Alice D Caldwell (NPI# 1558587725, PAC ID# 4789876103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1558587725 |
PAC ID by PECOS | 4789876103 |
Professional Enrollment ID | I20101004001234 |
Full Name | Alice D Caldwell |
Organization Legal Name | GENESIS HEALTHCARE, INC. |
Address |
211 S Jones Rd B Olanta SC 29114-9705 |
Phone Number | 8433969730 |
Gender | F |
Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
Graduation Year | 1970 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4688869696 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420051 | MCLEOD REGIONAL MEDICAL CENTER-PEE DEE |
420091 | CAROLINAS HOSPITAL SYSTEM |
Address | Phone | Organization |
---|---|---|
201 Cashua St, Darlington, SC 29532-3301 | 8433937452 | GENESIS HEALTHCARE, INC. |
211 S Jones Rd B, Olanta, SC 29114-9705 | 8433969730 | 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 |
Peter Pius Okelly | Urology | Genesis Healthcare, Inc. | 457 Spruce St, Walterboro, SC 29488-2766 |
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 |
Street Address |
211 S JONES RD B |
City | OLANTA |
State | SC |
Zip | 29114-9705 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian M Heaster | Internal Medicine | Genesis Healthcare, Inc. | 211 S Jones Rd B, Olanta, SC 29114-9705 |
City | OLANTA |
Zip Code | 29114 |
Specialty | NURSE PRACTITIONER |
City + Specialty | OLANTA + NURSE PRACTITIONER |
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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.