| Charleston Pain & Rehabilitation Center | |
|
1124 Sam Rittenberg Blvd Suite 1 Charleston SC 29407-3362 | |
| (843) 556-3462 | |
| (843) 766-2103 |
| Full Name | Charleston Pain & Rehabilitation Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1124 Sam Rittenberg Blvd, Charleston, South Carolina |
| Authorized Official Name and Position | Jeffrey Wayne Buncher (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8435563462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Pain & Rehabilitation Center 1124 Sam Rittenberg Blvd Suite 1 Charleston SC 29407-3362 Ph: (843) 556-3462 | Charleston Pain & Rehabilitation Center 1124 Sam Rittenberg Blvd Suite 1 Charleston SC 29407-3362 Ph: (843) 556-3462 |
| NPI Number | 1063454775 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 06/12/2015 |
| Medicare PECOS PAC ID | 6507922093 |
|---|---|
| Medicare Enrollment ID | O20090721000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063454775 | NPI | - | NPPES |
| GP1103 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15523 (South Carolina) | Primary |
| Provider Name | Preeth Achuthan Menon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598729386 PECOS PAC ID: 5799844064 Enrollment ID: I20081103000021 |
| Provider Name | Jeffrey Buncher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255457693 PECOS PAC ID: 4385796499 Enrollment ID: I20100712000316 |
| Provider Name | Adam Simpson Fischer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831649680 PECOS PAC ID: 0749600583 Enrollment ID: I20210630000300 |
| Provider Name | Elizabeth A Verno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740851732 PECOS PAC ID: 5799173514 Enrollment ID: I20211028000601 |
| Provider Name | Ashley Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184191587 PECOS PAC ID: 9931453842 Enrollment ID: I20220426001648 |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Musc Physicians Pcp Peninsular Charleston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Bee St, Suite 2100, Charleston, SC 29403 Phone: 843-792-6500 | |
Roper St. Francis Hospitalist Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2450 Fax: 843-724-2455 | |
Jeffrey Akhtar Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Ashley Crossing Dr Ste 155, Charleston, SC 29414 Phone: 843-990-5866 Fax: 843-868-8041 | |
Musc Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2060 Sam Rittenburg Blvd, Charleston, SC 29425 Phone: 843-792-6200 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |