Charles A Bickerstaff Jr. (NPI# 1972584712, PAC ID# 7911894399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
Nation Provider ID (NPI) | 1972584712 |
PAC ID by PECOS | 7911894399 |
Professional Enrollment ID | I20111202000416 |
Full Name | Charles A Bickerstaff Jr. |
Organization Legal Name | WILLIAMSBURG REGIONAL HOSPITAL |
Address |
500 Thurgood Marshall Hwy F Kingstree SC 29556-4143 |
Phone Number | 8433550174 |
Gender | M |
Medical School | MEDICAL COLLEGE OF GEORGIA |
Graduation Year | 1976 |
Primary Specialty | GASTROENTEROLOGY |
Group Practice PAC ID | 7911994553 |
Number of Group Practice Members | 16 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
421303 | WILLIAMSBURG REGIONAL HOSPITAL |
420087 | ROPER HOSPITAL |
Address | Phone | Organization |
---|---|---|
500 Thurgood Marshall Hwy F, Kingstree, SC 29556-4143 | 8433550174 | WILLIAMSBURG REGIONAL HOSPITAL |
Organization Legal Name | WILLIAMSBURG REGIONAL HOSPITAL |
Physicians | 15 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael S Kitchen | Emergency Medicine | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
Wright Sparks Skinner Iii | Orthopedic Surgery | Williamsburg Regional Hospital | 402 Nelson Blvd 400, 200 Ocean Cardiology, Kingstree, SC 29556-4058 |
Ariane U Lieberman | Cardiovascular Disease (cardiology) | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy F, Kingstree, SC 29556-4143 |
Charlie D Smith Iii | Cardiac Surgery | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy, Suite G, Kingstree, SC 29556-0568 |
Angela Allen Morris | Nurse Practitioner | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
Robert W Rhame Jr. | Family Medicine | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
Michelle L Butterworth | Podiatry | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556-4143 |
Jessica M Grimsley | Nurse Practitioner | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy, Suite G, Kingstree, SC 29556-0568 |
Joseph S Asaro | General Surgery | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
Samuel J Tomlinson Iii | Family Medicine | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
Street Address |
500 THURGOOD MARSHALL HWY F |
City | KINGSTREE |
State | SC |
Zip | 29556-4143 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ariane U Lieberman | Cardiovascular Disease (cardiology) | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy F, Kingstree, SC 29556-4143 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charlie D Smith Iii | Cardiac Surgery | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy, Suite G, Kingstree, SC 29556-0568 |
Jessica M Grimsley | Nurse Practitioner | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy, Suite G, Kingstree, SC 29556-0568 |
Gary L Carney | Chiropractic | 1248 N Longstreet St, Kingstree, SC 29556-2748 | |
Ernest M Atkinson | Family Medicine | Carolina Family Care Inc | 342 W Main St, Kingstree, SC 29556-3235 |
Richard K Ellis | Family Medicine | Carolina Family Care Inc | 342 W Main St, Kingstree, SC 29556-3235 |
Albert D Mims | Family Medicine | Carolina Family Care Inc | 342 W Main St, Kingstree, SC 29556-3235 |
Kevin A Morris | Chiropractic | 303 E Main St, Kingstree, SC 29556-3512 | |
Brandi Powell Russ | Nurse Practitioner | Ohio Valley Physicians Inc | 115 Short St, Suite C, Kingstree, SC 29556-3924 |
Edward Johnson | Optometry | 409 Martin Luther King Ave, Kingstree, SC 29556-4016 | |
Michael S Kitchen | Emergency Medicine | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
Find all physicians in zip 29556 |
City | KINGSTREE |
Zip Code | 29556 |
Specialty | GASTROENTEROLOGY |
City + Specialty | KINGSTREE + GASTROENTEROLOGY |
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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.