| William T Culclasure, PA-C | |
|
111 Doctor Cir, Columbia, SC 29203-6502 | |
| (800) 491-0909 | |
| Not Available |
| Full Name | William T Culclasure |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 111 Doctor Cir, Columbia, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205878410 | NPI | - | NPPES |
| 1068PA | Medicaid | SC | |
| 576001305006 | Other | SC | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 714 (South Carolina) | Primary |
| 207Q00000X | Family Medicine | A714 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Services Of America Hospice - Coastal | Myrtle beach, SC | Hospice |
| Mcleod Health Clarendon | Manning, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sc House Calls Inc | 6800994807 | 445 |
| Clarendon Health And Wellness Center | 9931472669 | 4 |
| Entity Name | SC House Calls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821 |
| Entity Name | Clarendon Health and Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689194060 PECOS PAC ID: 9931472669 Enrollment ID: O20170831001856 |
| Mailing Address | Practice Location Address |
|---|---|
| William T Culclasure, PA-C 111 Doctor Cir, Columbia, SC 29203-6502 Ph: (800) 491-0909 | William T Culclasure, PA-C 111 Doctor Cir, Columbia, SC 29203-6502 Ph: (800) 491-0909 |
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: Accepting Medicare Assignments Practice Location: 3016 Longtown Commons Dr Ste 205, Columbia, SC 29229 Phone: 803-739-3660 Fax: 803-739-3663 |
Mirakle Avery, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2611 Forest Dr Ste 200, Columbia, SC 29204 Phone: 803-799-3263 |
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 |