Peter Pius Okelly (NPI# 1033289673, PAC ID# 0244135077) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1033289673 |
PAC ID by PECOS | 0244135077 |
Professional Enrollment ID | I20031204000519 |
Full Name | Peter Pius Okelly |
Organization Legal Name | GENESIS HEALTHCARE, INC. |
Address |
457 Spruce St Walterboro SC 29488-2766 |
Phone Number | 8437824100 |
Gender | M |
Credential | MD |
Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
Graduation Year | 1988 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 4688869696 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420051 | MCLEOD REGIONAL MEDICAL CENTER-PEE DEE |
420091 | CAROLINAS HOSPITAL SYSTEM |
420010 | CAROLINA PINES REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
201 Cashua St, Darlington, SC 29532-3301 | 8433937452 | GENESIS HEALTHCARE, INC. |
457 Spruce St, Walterboro, SC 29488-2766 | 8437824100 | GENESIS HEALTHCARE, INC. |
Organization Legal Name | GENESIS HEALTHCARE, INC. |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian M Heaster | Internal Medicine | Genesis Healthcare, Inc. | 211 S Jones Rd B, Olanta, SC 29114-9705 |
Brent J Baroody | Obstetrics/gynecology | Genesis Healthcare, Inc. | 1523 Heritage Ln, Florence, SC 29505-3197 |
Luis R Vega | Family Medicine | Genesis Healthcare, Inc. | 457 Spruce St, Walterboro, SC 29488-2766 |
James Daniel Mcinnis | Family Medicine | Genesis Healthcare, Inc. | 201 Cashua St, Darlington, SC 29532-3301 |
Isabel Mendoza | Family Medicine | Genesis Healthcare, Inc. | 301 W Main St, Lamar, SC 29069-7102 |
Michael W Barrett | Family Medicine | Genesis Healthcare, Inc. | 301 W Main St, Lamar, SC 29069-7102 |
Priscilla L Welch | Family Medicine | Genesis Healthcare, Inc. | 457 Spruce St, Walterboro, SC 29488-2766 |
Elizabeth H Jeffords | Psychiatry | Genesis Healthcare, Inc. | 201 Cashua St, Darlington, SC 29532-3301 |
Alexander H Cohen | Family Medicine | Genesis Healthcare, Inc. | 201 Cashua St, Darlington, SC 29532-3301 |
Alice D Caldwell | Nurse Practitioner | Genesis Healthcare, Inc. | 211 S Jones Rd B, Olanta, SC 29114-9705 |
Street Address |
457 SPRUCE ST |
City | WALTERBORO |
State | SC |
Zip | 29488-2766 |
Name | Specialty | Organization | Address |
---|---|---|---|
Luis R Vega | Family Medicine | Genesis Healthcare, Inc. | 457 Spruce St, Walterboro, SC 29488-2766 |
Priscilla L Welch | Family Medicine | Genesis Healthcare, Inc. | 457 Spruce St, Walterboro, SC 29488-2766 |
Caitlin Briggs | Nurse Practitioner | Genesis Healthcare, Inc. | 457 Spruce St, Walterboro, SC 29488-2766 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lance A Sims | Podiatry | 841 Robetson Blvd, Walterboro, SC 29488 | |
Alyssa W Ursini | Nurse Practitioner | Lowcountry Urgent Care LLC | 1515 Bells Hwy, Walterboro, SC 29488-2517 |
Quana Mardena Singleton | Nurse Practitioner | Lowcountry Urgent Care LLC | 1515 Bells Hwy, Walterboro, SC 29488-2517 |
Robert H Payne Jr. | Psychiatry | Charleston Family Center, LLC | 303 Maxey St, Walterboro, SC 29488-2546 |
Harriet A Nason | Clinical Social Worker | Charleston Family Center, LLC | 303 Maxey St, Walterboro, SC 29488-2546 |
Stuart A Eder | Chiropractic | 975 Bells Hwy, Walterboro, SC 29488-2565 | |
Robert L Thomas | Internal Medicine | 300 Ruby St, Walterboro, SC 29488-2758 | |
Alison Renee Brown | Physician Assistant | Walterboro Adult and Pediatric Medicine,llc | 447 Spruce St, Walterboro, SC 29488-2766 |
Brandon Eugene Marshall | Optometry | Carolina Eyecare Physicians,llc | 459 Spruce St, Walterboro, SC 29488-2766 |
Michael L Blubaugh | Internal Medicine | Carolina Medical Center of Walterboro P A | 461 Spruce St, Walterboro, SC 29488-2766 |
Find all physicians in zip 29488 |
City | WALTERBORO |
Zip Code | 29488 |
Specialty | UROLOGY |
City + Specialty | WALTERBORO + UROLOGY |
Please comment or provide details below to improve the information on Peter Pius Okelly.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.