Samuel W Adams Ii (NPI# 1972942134, PAC ID# 1052546488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1972942134 |
| PAC ID by PECOS | 1052546488 |
| Professional Enrollment ID | I20160129000059 |
| Full Name | Samuel W Adams Ii |
| Organization Legal Name | BERKELEY FAMILY PRACTICE LLC |
| Address |
2061 Hwy 52 Moncks Corner SC 29461-5017 |
| Phone Number | 8437618800 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0941204481 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420087 | ROPER HOSPITAL |
| 420079 | TRIDENT MEDICAL CENTER |
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| 420110 |
| Address | Phone | Organization |
|---|---|---|
| 2061 Hwy 52, Moncks Corner, SC 29461-5017 | 8437618800 | BERKELEY FAMILY PRACTICE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 100% | |
| MIPS_EC_046_65+ | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | BERKELEY FAMILY PRACTICE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kaye Heincelman | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Margaret V Sorrell | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Jeffrey Ramond Santi | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Jeremy Ackermann | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| John D Flaugher | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Street Address |
2061 HWY 52 |
| City | MONCKS CORNER |
| State | SC |
| Zip | 29461-5017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kaye Heincelman | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Margaret V Sorrell | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Jeffrey Ramond Santi | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Jeremy Ackermann | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| John D Flaugher | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Rahn Ravenell | Podiatry | Coastal Podiatry LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Kimberly Renee Stoltzfus | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Kelly S Guerrero | Physician Assistant | Coastal Cardiology, P.a. | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Jillian Galan | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Gordon Wilhoit | Family Practice | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances P Johnson | Physical Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Richard Gordon Johnson I | Physical Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Rodney N Tyler Jr. | Occupational Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Iwona Gasior | Physician Assistant | Ohio Valley Physicians Inc | 306 Airport Dr, Moncks Corner, SC 29461-2629 |
| Robert G Reuther | Ophthalmology | Carolina Eyecare Physicians LLC | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Nancy R Lembo | Physical Medicine and Rehabilitation | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 | |
| Cortney S Draper | Emergency Medicine | Roper Hospital, Inc. | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| John P Davis Jr. | Internal Medicine | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Suite 200, Moncks Corner, SC 29461-2904 |
| Crystal G Whittington | Optometry | Carolina Eyecare Physicians LLC | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Alexander Marshall | Internal Medicine | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Find all physicians in zip 29461 | |||
| City | MONCKS CORNER |
| Zip Code | 29461 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONCKS CORNER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Samuel W Adams Ii.
| 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.