Coastal Carolina Podiatry Inc - Medicare Podiatrist in Ladson, SC

Coastal Carolina Podiatry Inc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Ladson, South Carolina. Their current practice location is 4340 Ladson Rd, Suite C, Ladson, South Carolina. You can reach out to their office (for appointments etc.) via phone at (843) 851-9069.

Coastal Carolina Podiatry Inc is licensed to practice in South Carolina (license number 556) and it also participates in the medicare program. Coastal Carolina Podiatry Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1154331544.

Contact Information

Coastal Carolina Podiatry Inc
4340 Ladson Rd, Suite C,
Ladson, SC 29456-6444
(843) 851-9069
Not Available



Healthcare Provider's Profile

Full NameCoastal Carolina Podiatry Inc
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location4340 Ladson Rd, Ladson, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154331544
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 02/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7214932201
  • Enrollment ID: O20060926000214

Medical Identifiers

Medical identifiers for Coastal Carolina Podiatry Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154331544NPI-NPPES
DF0094OtherSCRR MEDICARE
PD5561MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 556 (South Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Coastal Carolina Podiatry Inc acts as a billing entity for following providers:
Provider NameWilliam Hal Hatchett
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1083689400
PECOS PAC ID: 1850396839
Enrollment ID: I20060926000205

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Provider NameKathryn D Wilson Horney
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1073670493
PECOS PAC ID: 9739151812
Enrollment ID: I20090615000152

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Provider NameEdwin Blitch
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1376518795
PECOS PAC ID: 0345351318
Enrollment ID: I20111230000104

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Provider NameVito Speciale
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1689656498
PECOS PAC ID: 8820069941
Enrollment ID: I20130422000110

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Provider NameBreelyn Nicole Miles
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1639664766
PECOS PAC ID: 2961811203
Enrollment ID: I20210517002314

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coastal Carolina Podiatry Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Coastal Carolina Podiatry Inc
4340 Ladson Rd, Suite C,
Ladson, SC 29456-6444

Ph: (843) 851-9069
Coastal Carolina Podiatry Inc
4340 Ladson Rd, Suite C,
Ladson, SC 29456-6444

Ph: (843) 851-9069

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Podiatrist in Ladson, SC

Flowertown Podiatry, Inc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 4340 Ladson Rd Ste C, Ladson, SC 29456
Phone: 843-851-9069    
Ms. Breelyn Nicole Miles, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 4340 Ladson Rd Ste C, Ladson, SC 29456
Phone: 843-851-9069    Fax: 843-871-8248

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