Tidewater Doctors LLC

PAC ID

2466841655The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

SC

Enrollments

1

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

3In 1 place

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Tidewater Doctors LLC

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1992474654
• Tidewater Doctors LLC

  • Internal Medicine Physician
  • Charleston, SC
  • NPI 1821769290
• Tidewater Doctors LLC

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1932870318

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

• Jeffrey M Akhtar, DO

  • Internal Medicine Physician
  • Charleston, SC
  • NPI 1053370841
• Amelia C Fairfax, MD

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1629147848
• Donald P Hurley, D.O.

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1043206410

• 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.