| Chester Medical Group, Llc | |
|
1 Medical Park Dr Building 4, Suite A Chester SC 29706-9769 | |
| (803) 581-2001 | |
| Not Available |
| Full Name | Chester Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Medical Park Dr, Chester, South Carolina |
| Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chester Medical Group, Llc 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2704 Ph: (239) 598-3131 | Chester Medical Group, Llc 1 Medical Park Dr Building 4, Suite A Chester SC 29706-9769 Ph: (803) 581-2001 |
| NPI Number | 1174753024 |
|---|---|
| Provider Enumeration Date | 07/24/2009 |
| Last Update Date | 11/26/2012 |
| Medicare PECOS PAC ID | 5496891038 |
|---|---|
| Medicare Enrollment ID | O20091012000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174753024 | NPI | - | NPPES |
| Provider Name | Samuel R Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063426955 PECOS PAC ID: 8325034382 Enrollment ID: I20040423000893 |
| Provider Name | Julie W Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700884327 PECOS PAC ID: 6103876636 Enrollment ID: I20050124000170 |
| Provider Name | Lorrie R Mello-shropshire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306865373 PECOS PAC ID: 5698728327 Enrollment ID: I20050223000032 |
| Provider Name | Marion L Gibbons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003823931 PECOS PAC ID: 2961455696 Enrollment ID: I20050223000042 |
| Provider Name | Malik E Ashe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366477788 PECOS PAC ID: 7416963442 Enrollment ID: I20060301000222 |
| Provider Name | Swapna Paladugu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194037853 PECOS PAC ID: 2769618339 Enrollment ID: I20131204001226 |
| Provider Name | James Dallis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003850496 PECOS PAC ID: 4486641198 Enrollment ID: I20150120000859 |
| Provider Name | Suresh Shripat Patil |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568790921 PECOS PAC ID: 4688826134 Enrollment ID: I20160121000835 |
| Provider Name | Gregg C Mason |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922063353 PECOS PAC ID: 4082685714 Enrollment ID: I20161012000196 |
| Provider Name | Siddharth Ved Malhotra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790004950 PECOS PAC ID: 6204011729 Enrollment ID: I20180104001073 |
| Provider Name | Chandrakanth Boddu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477936615 PECOS PAC ID: 4880943281 Enrollment ID: I20180817002302 |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Cestrain Sq, Chester, SC 29706 Phone: 803-581-0574 | |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 Doctors Ct, Chester, SC 29706 Phone: 803-325-7744 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Hudson St, Chester, SC 29706 Phone: 803-377-8111 | |
Novant Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Bldg 4, Ste A, Chester, SC 29706 Phone: 803-581-2001 | |
Abner Creek Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-581-3163 Fax: 803-385-5388 | |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Saluda St, Chester, SC 29706 Phone: 803-325-7744 Fax: 803-377-2853 |