| Dorchester Medical Associates | |
|
299 Midland Pkwy # A Summerville SC 29485-8104 | |
| (843) 875-7901 | |
| (843) 832-2038 |
| Full Name | Dorchester Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 299 Midland Pkwy # A, Summerville, South Carolina |
| Authorized Official Name and Position | Christine Anderson (OFFICE MANAGER) |
| Authorized Official Contact | 8438757901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorchester Medical Associates 299 Midland Pkwy # A Summerville SC 29485-8104 Ph: (843) 875-7901 | Dorchester Medical Associates 299 Midland Pkwy # A Summerville SC 29485-8104 Ph: (843) 875-7901 |
| NPI Number | 1881768554 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 11/08/2017 |
| Medicare PECOS PAC ID | 7214900125 |
|---|---|
| Medicare Enrollment ID | O20040818000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881768554 | NPI | - | NPPES |
| GP3122 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jan H Burger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215001979 PECOS PAC ID: 6709815996 Enrollment ID: I20050808001082 |
| Provider Name | Thomas Joseph Maino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659323640 PECOS PAC ID: 2668403460 Enrollment ID: I20200115001309 |
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