| Family Medical Center | |
|
905 N Pearl St Pageland SC 29728-1522 | |
| (843) 672-3100 | |
| (843) 672-3102 |
| Full Name | Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 905 N Pearl St, Pageland, South Carolina |
| Authorized Official Name and Position | Margaret Abimbola Edosomwan (FINANCIAL CONTROLLER) |
| Authorized Official Contact | 7045350400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center 905 N Pearl St Pageland SC 29728-1522 Ph: (843) 672-3100 | Family Medical Center 905 N Pearl St Pageland SC 29728-1522 Ph: (843) 672-3100 |
| NPI Number | 1184637902 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 6406768118 |
|---|---|
| Medicare Enrollment ID | O20060110000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184637902 | NPI | - | NPPES |
| 002G | Other | SC | PROVIDER ID# |
| SC-GP1785 | Medicaid | SC | |
| NC790515T | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
| 207R00000X | Internal Medicine | (South Carolina) | Secondary |
| 208000000X | Pediatrics | (South Carolina) | Secondary |
| Provider Name | Emmanuel O Edosomwan-eigbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336397306 PECOS PAC ID: 4385774033 Enrollment ID: I20100607000942 |
| Provider Name | Esther E Ikuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801078506 PECOS PAC ID: 6709930183 Enrollment ID: I20111206000064 |
| Provider Name | Chinwe M Iheme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215328653 PECOS PAC ID: 3678763505 Enrollment ID: I20150818003837 |
| Provider Name | April M Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235186545 PECOS PAC ID: 5092051524 Enrollment ID: I20201204002278 |
Pageland Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 North Van Lingle Mungo Blvd., Pageland, SC 29728 Phone: 843-672-6127 Fax: 843-672-5748 | |
Pageland Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Van Lingle Mungo Blvd., Pageland, SC 29728 Phone: 843-672-6127 Fax: 843-672-5748 | |
Sandhills Medical Foundation- Pageland Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 N Pearl St, Pageland, SC 29728 Phone: 866-737-4031 | |
Pageland Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Van Lingle Mungo Blvd, Pageland, SC 29728 Phone: 843-672-6127 Fax: 843-672-5748 |