Name | Apogee Medical Group South Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619028545 PECOS PAC ID: 8921193020 Enrollment ID: O20071004000474 |
| Entity Name | Palmetto Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467629261 PECOS PAC ID: 5496823817 Enrollment ID: O20081010000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Kishor Valajibhai Patel, PA-C 9789 Charlotte Hwy, Suite 1400, Fort Mill, SC 29707-7177 Ph: (803) 548-7007 | Kishor Valajibhai Patel, PA-C 9789 Charlotte Hwy, Suite 1400, Fort Mill, SC 29707-7177 Ph: (803) 548-7007 |
Leah Jordan Bartkowski, PA-S2 Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 17045 Laurelmont Ct, Fort Mill, SC 29707 Phone: 704-763-2821 |
Elena Catherine Leschack, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Sutton Rd S Ste 201, Fort Mill, SC 29715 Phone: 803-547-3800 |
Ariana Daduica, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2420 Holbrook Rd, Fort Mill, SC 29715 Phone: 803-487-7700 |
Iulia Antonie, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2029 Dynasty Ct, Fort Mill, SC 29708 Phone: 803-431-6741 |
Mrs. Emma Cecilia Jusseaume, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1698 Highway 160 W, Suite 200, Fort Mill, SC 29708 Phone: 803-547-4343 Fax: 803-547-3914 |
Sherry D. Sherman, P.A-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1658 W Highway 160, Fort Mill, SC 29708 Phone: 803-548-3636 Fax: 803-548-3703 |
Mrs. Nicole C Keeter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 1st Baxter Xing Ste 101, Fort Mill, SC 29708 Phone: 803-802-3376 Fax: 803-802-3329 |