| Careconnectmd South Carolina P.c. | |
|
1240 Winnowing Way Unit 102 Mt Pleasant SC 29466-7531 | |
| (888) 789-9585 | |
| (562) 803-4500 |
| Full Name | Careconnectmd South Carolina P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1240 Winnowing Way Unit 102, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Orlando Acosta Collado (OWNER) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd South Carolina P.c. 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 Ph: (888) 789-9585 | Careconnectmd South Carolina P.c. 1240 Winnowing Way Unit 102 Mt Pleasant SC 29466-7531 Ph: (888) 789-9585 |
| NPI Number | 1306565973 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 08/25/2022 |
| Medicare PECOS PAC ID | 3678934775 |
|---|---|
| Medicare Enrollment ID | O20230807000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306565973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Pattie L Burriss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144229741 PECOS PAC ID: 0749194934 Enrollment ID: I20031112000739 |
| Provider Name | Veronica L Orick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134186463 PECOS PAC ID: 3274420328 Enrollment ID: I20040303000025 |
| Provider Name | Frank J Newlands |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770552895 PECOS PAC ID: 7113916156 Enrollment ID: I20040506001041 |
| Provider Name | Anoma S Gamage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326141938 PECOS PAC ID: 4183678949 Enrollment ID: I20050304000549 |
| Provider Name | Daniel Roy Bauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992764591 PECOS PAC ID: 6002828233 Enrollment ID: I20090128000465 |
| Provider Name | Kerry L Wheeler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164545224 PECOS PAC ID: 7618126590 Enrollment ID: I20121009000829 |
| Provider Name | Ryan Law Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417208091 PECOS PAC ID: 1052564523 Enrollment ID: I20130111000239 |
| Provider Name | Richard Francis Duff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447392444 PECOS PAC ID: 1153455290 Enrollment ID: I20130712000570 |
| Provider Name | Henry Igdal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346259280 PECOS PAC ID: 7113963604 Enrollment ID: I20151207001747 |
| Provider Name | Vicky F Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326453622 PECOS PAC ID: 6800199282 Enrollment ID: I20160119000676 |
| Provider Name | Casie R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811367071 PECOS PAC ID: 2860796901 Enrollment ID: I20160210000125 |
| Provider Name | Robert A Craven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518132257 PECOS PAC ID: 6204007669 Enrollment ID: I20160526002569 |
| Provider Name | William J Boice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770029571 PECOS PAC ID: 3971880758 Enrollment ID: I20170503002583 |
| Provider Name | Laura Patricia Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647009 PECOS PAC ID: 4183979354 Enrollment ID: I20180613000373 |
| Provider Name | Fantasia Izolia Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578055471 PECOS PAC ID: 1951659051 Enrollment ID: I20180807000117 |
| Provider Name | Kara A Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386120301 PECOS PAC ID: 9133471964 Enrollment ID: I20181005001960 |
| Provider Name | Jessica F Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811409840 PECOS PAC ID: 1951646611 Enrollment ID: I20181227001828 |
| Provider Name | Kimberly Jane Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588183826 PECOS PAC ID: 3971862459 Enrollment ID: I20190529003241 |
| Provider Name | Kayla S Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427617125 PECOS PAC ID: 4183950819 Enrollment ID: I20190801001944 |
| Provider Name | Peter Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255996781 PECOS PAC ID: 3678801974 Enrollment ID: I20190823003424 |
| Provider Name | Calissa L Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023591419 PECOS PAC ID: 9739411646 Enrollment ID: I20191025001983 |
| Provider Name | Stacey Banis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396389938 PECOS PAC ID: 2466886064 Enrollment ID: I20200107000185 |
| Provider Name | Jennifer Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104451269 PECOS PAC ID: 9638509227 Enrollment ID: I20200422002347 |
| Provider Name | Barry Michael Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225420490 PECOS PAC ID: 7012237654 Enrollment ID: I20200429001693 |
| Provider Name | Crystal Nicole Leopard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588261325 PECOS PAC ID: 8325455306 Enrollment ID: I20210319000412 |
| Provider Name | Jessica Mitchell Simpkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699444000 PECOS PAC ID: 5890184535 Enrollment ID: I20211117003089 |
| Provider Name | Theresa L Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083965347 PECOS PAC ID: 1658612569 Enrollment ID: I20220407000833 |
| Provider Name | Sheila Maney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427535541 PECOS PAC ID: 6406106368 Enrollment ID: I20220827000203 |
| Provider Name | Robert Carrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962872754 PECOS PAC ID: 3375836901 Enrollment ID: I20230315000253 |
| Provider Name | Amber Leigh Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497455117 PECOS PAC ID: 0648644856 Enrollment ID: I20230329001683 |
| Provider Name | Shanell Durant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760182695 PECOS PAC ID: 3577928530 Enrollment ID: I20230426000525 |
| Provider Name | Kristina Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285390229 PECOS PAC ID: 0840650669 Enrollment ID: I20230712001575 |
| Provider Name | Rahat J Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578057261 PECOS PAC ID: 0648667360 Enrollment ID: I20230719004305 |
| Provider Name | Christina L Holliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841997053 PECOS PAC ID: 5294180824 Enrollment ID: I20231017001417 |
| Provider Name | Orlando Acosta Collado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205964947 PECOS PAC ID: 8820143134 Enrollment ID: I20231023001442 |
| Provider Name | Jody L Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023421344 PECOS PAC ID: 2769887132 Enrollment ID: I20231030001230 |
| Provider Name | Melissa F Salley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124808464 PECOS PAC ID: 9931556628 Enrollment ID: I20231117001723 |
| Provider Name | Minhhieu T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679324693 PECOS PAC ID: 9739528761 Enrollment ID: I20240423002857 |
| Provider Name | Alexandra S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245083872 PECOS PAC ID: 0840630919 Enrollment ID: I20240507000337 |
| Provider Name | Trevonda Gee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649010208 PECOS PAC ID: 9739623919 Enrollment ID: I20240628000660 |
| Provider Name | Jamekia K Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871333047 PECOS PAC ID: 6406393776 Enrollment ID: I20240805000960 |
| Provider Name | Olivia A Laidley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780114736 PECOS PAC ID: 9537609672 Enrollment ID: I20240904002796 |
Amnesty Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 Hospital Dr Unit 100, Mt Pleasant, SC 29464 Phone: 843-329-7555 Fax: 843-329-7561 | |
Mt Pleasant Family Practice,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Bowman Rd, Suite 203, Mt Pleasant, SC 29464 Phone: 843-884-1341 Fax: 843-884-1345 | |
Roper Saint Francis Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3510 Highway 17 N, Suite 320, Mt Pleasant, SC 29466 Phone: 843-971-3361 Fax: 843-606-8003 | |
United Wound & Vascular Institute South Carolina Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1240 Winnowing Way Unit 102, Mt Pleasant, SC 29466 Phone: 888-402-0202 Fax: 888-860-2960 | |
Roper Saint Francis Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Wingo Way Ste 202, Mt Pleasant, SC 29464 Phone: 843-606-7048 Fax: 843-284-0826 | |
Mt Pleasant Family Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Bowman Rd, Suite 203, Mt Pleasant, SC 29464 Phone: 843-884-1341 Fax: 843-884-1345 | |
Sc-seweefamily Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 874 Whipple Rd, Suite 100, Mt Pleasant, SC 29464 Phone: 843-884-2133 Fax: 843-849-9466 |