Primecare Family Practice Llc - Medicare Primary Care in Goose Creek, SC

Primecare Family Practice Llc is a medicare enrolled primary clinic (Family Medicine) in Goose Creek, South Carolina. The current practice location for Primecare Family Practice Llc is 145 St James Ave, Goose Creek, South Carolina. For appointments, you can reach them via phone at (843) 863-0777. The mailing address for Primecare Family Practice Llc is Po Box 160, Goose Creek, South Carolina and phone number is (843) 863-0777.

Primecare Family Practice Llc is licensed to practice in South Carolina (license number 21082). The clinic also participates in the medicare program and its NPI number is 1073702957. 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) 863-0777.

Contact Information

Primecare Family Practice Llc
145 St James Ave
Goose Creek
SC 29445-2923
(843) 863-0777
(843) 824-6119

Primary Care Clinic Profile

Full NamePrimecare Family Practice Llc
SpecialityFamily Medicine
Location145 St James Ave, Goose Creek, South Carolina
Authorized Official Name and PositionAdebola Edward Rojugbokan (PHYSICIAN)
Authorized Official Contact8438630777
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Primecare Family Practice Llc
Po Box 160
Goose Creek
SC 29445-0160

Ph: (843) 863-0777
Primecare Family Practice Llc
145 St James Ave
Goose Creek
SC 29445-2923

Ph: (843) 863-0777

NPI Details:

NPI Number1073702957
Provider Enumeration Date10/17/2007
Last Update Date04/14/2008

Medicare PECOS Information:

Medicare PECOS PAC ID1850364431
Medicare Enrollment IDO20040813000249

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Medical Identifiers

Medical identifiers for Primecare Family Practice Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073702957NPI-NPPES
GP3958MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 21082 (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. Primecare Family Practice Llc acts as a billing entity for following providers:
Provider NameAdebola E Rojugbokan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922015692
PECOS PAC ID: 9931172517
Enrollment ID: I20040817000077

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