| Ochsner 65 Plus Hh Okatie Crossing | |
|
50 Terrace Dr Ridgeland SC 29936 | |
| (843) 547-4765 | |
| (843) 547-4766 |
| Full Name | Ochsner 65 Plus Hh Okatie Crossing |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Terrace Dr, Ridgeland, South Carolina |
| Authorized Official Name and Position | Thomas J Duncan (CEO) |
| Authorized Official Contact | 8505584665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ochsner 65 Plus Hh Okatie Crossing 1514 Jefferson Hwy New Orleans LA 70121-2429 Ph: () - | Ochsner 65 Plus Hh Okatie Crossing 50 Terrace Dr Ridgeland SC 29936 Ph: (843) 547-4765 |
| NPI Number | 1497455232 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 09/12/2023 |
| Medicare PECOS PAC ID | 5294181939 |
|---|---|
| Medicare Enrollment ID | O20231031003883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497455232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gail L Rearden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568582906 PECOS PAC ID: 7618060005 Enrollment ID: I20070830000201 |
| Provider Name | Peggy Bourguillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073922753 PECOS PAC ID: 3971807157 Enrollment ID: I20180523002308 |
| Provider Name | Robyn Odzark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326487703 PECOS PAC ID: 6901049485 Enrollment ID: I20190917003480 |
| Provider Name | Tina Shenouda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326386996 PECOS PAC ID: 9537397872 Enrollment ID: I20231020003091 |
| Provider Name | William R Gailmard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124022884 PECOS PAC ID: 8325077084 Enrollment ID: I20231113001979 |
| Provider Name | James Delroy Mayers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750906988 PECOS PAC ID: 5799100194 Enrollment ID: I20231220003198 |
| Provider Name | Rachael Kermis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265886303 PECOS PAC ID: 3375838444 Enrollment ID: I20240715001173 |
| Provider Name | Frantz Felix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760793178 PECOS PAC ID: 0345481438 Enrollment ID: I20250227002293 |
Coastal Carolina Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936 Phone: 843-784-3101 Fax: 843-784-5313 | |
Margaret F Curtis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 W Wilson Street, Ridgeland, SC 29936 Phone: 843-717-2600 Fax: 843-717-2356 | |
Beaufort Jasper Hampton Comprehensive Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Okatie Hwy, Ridgeland, SC 29909 Phone: 843-987-7400 Fax: 843-987-7484 | |
Coastal Carolina Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10911 North Jacob Smart Blvd, #d, Ridgeland, SC 29936 Phone: 843-784-3101 Fax: 843-784-5313 | |
Altea Medical South Carolina Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1516 Grays Hwy, Ridgeland, SC 29936 Phone: 843-726-5581 | |
Tricia Etheridge, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 S Green St, Ridgeland, SC 29936 Phone: 843-726-6773 Fax: 843-726-6778 |