| Pennsylvania Kidney Care, P.c. | |
|
1320 Main St Ste 300 Columbia SC 29201-3266 | |
| (980) 443-4852 | |
| Not Available |
| Full Name | Pennsylvania Kidney Care, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1320 Main St Ste 300, Columbia, South Carolina |
| Authorized Official Name and Position | Aaron Molitor (COO) |
| Authorized Official Contact | 9132321472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Kidney Care, P.c. 1600 Stout St Ste 2000 Attn Strive Health Credentialing Team Denver CO 80202-3113 Ph: (980) 443-4852 | Pennsylvania Kidney Care, P.c. 1320 Main St Ste 300 Columbia SC 29201-3266 Ph: (980) 443-4852 |
| NPI Number | 1477155638 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 9032524343 |
|---|---|
| Medicare Enrollment ID | O20210219000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477155638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Larissa A Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952709982 PECOS PAC ID: 3577881150 Enrollment ID: I20150410000797 |
| Provider Name | Taylor C Junod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669836771 PECOS PAC ID: 5294024592 Enrollment ID: I20160510000374 |
| Provider Name | Victoria A Culp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639441991 PECOS PAC ID: 9436580768 Enrollment ID: I20200520002111 |
| Provider Name | Matthew J Kerr |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659029585 PECOS PAC ID: 3476930371 Enrollment ID: I20220516000911 |
| Provider Name | Haley D Justus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861896672 PECOS PAC ID: 9638565633 Enrollment ID: I20220517000001 |
| Provider Name | Margaret A Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093843732 PECOS PAC ID: 3779552690 Enrollment ID: I20220713002440 |
| Provider Name | Amanda L Mcclanahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821733544 PECOS PAC ID: 1951788801 Enrollment ID: I20230929001888 |
| Provider Name | Syed Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710211669 PECOS PAC ID: 1153562376 Enrollment ID: I20231214001355 |
| Provider Name | Farhad Modarai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497098610 PECOS PAC ID: 8224310289 Enrollment ID: I20240711000425 |
| Provider Name | Arielle K Ferdinand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700312899 PECOS PAC ID: 5799026100 Enrollment ID: I20250117001829 |
Lexington Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
Landmark Medical Of Tennessee Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Richland Community Health Care Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148 | |
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 | |
Eau Claire Cooperative Health Center ,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
Providence Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Forest Dr, Columbia, SC 29204 Phone: 803-256-5300 |