Sea Island Medical Practice is a medicare enrolled primary clinic (Internal Medicine) in Ladys Island, South Carolina. The current practice location for Sea Island Medical Practice is 12 Professional Village Cir, Ladys Island, South Carolina. For appointments, you can reach them via phone at
(843) 524-6829. The mailing address for Sea Island Medical Practice is 12 Professional Village Cir, Ladys Island, South Carolina and phone number is (843) 524-6829.
Sea Island Medical Practice is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1285702498. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(843) 524-6829.
Primary Care Clinic Profile
| Full Name | Sea Island Medical Practice |
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| Speciality | Internal Medicine |
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| Location | 12 Professional Village Cir, Ladys Island, South Carolina |
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| Authorized Official Name and Position | Irina Borissova (MD) |
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| Authorized Official Contact | 8435246829 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Sea Island Medical Practice
12 Professional Village Cir
Ladys Island
SC 29907-1569
Ph: (843) 524-6829 | Sea Island Medical Practice
12 Professional Village Cir
Ladys Island
SC 29907-1569
Ph: (843) 524-6829 |
NPI Details:
| NPI Number | 1285702498 |
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| Provider Enumeration Date | 12/04/2006 |
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| Last Update Date | 02/11/2015 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2062568942 |
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| Medicare Enrollment ID | O20090917000341 |
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Medical Identifiers
Medical identifiers for Sea Island Medical Practice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285702498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sea Island Medical Practice acts as a billing entity for following providers:
| Provider Name | Irina Borissova |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1558301655
PECOS PAC ID: 3173679057
Enrollment ID: I20090917000322 |
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