| Mr Jonathan Stephens, PA-C | |
|
2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | |
| (843) 347-8041 | |
| Not Available |
| Full Name | Mr Jonathan Stephens |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 2376 Cypress Cir Ste 300, Conway, South Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114535077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 025354 (New York) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 6378 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rst Advancement Florida Llc | 3577914704 | 2 |
| Entity Name | Rst Advancement Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447029384 PECOS PAC ID: 3577914704 Enrollment ID: O20240111003170 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Stephens, PA-C 300 Singleton Ridge Rd, Att Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6996 | Mr Jonathan Stephens, PA-C 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 Ph: (843) 347-8041 |
Kevin Robert Monaghan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8004 Myrtle Trace Drive, Suite 200, Conway, SC 29526 Phone: 843-347-8041 Fax: 843-347-8042 |
Keith C Reinwald, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-347-7222 Fax: 843-347-3305 |
Sona Panchal, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-353-3460 Fax: 843-353-3461 |
Linda R Aanonsen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1316 3rd Ave, Conway, SC 29526 Phone: 843-488-7283 |
Mrs. Kallie Graham Britton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2376 Cypress Cir Ste 102, Conway, SC 29526 Phone: 843-347-8953 Fax: 843-347-0226 |
Brian D. Forbus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2767 Cultra Rd, Conway, SC 29526 Phone: 843-438-8470 |
Molly Ann Mabry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 808 Farrar Drive, Conway, SC 29526 Phone: 843-234-8700 Fax: 843-234-8689 |