Mr John Thomas Connelly Iii, PA-C in Columbia, SC

Mr John Thomas Connelly Iii, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Columbia, South Carolina. His current practice location is 145 Park Central Dr Ste 100, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 736-3277.

Mr John Thomas Connelly Iii is licensed to practice in South Carolina (license number 4532) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164866646.

Contact Information

	Mr John Thomas Connelly Iii, PA-C
	145 Park Central Dr Ste 100, Columbia, SC 29203-6469
	(803) 736-3277
	(803) 408-8698

Map and Direction

Provider's Profile

Full Name	Mr John Thomas Connelly Iii
Gender	Male
Speciality	Physician Assistant - Surgical
Location	145 Park Central Dr Ste 100, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164866646
Provider Enumeration Date: 04/26/2013
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5193092708
Enrollment ID: I20220912000270

Medical Identifiers

Medical identifiers for Mr John Thomas Connelly Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164866646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9106938 (Florida)	Secondary
363AS0400X	Physician Assistant - Surgical	4532 (South Carolina)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Thomas Connelly Iii is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr John Thomas Connelly Iii, PA-C 500 Northridge Rd Ste 400, Atlanta, GA 30350-3314 Ph: (803) 736-3277	Mr John Thomas Connelly Iii, PA-C 145 Park Central Dr Ste 100, Columbia, SC 29203-6469 Ph: (803) 736-3277

Reviews and Comments

Physician Assistant Nurses in Columbia, SC

Janelle M Hinson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4416 Forest Dr, Suite A, Columbia, SC 29206 Phone: 803-738-9522 Fax: 803-787-8026
Brenda Ligon, MPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2001 Laurel St, Columbia, SC 29204 Phone: 803-254-3278 Fax: 803-255-2715
Freda Yin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203 Phone: 803-296-9200
Natalia Correal, Physician Assistant Medicare: Medicare Enrolled Practice Location: 145 Park Central Dr Ste 100, Columbia, SC 29203 Phone: 803-736-3277
Ms. Skyler Dane Benson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3016 Longtown Commons Dr Ste 205, Columbia, SC 29229 Phone: 803-739-3660 Fax: 803-739-3663
Anne Marie Hendrix, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 200, Columbia, SC 29203 Phone: 803-434-3800 Fax: 803-376-5885
Brittany Leigh Ramsey, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Jimmy Love Ln, Columbia, SC 29212 Phone: 336-870-3774

Mr John Thomas Connelly Iii, PA-C - Medicare Physician Assistant in Columbia, SC