| Dr Vito Speciale, DPM | |
|
299 Midland Pkwy, B, Summerville, SC 29485-8104 | |
| (843) 851-9069 | |
| (843) 871-8248 |
| Full Name | Dr Vito Speciale |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 24 Years |
| Location | 299 Midland Pkwy, Summerville, 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 |
|---|---|---|---|
| 1689656498 | NPI | - | NPPES |
| 166218101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 1690 (Texas) | Primary |
| 213E00000X | Podiatrist | 628 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trident Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Carolina Podiatry Inc | 7214932201 | 4 |
| Provider Name | Coastal Carolina Podiatry Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154331544 PECOS PAC ID: 7214932201 Enrollment ID: O20060926000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vito Speciale, DPM 299 Midland Pkwy, B, Summerville, SC 29485-8104 Ph: (843) 851-9069 | Dr Vito Speciale, DPM 299 Midland Pkwy, B, Summerville, SC 29485-8104 Ph: (843) 851-9069 |
Dr. Kathryn Diana Wilson-horney, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 4340 Ladson Rd, Suite C, Summerville, SC 29485 Phone: 843-851-9069 | |
William Hal Hatchett, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 299 Midland Pkwy # B, Summerville, SC 29485 Phone: 843-851-9069 Fax: 843-871-8248 | |
Roper Saint Francis Physicians Network Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 300 Callen Blvd Ste 330, Summerville, SC 29486 Phone: 843-763-2857 Fax: 843-606-8053 | |
Roper Saint Francis Physicians Network Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 102 W 8th North St Ste B, Summerville, SC 29483 Phone: 844-975-6683 Fax: 843-606-8056 | |
Harry Cotler Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 162 Brant Dr, Summerville, SC 29483 Phone: 907-398-2700 | |
Coastal Carolina Podiatry Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 299 Midland Pkwy # B, Summerville, SC 29485 Phone: 843-851-9069 Fax: 843-871-8248 |