| Loraine Elizabeth Booze, PA-C | |
|
3424 Shelby Ray Ct, Charleston, SC 29414-5838 | |
| (843) 402-6834 | |
| (843) 573-9963 |
| Full Name | Loraine Elizabeth Booze |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 3424 Shelby Ray Ct, Charleston, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760780803 | NPI | - | NPPES |
| 1620 | Other | SC | SOUTH CAROLINA PHYSICIAN ASSISTANT LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1620 (South Carolina) | Secondary |
| 363A00000X | Physician Assistant | 363A00000X (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Urgent Cares Llc | 8628502598 | 183 |
| Entity Name | Charleston Ent Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588607303 PECOS PAC ID: 4082662234 Enrollment ID: O20050105000267 |
| Entity Name | Novant Health Urgent Cares LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841026382 PECOS PAC ID: 8628502598 Enrollment ID: O20241114002376 |
| Mailing Address | Practice Location Address |
|---|---|
| Loraine Elizabeth Booze, PA-C Po Box 749306, Atlanta, GA 30374-9306 Ph: Not Available | Loraine Elizabeth Booze, PA-C 3424 Shelby Ray Ct, Charleston, SC 29414-5838 Ph: (843) 402-6834 |
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 |