Fletcher C Derrick Iii (NPI# 1083784110, PAC ID# 2062446164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1083784110 |
| PAC ID by PECOS | 2062446164 |
| Professional Enrollment ID | I20050919000598 |
| Full Name | Fletcher C Derrick Iii |
| Organization Legal Name | SOUTHEASTERN HOSPITALIST SERVICES, PC |
| Address |
501 Robertson Blvd Walterboro SC 29488-2787 |
| Phone Number | 8437822000 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3476855420 |
| Number of Group Practice Members | 243 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420067 | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| 420030 | COLLETON MEDICAL CENTER |
| 110024 | CANDLER HOSPITAL |
| 420080 | HILTON HEAD REGIONAL MEDICAL CENTER |
| 420101 | COASTAL CAROLINA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Midtown Dr, Beaufort, SC 29906-5200 | 8437700404 | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| 955 Ribaut Rd, Beaufort, SC 29902-5441 | 8435225200 | HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION |
| 501 Robertson Blvd, Walterboro, SC 29488-2787 | 8437822000 | SOUTHEASTERN HOSPITALIST SERVICES, PC |
| Organization Legal Name | SOUTHEASTERN HOSPITALIST SERVICES, PC |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Ellis Rawls | Internal Medicine | Southeastern Hospitalist Services, PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Robin Malik | Family Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Darlene R Crittenden | Nurse Practitioner | Southeastern Hospitalist Services, PC | 2122 Manchester Expy, Columbus, GA 31904-6878 |
| Rima P Patel | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Gabriele Polk-seldon | Nurse Practitioner | Southeastern Hospitalist Services, PC | 2122 Manchester Expy, Columbus, GA 31904-6878 |
| Fritz E Jean-gilles | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Farnel F Backer | Family Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Andrew Peter Mangano | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Thanigaiarsu Thiyagarajan | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Joshua Paul Myers | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Street Address |
501 ROBERTSON BLVD |
| City | WALTERBORO |
| State | SC |
| Zip | 29488-2787 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fazal M Khan | Psychiatry | Coastal Inpatient Physicians LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Bettie S Stem | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Todd L Allen | Obstetrics/gynecology | Coastal Carolina Multispecialty Associates LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Reda Saadal Hallaba | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Dennis L Mcgill Ii | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Karl D Stiegler | General Surgery | Coastal Carolina Multispecialty Associates LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Phong Thanh Phan | Hospitalist | Southeastern Hospitalist Services, PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Michael A Smith | Family Medicine | Southeastern Hospitalist Services, PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Walter Blun Bowden Jr. | Internal Medicine | Southeastern Hospitalist Services, PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Kara A Ott | Nurse Practitioner | Southeastern Hospitalist Services, PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance A Sims | Podiatry | 841 Robetson Blvd, Walterboro, SC 29488 | |
| Alyssa W Ursini | Nurse Practitioner | Lowcountry Urgent Care LLC | 1515 Bells Hwy, Walterboro, SC 29488-2517 |
| Quana Mardena Singleton | Nurse Practitioner | Lowcountry Urgent Care LLC | 1515 Bells Hwy, Walterboro, SC 29488-2517 |
| Robert H Payne Jr. | Psychiatry | Charleston Family Center, LLC | 303 Maxey St, Walterboro, SC 29488-2546 |
| Harriet A Nason | Clinical Social Worker | Charleston Family Center, LLC | 303 Maxey St, Walterboro, SC 29488-2546 |
| Stuart A Eder | Chiropractic | 975 Bells Hwy, Walterboro, SC 29488-2565 | |
| Robert L Thomas | Internal Medicine | 300 Ruby St, Walterboro, SC 29488-2758 | |
| Alison Renee Brown | Physician Assistant | Walterboro Adult and Pediatric Medicine,llc | 447 Spruce St, Walterboro, SC 29488-2766 |
| Brandon Eugene Marshall | Optometry | Carolina Eyecare Physicians,llc | 459 Spruce St, Walterboro, SC 29488-2766 |
| Michael L Blubaugh | Internal Medicine | Carolina Medical Center of Walterboro P A | 461 Spruce St, Walterboro, SC 29488-2766 |
| Find all physicians in zip 29488 | |||
| City | WALTERBORO |
| Zip Code | 29488 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WALTERBORO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Fletcher C Derrick Iii.
| 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.