| Centerwell Senior Primary Care-west Ashley | |
|
1401 Sam Rittenberg Blvd Ste 6 Charleston SC 29407-5031 | |
| (843) 973-5393 | |
| (833) 994-1098 |
| Full Name | Centerwell Senior Primary Care-west Ashley |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 Sam Rittenberg Blvd Ste 6, Charleston, South Carolina |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-west Ashley 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care-west Ashley 1401 Sam Rittenberg Blvd Ste 6 Charleston SC 29407-5031 Ph: (843) 973-5393 |
| NPI Number | 1740833938 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740833938 | NPI | - | NPPES |
| GP9169 | Medicaid | SC | |
| L064 | Other | SC | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207R00000X | Internal Medicine | (NU) | Primary |
| 208D00000X | General Practice | (NU) | Secondary |
Palmetto Primary Care Physicians, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 |
Fetter Health Care Network-downtown Site Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51 Nassau St, Charleston, SC 29403 Phone: 843-722-4112 Fax: 843-577-8960 |
MUSC Physicians Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2067 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-573-2535 |
Roper St. Francis Hospitalist Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2450 Fax: 843-724-2455 |
Novant Health West Ashley Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10b Farmfield Ave, Charleston, SC 29407 Phone: 854-287-3135 Fax: 854-287-3136 |
MUSC Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |