Medical University of South Carolina
A Medicare group practice based in Charleston, SC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2365403698), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2365403698
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
- Enrolled in
- SC
- Enrollments
- 2
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20120316000104 | SC | Part B Supplier - Independent Clinical Laboratory | 1194026153 |
| O20181215000039 | SC | Part B Supplier - Clinic/Group Practice | 1437636057 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Medical University of SC
- Oral and Maxillofacial Pathology Dentistry
- Charleston, SC
- NPI 1194026153
-
Medical University of South Carolina
- Clinical Medical Laboratory
- Charleston, SC
- NPI 1437636057
Practice locations
- Charleston, SC2
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (6).
-
Evelyn Trantham Bruner, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Charleston, SC
- NPI 1558598847
-
Dirk Michael Elston, MD
- Dermatopathology Physician
- Charleston, SC
- NPI 1669449161
-
Jessica Ashley Forcucci, MD
- Anatomic Pathology & Clinical Pathology Physician
- Charleston, SC
- NPI 1467713636
-
John C Maize Sr., MD
- Dermatopathology Physician
- Charleston, SC
- NPI 1982683611
-
John Metcalf, MD
- Anatomic Pathology Physician
- Charleston, SC
- NPI 1255355178
-
Jane Scribner, M.D.
- Dermatopathology Physician
- Charleston, SC
- NPI 1144365495
-
Sally Self, MD
- Anatomic Pathology & Clinical Pathology Physician
- Charleston, SC
- NPI 1417978388
-
Tina Rushing Woods, D.M.D.
- Oral and Maxillofacial Pathology Dentistry
- Charleston, SC
- NPI 1386758829
-
Angela Jiyeon Yoon, DDS
- Oral and Maxillofacial Pathology Dentistry
- Charleston, SC
- NPI 1760486377
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.