<unavail> in Columbia, SC - Medicare Physical Medicine & Rehabilitation

is a medicare enrolled primary clinic (Physical Medicine & Rehabilitation) in Columbia, South Carolina. The current practice location for is 113 Blarney Dr, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 788-2225. The mailing address for is 113 Blarney Dr, Columbia, South Carolina and phone number is (803) 788-2225.

is licensed to practice in Michigan (license number 4301102325). The clinic also participates in the medicare program and its NPI number is 1972777001. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 788-2225.

Contact Information


	113 Blarney Dr Columbia SC 29223-6244
	(803) 788-2225
	(803) 788-2120

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Physical Medicine & Rehabilitation
Location	113 Blarney Dr, Columbia, South Carolina
Authorized Official Name and Position	Usama A Gabr (CEO)
Authorized Official Contact	8037882225
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
113 Blarney Dr Columbia SC 29223-6244 Ph: (803) 788-2225	113 Blarney Dr Columbia SC 29223-6244 Ph: (803) 788-2225

NPI Details:

NPI Number	1972777001
Provider Enumeration Date	04/18/2008
Last Update Date	08/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8628136942
Medicare Enrollment ID	O20081015000187

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972777001	NPI	-	NPPES
GP4958	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	28228 (South Carolina)	Secondary
208100000X	Physical Medicine & Rehabilitation	28228 (South Carolina)	Secondary
208100000X	Physical Medicine & Rehabilitation	35084155 (Ohio)	Secondary
208100000X	Physical Medicine & Rehabilitation	4301102325 (Michigan)	Primary
208D00000X	General Practice	35084155 (Ohio)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Usama Abdul Monem Gabr
Provider Type	Practitioner - Physical Medicine And Rehabilitation
Provider Identifiers	NPI Number: 1124089453 PECOS PAC ID: 3375505266 Enrollment ID: I20050825000583

Reviews and Comments

Physical Medicine & Rehabilitation in Columbia, SC

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Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781
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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040

- Medicare Primary Care in Columbia, SC