| Centerwell Senior Primary Care-cayce | |
|
1612 Airport Blvd West Columbia SC 29169-5016 | |
| (803) 380-6399 | |
| (877) 484-7187 |
| Full Name | Centerwell Senior Primary Care-cayce |
|---|---|
| Speciality | Internal Medicine |
| Location | 1612 Airport Blvd, West Columbia, South Carolina |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-cayce 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care-cayce 1612 Airport Blvd West Columbia SC 29169-5016 Ph: (803) 380-6399 |
| NPI Number | 1962101501 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 08/11/2023 |
| Medicare PECOS PAC ID | 5294190252 |
|---|---|
| Medicare Enrollment ID | O20230426000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962101501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Amit Ramniklal Pitalia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467478735 PECOS PAC ID: 6608933296 Enrollment ID: I20090326000192 |
| Provider Name | Erica Lache' Savage-jeter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275657694 PECOS PAC ID: 9739234584 Enrollment ID: I20090901000233 |
| Provider Name | Alexis Jo Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245670934 PECOS PAC ID: 2365664042 Enrollment ID: I20160617000850 |
| Provider Name | Ashley Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003298274 PECOS PAC ID: 3476859232 Enrollment ID: I20170606002425 |
| Provider Name | Gwendolyn E Bowers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306026554 PECOS PAC ID: 4183929995 Enrollment ID: I20180731000214 |
| Provider Name | Laquinta Jamette Glenn-reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841854502 PECOS PAC ID: 5496089351 Enrollment ID: I20190626001848 |
| Provider Name | Brittany Z Gusic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679836597 PECOS PAC ID: 4486968161 Enrollment ID: I20200709002353 |
| Provider Name | Michelle Maybell Kirwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952892051 PECOS PAC ID: 9537419684 Enrollment ID: I20201219000068 |
| Provider Name | Cassandra Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104433424 PECOS PAC ID: 5294102091 Enrollment ID: I20221108002284 |
| Provider Name | Heather D Petry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427464148 PECOS PAC ID: 3870713290 Enrollment ID: I20230526001247 |
| Provider Name | Joseph C Palomba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063402493 PECOS PAC ID: 1254383573 Enrollment ID: I20240122003705 |
Lexington Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 | |
Jay M Markowitz Md & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Saluda Ridge Ct, West Columbia, SC 29169 Phone: 803-794-3320 Fax: 803-794-3157 | |
Senior Health Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169 Phone: 803-699-9073 Fax: 866-527-0937 | |
Lexington Weight Management Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2728 Sunset Blvd Ste 303, West Columbia, SC 29169 Phone: 803-936-7505 | |
Intramed Plus Infusion & Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169 Phone: 803-794-0200 Fax: 803-794-0404 | |
Lexington Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 East Medical Lane, West Columbia, SC 29169 Phone: 803-936-7210 Fax: 803-736-8854 | |
Select Physicians Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Still Hopes Dr, West Columbia, SC 29169 Phone: 803-796-6490 |