140
SC023278_CAD_PRD_MLT ©WellCare 2013 SC_06_13 SCCADPD52926M 52926 2013 Directorio de Proveedores Provider Directory Aiken, Allendale, Bamberg, Barnwell, Calhoun, Clarendon, Fairfield, Lancaster, Lee, Lexington, Newberry, Orangeburg, Richland, Sumter, York

2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

Page 1: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SC023278_CAD_PRD_MLT ©WellCare2013SC_06_13SCCADPD52926M

5292

6

2013

Directorio de Proveedores

Provider Directory

Aiken, Allendale, Bamberg, Barnwell, Calhoun, Clarendon, Fairfield,

Lancaster, Lee, Lexington, Newberry, Orangeburg, Richland, Sumter, York

Page 2: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:
Page 3: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

Here is your WellCare provider directory. It’s a listing of all of the providers in our network. These providers include:

• Primary care providers (PCPs) and specialists• Hospitals • Pharmacies

Each of these providers will make his or her own decisions about the care you need. Some providers may not perform certain services because of their religious or moral beliefs.

We’ve listed all of the providers by county. Then we’ve grouped them together based on the type of care or services they provide. We’ve also included:

• The providers’ addresses and phone numbers • Symbols to tell you whether the provider is accepting new patients, board certified or

wheelchair accessible

We also have a provider look-up tool on our website. Go to southcarolina.wellcare.com. From there, click on the “Find a Provider” icon. You’ll be able to search for providers right in your area. This is the best place to get our most current directory information.

Call us if you have questions about this directory. We can help you find a provider. We can even help set up an appointment for you. Our toll-free number is 1-888-588-9842. You can reach us Monday–Friday, 8 a.m. to 5 p.m. TTY/TDD users should call 1-877-247-6272.

We wish you good health.

SCCADPD52926M

Page 4: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

• Proveedores de cuidado primario (PCP) y especialistas• Hospitales • Farmacias

Cada uno de estos proveedores tomará sus propias decisiones sobre el cuidado que usted necesita. Es posible que algunos proveedores no proporcionen ciertos servicios debido a sus creencias religiosas y morales.

Hemos listado a todos los proveedores por condado. Luego los hemos agrupado según el tipo de cuidado o servicios que ofrecen. También hemos incluido:

• Las direcciones y los números de teléfono de los proveedores • Símbolos para indicarle si el proveedor está aceptando nuevos pacientes, si es certificado

por una junta o si cuenta con acceso para silla de ruedas

En nuestro sitio web también contamos con una herramienta de búsqueda de proveedores. Visite southcarolina.wellcare.com. Desde allí, haga clic en el icono “Find a Provider” (Buscar un proveedor). Usted podrá buscar proveedores exactamente en su área. Este es el mejor lugar para obtener nuestra información de directorio más actual.

Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un proveedor. Incluso podemos ayudarle a programar una cita. Nuestro número sin cargo es 1-888-588-9842. Puede comunicarse con nosotros de lunes a viernes de 8 a.m. a 5 p.m. Los usuarios de TTY/TDD deben llamar al 1-877-247-6272.

Le deseamos una buena salud.

Page 5: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

Oconee

Pickens Spartanburg

AndersonLaurens

Union

Cherokee

York

ChesterLancaster

Kershaw

Richland

Lee

Sumter

Clarendon Williamsburg

Georgetown

Calhoun

Orangeburg

Berkeley

Charleston

Chesterfield

Darlington

Marlboro

Dillon

Marion

HorryFlorence

FairfieldNewberry

Saluda

Edgefield

Aiken

Barnwell

Allendale

Hampton

Jasper

Colleton

Beaufort

BambergDorchester

LexingtonMcCormick

Greenwood

Abbeville

Greenville

Low Country

Piedmont

Pee Dee

Midlands

South Carolina Regional MapMapa regional de South Carolina

Page 6: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

TABLE OF CONTENTSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

1

PRIMARY CARE PROVIDERSSOUTH CAROLINA

AIKEN COUNTY.................................................................4ALLENDALE COUNTY.......................................................5BAMBERG COUNTY .........................................................5BARNWELL COUNTY........................................................5CALHOUN COUNTY..........................................................5CLARENDON COUNTY.....................................................5FAIRFIELD COUNTY .........................................................6KERSHAW COUNTY .........................................................6LANCASTER COUNTY......................................................7LEE COUNTY.....................................................................7LEXINGTON COUNTY.......................................................8NEWBERRY COUNTY.....................................................12ORANGEBURG COUNTY................................................12RICHLAND COUNTY .......................................................13SUMTER COUNTY ..........................................................22YORK COUNTY ...............................................................23

SPECIALTY PHYSICIANSSOUTH CAROLINA

AIKEN COUNTY...............................................................25ALLENDALE COUNTY.....................................................28BAMBERG COUNTY .......................................................28BARNWELL COUNTY......................................................29CALHOUN COUNTY........................................................29CLARENDON COUNTY...................................................29FAIRFIELD COUNTY .......................................................30KERSHAW COUNTY .......................................................31LANCASTER COUNTY....................................................32LEE COUNTY...................................................................35LEXINGTON COUNTY.....................................................35NEWBERRY COUNTY.....................................................42ORANGEBURG COUNTY................................................43RICHLAND COUNTY .......................................................49SUMTER COUNTY ..........................................................75YORK COUNTY ...............................................................79

CLINICSSOUTH CAROLINA

BAMBERG COUNTY .......................................................85FAIRFIELD COUNTY .......................................................85LEE COUNTY...................................................................85LEXINGTON COUNTY.....................................................85NEWBERRY COUNTY.....................................................85RICHLAND COUNTY .......................................................85SUMTER COUNTY ..........................................................85

HOSPITALSSOUTH CAROLINA

AIKEN COUNTY...............................................................86ALLENDALE COUNTY.....................................................86BAMBERG COUNTY .......................................................86

Page 7: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

2

TABLE OF CONTENTSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

HOSPITALS (cont.)BARNWELL COUNTY......................................................86CLARENDON COUNTY...................................................86FAIRFIELD COUNTY .......................................................86LANCASTER COUNTY....................................................86LEE COUNTY...................................................................86NEWBERRY COUNTY.....................................................86ORANGEBURG COUNTY................................................86RICHLAND COUNTY .......................................................86SUMTER COUNTY ..........................................................86

ANCILLARY PROVIDERSSOUTH CAROLINA

AIKEN COUNTY...............................................................87ALLENDALE COUNTY.....................................................87BAMBERG COUNTY .......................................................87BARNWELL COUNTY......................................................87CALHOUN COUNTY........................................................87CLARENDON COUNTY...................................................87FAIRFIELD COUNTY .......................................................87KERSHAW COUNTY .......................................................87LANCASTER COUNTY....................................................87LEE COUNTY...................................................................88LEXINGTON COUNTY.....................................................88NEWBERRY COUNTY.....................................................89ORANGEBURG COUNTY................................................89RICHLAND COUNTY .......................................................89SUMTER COUNTY ..........................................................90YORK COUNTY ...............................................................91

ALLIED PROVIDERSSOUTH CAROLINA

AIKEN COUNTY...............................................................92ALLENDALE COUNTY.....................................................94BAMBERG COUNTY .......................................................94BARNWELL COUNTY......................................................95CALHOUN COUNTY........................................................95CLARENDON COUNTY...................................................95FAIRFIELD COUNTY .......................................................96KERSHAW COUNTY .......................................................96LANCASTER COUNTY....................................................96LEE COUNTY...................................................................96LEXINGTON COUNTY.....................................................97NEWBERRY COUNTY.....................................................98ORANGEBURG COUNTY................................................98RICHLAND COUNTY .....................................................102SUMTER COUNTY ........................................................110YORK COUNTY .............................................................111

PHARMACIESSOUTH CAROLINA

AIKEN COUNTY.............................................................113ALLENDALE COUNTY...................................................113

Page 8: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

TABLE OF CONTENTSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

3

PHARMACIES (cont.)BAMBERG COUNTY .....................................................113BARNWELL COUNTY....................................................113CLARENDON COUNTY.................................................114FAIRFIELD COUNTY .....................................................114KERSHAW COUNTY .....................................................114LANCASTER COUNTY..................................................114LEE COUNTY.................................................................114LEXINGTON COUNTY...................................................114NEWBERRY COUNTY...................................................116ORANGEBURG COUNTY..............................................116RICHLAND COUNTY .....................................................116SUMTER COUNTY ........................................................118YORK COUNTY .............................................................119

INDEX OF PROVIDERS.............................................................. 121

Page 9: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY4

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

FAMILY PRACTICE

Bland, James, MD "Provider ID: 768270Family Health Care120 Darlington StAiken, SC 29803(803) 641-1404

Ages Seen: 00 Yrs/99 Yrs

Clark III, William, MD "Provider ID: 767551Wagener Medcial Center120 Louie StWagener, SC 29164(803) 564-6497

Ages Seen: 00 Yrs/99 Yrs

Muniz, Leopoldo, MD !"#Provider ID: 766808Leopoldo M Muniz MD101 Summerwood WayAiken, SC 29803(803) 642-3505

Ages Seen: 00 Yrs/99 Yrs

Schlueter, Eric, MD !"Provider ID: 768672Margaret J Watson Community

Health1211 University LnAiken, SC 29801(803) 648-4744

Ages Seen: 00 Yrs/99 Yrs

Schlueter, Eric, MD !"Provider ID: 768673Margaret J Watson Community

Health4645 Augusta RdClearwater, SC 29822(803) 593-9283

Ages Seen: 00 Yrs/99 Yrs

Tam, Henry, MD "Provider ID: 767749Tam Henry W216 Edgefield AveAiken, SC 29801(803) 648-4224

Ages Seen: 00 Yrs/99 Yrs

Tam, Henry, MD "Provider ID: 767750Tam Henry W2678 Whiskey RdAiken, SC 29803(803) 648-4224

Ages Seen: 00 Yrs/99 Yrs

Toomer, Catherine, MD "Provider ID: 769195Margaret J Weston Community

Health1211 University LnAiken, SC 29801(803) 648-4744

Ages Seen: 00 Yrs/99 Yrs

Toomer, Catherine, MD "Provider ID: 769196Margaret J Weston Community

Health4645 Augusta RdBeech Island, SC 29842(803) 593-9283

Ages Seen: 00 Yrs/99 Yrs

Vaughters Jr, Ray, MD "Provider ID: 768504Vaughters Jr Ray B39C Varden RdAiken, SC 29803(803) 649-2501

Ages Seen: 04 Yrs/99 Yrs

Woriax, Fredric, MD "Provider ID: 767804Margaret J Watson Community

Health1211 University LnAiken, SC 29801(803) 648-4744

Ages Seen: 18 Yrs/99 Yrs

Woriax, Fredric, MD "Provider ID: 767805Margaret J Watson Community

Health4645 Augusta RdClearwater, SC 29822(803) 593-9283

Ages Seen: 18 Yrs/99 Yrs

FEDERALLY QUALIFIED HEALTH CENTER

Family Health Care "Provider ID: 769233Rural Health Services120 Darlington DrAiken, SC 29803(803) 641-1404

Ages Seen: 00 Yrs/99 Yrs

Margaret J Weston Community Health Center "

Provider ID: 769234Rural Health Services1211 University LnAiken, SC 29801(803) 648-4744

Ages Seen: 00 Yrs/99 Yrs

Margaret J Weston Community Health Center "

Provider ID: 769235Rural Health Services4645 Augusta RdClearwater, SC 29822(803) 593-9283

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Besson, William, MD "#Provider ID: 769237Aiken Internal Medicine Associates410 University Pkwy Ste 2500Aiken, SC 29801(803) 648-7888

Ages Seen: 00 Yrs/99 Yrs

Hesse, Raymond, MD "#Provider ID: 769520Aiken Internal Medicine Associates410 University Pkwy Ste 2500Aiken, SC 29801(803) 648-7888

Ages Seen: 00 Yrs/99 Yrs

McCullough, Thomas, MD !"#Provider ID: 767097Aiken Internal Medicine Associates410 University Pkwy Ste 2500Aiken, SC 29801(803) 648-7888

Ages Seen: 00 Yrs/99 Yrs

Meyer, Theodore, MD "#Provider ID: 768358Aiken Internal Medicine Associates410 University Pkwy Ste 2500Aiken, SC 29801(803) 648-7888

Ages Seen: 00 Yrs/99 Yrs

Watson, Randy, MD "Provider ID: 768472Watson Randy944 Dougherty RdAiken, SC 29803(803) 648-7818

Ages Seen: 00 Yrs/99 Yrs

Zotovic, Danijela, MD !"#Provider ID: 769493Aiken Internal Medicine Associates410 University Pkwy Ste 2500Aiken, SC 29801(803) 648-7888

Ages Seen: 17 Yrs/99 Yrs

PEDIATRICS

Collins, Jonathan, MD "Provider ID: 766974Southside Pediatrics of Aiken206 Centre South BlvdAiken, SC 29803(803) 642-9204

Ages Seen: 00 Yrs/16 Yrs

Goldberg, Susan, MD !"Provider ID: 768312Aiken Regional Medical Centesr60 Physician DrAiken, SC 29801(803) 641-5437

Ages Seen: 00 Yrs/21 Yrs

Jagdale, Deepa, MD "Provider ID: 768134Margaret J Weston Health Center4645 Augusta RdBeech Island, SC 29842(803) 593-9283

Ages Seen: 00 Yrs/21 Yrs

Kinsey, Timothy, MD !"Provider ID: 768864Aiken Regional Medical Center60 Physician DrAiken, SC 29801(803) 641-5437

Ages Seen: 00 Yrs/17 Yrs

Luis, Jose, MD "Provider ID: 769069Aiken Pediatrics74 Physician DrAiken, SC 29801(803) 649-0578

Ages Seen: 00 Yrs/99 Yrs

Luther, Paula, MD !"Provider ID: 768489Southside Pediatrics of Aiken206 Centre South BlvdAiken, SC 29803(803) 642-9204

Ages Seen: 00 Yrs/16 Yrs

Stoeppler, Victoria, MD "#Provider ID: 769030Language: SpanishAiken Pediatrics74 Physician DrAiken, SC 29801(803) 649-0578

Ages Seen: 00 Yrs/99 Yrs

Tiffany, John, MD !"Provider ID: 767938Southside Pediatrics of Aiken206 Centre South BlvdAiken, SC 29803(803) 642-9204

Ages Seen: 00 Yrs/16 Yrs

RURAL HEALTH CENTER

Wagener Medical Center "Provider ID: 768368Barnwell County Hospital120 Louie StWagener, SC 29164(803) 564-6497

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINAAIKEN COUNTY

Page 10: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY5

FAMILY PRACTICE

Ky, Mol, DO !"Provider ID: 767003Low Country Health Care333 Revolutionary TrlFairfax, SC 29827(803) 632-2533

Ages Seen: 00 Yrs/99 Yrs

McKissick, Janet, MD !"Provider ID: 768024Language: SpanishLow Country Health Care333 Revolutionary TrlFairfax, SC 29827(803) 632-2533

Ages Seen: 00 Yrs/99 Yrs

Miszkiewicz, Steve, MD "Provider ID: 768458Low County Health Care System333 Revolutionary TrFairfax, SC 29827(803) 632-2533

Ages Seen: 00 Yrs/99 Yrs

Smith, Walter, MD "Provider ID: 767807Laffitte and Warren Medical Center1787 Allendale Fairfax HwyFairfax, SC 29827(803) 632-3342

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Dwight, Francis, MD "Provider ID: 768016dba Bamberg Family Practice450 North StBamberg, SC 29003(803) 245-5168

Ages Seen: 00 Yrs/99 Yrs

Glenn IV, William, MD !"Provider ID: 767987William D Glenn IV MD498 North StBamberg, SC 29003(803) 245-5144

Ages Seen: 00 Yrs/99 Yrs

Glenn IV, William, MD !"Provider ID: 767988William D Glenn IV MD5073 Carolina HwyDenmark, SC 29042(803) 245-5144

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

F Marion Dwight MD "Provider ID: 768732dba Bamberg Family Practice450 North StBamberg, SC 29003(803) 245-5168

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers PCP "Provider ID: 7686435616 Carolina HwyDenmark Medical CenterDenmark, SC 29042(803) 793-4282

Ages Seen: 00 Yrs/16 Yrs

McAlhaney, Danette, MD !"Provider ID: 766926dba Bamberg Family Practice450 North StBamberg, SC 29003(803) 245-5168

Ages Seen: 00 Yrs/21 Yrs

Wangeh, Joseph, MD "Provider ID: 769572Family Health Center5616 Carolina HwyDenmark, SC 29042(803) 793-4282

Ages Seen: 00 Yrs/16 Yrs

FAMILY PRACTICE

Boyles Jr, Richard, MD !"Provider ID: 766809Barnwell Family Medicine86 Wren StBarnwell, SC 29812(803) 259-5762

Ages Seen: 00 Yrs/99 Yrs

Clark III, William, MD "Provider ID: 767552Blackville Medical Center22 Gardner RdBarnwell, SC 29812(803) 284-2041

Ages Seen: 00 Yrs/99 Yrs

Clark III, William, MD "Provider ID: 767553Williston Family Practice45 Roundtree StWilliston, SC 29853(803) 266-3600

Ages Seen: 00 Yrs/99 Yrs

Gibson, Henry, MD "Provider ID: 768222Barnwell Family Medicine86 Wren StBarnwell, SC 29812(803) 259-5762

Ages Seen: 00 Yrs/99 Yrs

Koukos, Dean, DO !"Provider ID: 769170Barnwell Family Medicine86 Wren StBarnwell, SC 29812(803) 259-5762

Ages Seen: 00 Yrs/99 Yrs

RURAL HEALTH CENTER

Blackville Medical Center "Provider ID: 768369Barnwell County Hospital22 Gardner RdBarnwell, SC 29812(803) 284-2041

Ages Seen: 00 Yrs/99 Yrs

Williston Family Practice "Provider ID: 768370Barnwell County Hospital45 Roundtree StWilliston, SC 29853(803) 266-3600

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Saavedra, Roland, MD "Provider ID: 768053St Matthews Family Practice725 Harry C Raysor DrSaint Matthews, SC 29135(803) 874-3902

Ages Seen: 00 Yrs/99 Yrs

Sanders, Michael, MD !"Provider ID: 769280St Matthews Family Practice725 Harry C Raysor DrSaint Matthews, SC 29135(803) 874-3902

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Amoah-Apraku, Bismarck, MD !"

Provider ID: 767990Language: SpanishSt Matthews Family Health Center558 Chestnut StSaint Matthews, SC 29135(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Kondapaneni, Usha, MD !"Provider ID: 769612Language: SpanishSt Matthews Family Health Center558 Chestnut StSaint Matthews, SC 29135(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Family Health Centers PCP "Provider ID: 768642558 Chestnut StSaint Matthews, SC 29135(803) 531-6900

Ages Seen: 00 Yrs/16 Yrs

FAMILY PRACTICE

Coker Jr, Clarence, MD "Provider ID: 768599Palmetto Primary Care22 Bozard StManning, SC 29102(803) 435-8828

Ages Seen: 00 Yrs/99 Yrs

Cunningham, Kievers, MD !"Provider ID: 768878Manning Medicine50 Hospital St Ste 4Manning, SC 29102(803) 435-5250

Ages Seen: 00 Yrs/99 Yrs

East Clarendon Medical Center "

Provider ID: 768098944 Smith StTurbeville, SC 29162(843) 659-2114

Ages Seen: 00 Yrs/99 Yrs

Edwards, Nicole, DO "Provider ID: 768740Black River Healthcare12 W South StManning, SC 29102(803) 433-4321

Ages Seen: 00 Yrs/99 Yrs

Haskill-Strowd, Rebecca, MD "Provider ID: 768667East Clarendon Medical Center944 Smith StTurbeville, SC 29162(843) 659-2114

Ages Seen: 00 Yrs/99 Yrs

Hidden, Glen, MD !"Provider ID: 766989Manning Medicine50 Hospital St Ste 4Manning, SC 29102(803) 435-5250

Ages Seen: 00 Yrs/99 Yrs

Manning Medicine "Provider ID: 76899550 Hospital St Ste 4Manning, SC 29102(803) 435-5250

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ALLENDALE COUNTY

BAMBERG COUNTY

BARNWELL COUNTY

CALHOUN COUNTY

CLARENDON COUNTY

Page 11: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY6

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

FAMILY PRACTICE (cont.)

McNair, Rebecca, MD !"Provider ID: 767388Palmetto Primary Care22 Bozard StManning, SC 29102(803) 435-8828

Ages Seen: 00 Yrs/99 Yrs

Smith, Kate, MD "Provider ID: 768018East Clarendon Medical Center944 Smith StTurbeville, SC 29162(843) 659-2114

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Akkineni, Madhavi, MD "Provider ID: 768246Language: Spanish, TeluguDj Daulton Dubose Medical Center1056 Felton StSummerton, SC 29148(803) 488-9355

Ages Seen: 00 Yrs/99 Yrs

Dixon Jr, Woodward, MD "Provider ID: 769019Language: SpanishDr J Daulton Dubose Medical

Center1056 Felton StSummerton, SC 29148(803) 488-9355

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Bachus-Keith, Beryl, MD !"Provider ID: 769771Hopehealth12 W South StManning, SC 29102(803) 433-4124

Ages Seen: 00 Yrs/99 Yrs

Bachus-Keith, Beryl, MD !"Provider ID: 769772Manning Medicine50 E Hospital St Ste 4Manning, SC 29102(803) 435-5250

Ages Seen: 00 Yrs/99 Yrs

Garma, Reynald, MD !"Provider ID: 767747Language: IlocanoHopehealth12 W South StManning, SC 29102(803) 433-4124

Ages Seen: 00 Yrs/21 Yrs

Garma, Reynald, MD !"Provider ID: 767748Language: IlocanoManning Internal Medicine50 E Hospital St Ste 4Manning, SC 29102(803) 435-5250

Ages Seen: 00 Yrs/21 Yrs

Moreno-Hussey, Sandra, MD "Provider ID: 767093Language: SpanishHopehealth12 W South StManning, SC 29102(803) 433-4124

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Barnett, Steven, MD "Provider ID: 767166Fairfield Medical Associates880 W Moultrie St Ste 200Winnsboro, SC 29180(803) 635-6461

Ages Seen: 00 Yrs/99 Yrs

Crisp, Jeremy, MD !"Provider ID: 767373The Martin Center56 US Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-6099

Ages Seen: 00 Yrs/99 Yrs

Floyd, Dean, MD "Provider ID: 767935Ridgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 00 Yrs/99 Yrs

Jones, Kadijah, MD "Provider ID: 768384Ridgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 00 Yrs/99 Yrs

McElmurray, Charles, MD !"Provider ID: 769042Martin Primary56 US Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-6099

Ages Seen: 00 Yrs/99 Yrs

Patrick, Harmon, MD !"Provider ID: 767280Fairfield Medical Associates880 W Moultrie St Ste 200Winnsboro, SC 29180(803) 635-6461

Ages Seen: 00 Yrs/99 Yrs

Rhoe, Jandrette, MD "Provider ID: 769784Ridgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 00 Yrs/99 Yrs

Stuck, Deborah, MD "Provider ID: 769608Fairfield Medical Associates880 W Moultrie St Ste 200Winnsboro, SC 29180(803) 635-6488

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Adebajo, Adelero, MD "Provider ID: 766843Winnsboro Peds & Family Practice1136 Kincaid Bridge Rd Ste AWinnsboro, SC 29180(803) 635-6411

Ages Seen: 00 Yrs/99 Yrs

Arora, Sri, MD "Provider ID: 768305Language: Hindi, UrduRidgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 18 Yrs/99 Yrs

Bell, Woodrow, MD "Provider ID: 768821Ridgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 00 Yrs/18 Yrs

Campbell, Linda, MD "Provider ID: 768551Ridgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 00 Yrs/99 Yrs

Delaine, Brenna, MD "Provider ID: 767549Winnsboro Peds & Family Practice1136 Kincaid Bridge Rd Ste AWinnsboro, SC 29180(803) 635-1052

Ages Seen: 00 Yrs/99 Yrs

Edford-Davis, Kim, DO "Provider ID: 768706Ridgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 16 Yrs/99 Yrs

PEDIATRICS

Kudchadkar, Shubhalaxmi, MD "

Provider ID: 767643Kudchadkar Clinic880 W Moultrie St Ste 100Winnsboro, SC 29180(803) 635-6411

Ages Seen: 00 Yrs/19 Yrs

Richland Community Healthcare Associates "

Provider ID: 768486Richland Community Healthcare

Assoc1136 Kincaide Bridge Rd Ste AWinnsboro, SC 29180(803) 635-1052

Ages Seen: 02 Yrs/21 Yrs

FAMILY PRACTICE

Dogra, Atul, MD !"Provider ID: 767098Sandhills Medical Foundation1165 Hwy 1 SouthLugoff, SC 29078(803) 408-3262

Ages Seen: 00 Yrs/99 Yrs

Maxwell, Crystal, MD !"Provider ID: 767428Sandhills Medical Foundation1165 Hwy 1 SouthLugoff, SC 29078(803) 408-3262

Ages Seen: 00 Yrs/99 Yrs

Siegmann, James, MD "Provider ID: 768031Language: GermanSandhills Medical Foundation1165 Hwy 1 SouthLugoff, SC 29078(803) 408-3262

Ages Seen: 00 Yrs/99 Yrs

FEDERALLY QUALIFIED HEALTH CENTER

Sandhills Medical Foundation "Provider ID: 7691911165 Hwy 1 SouthLugoff, SC 29078(803) 408-3262

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Minhas, Meha, MD !"Provider ID: 768959Sandhills Medical Foundation1165 Hwy 1 SouthLugoff, SC 29078(803) 408-3262

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

CLARENDON COUNTY (cont.)

FAIRFIELD COUNTY

KERSHAW COUNTY

Page 12: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY7

INTERNAL MEDICINE (cont.)

Olatosi, Akinwale, MD !"Provider ID: 769081Sandhills Medical Foundation1165 Hwy 1 SouthLugoff, SC 29078(803) 408-3262

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Quadir, Zafar, MD !"Provider ID: 768151Sandhills Medical Foundation1165 Hwy 1 SouthLugoff, SC 29078(803) 408-3262

Ages Seen: 00 Yrs/21 Yrs

FAMILY PRACTICE

Black, Kristin, MD !"Provider ID: 768623New Day Family Practice820 W Meeting StLancaster, SC 29720(803) 285-5441

Ages Seen: 18 Yrs/99 Yrs

Culp, Steven, MD !"#Provider ID: 766849Mackey Family Practice1025 W Meeting St Ste 200Lancaster, SC 29720(803) 285-7414

Ages Seen: 00 Yrs/99 Yrs

Delverme Silva, Rosanna, DO !"

Provider ID: 767808Language: Italian, SpanishCare Heatlh Center Care Net838 W Meeting StMedical Arts V Ste HLancaster, SC 29720(803) 285-2273

Ages Seen: 00 Yrs/99 Yrs

Jamison, Cynthia, MD !"Provider ID: 766862New Day Family Practice820 W Meeting StLancaster, SC 29720(803) 285-5441

Ages Seen: 00 Yrs/99 Yrs

Koon, James, MD !"Provider ID: 767086Language: FrenchPalmetto Family Medicine of

Kershaw206 South Matson StKershaw, SC 29067(803) 475-1156

Ages Seen: 00 Yrs/99 Yrs

Perera, Nimal, MD !"Provider ID: 769627Care Heatlh Center Care Net838 W Meeting StMedical Arts V Ste HLancaster, SC 29720(803) 285-2273

Ages Seen: 00 Yrs/99 Yrs

Sharp, Frank, MD !"#Provider ID: 769271Mackey Family Practice1025 W Meeting St Ste 200Lancaster, SC 29720(803) 285-7414

Ages Seen: 00 Yrs/99 Yrs

Shealy, Keith, MD !"#Provider ID: 768535Mackey Family Practice1025 W Meeting St Ste 200Lancaster, SC 29720(803) 285-7414

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Bhaskaran, Dharmendra, MD !"

Provider ID: 766888Language: Hindi, KannadaLancaster Internal Medicine834 W Meeting St Ste FLancaster, SC 29720(803) 285-8777

Ages Seen: 00 Yrs/99 Yrs

Daily, Linda, DO "#Provider ID: 768622Language: SpanishMackey Family Practice1025 W Meeting StLancaster, SC 29720(803) 285-7414

Ages Seen: 00 Yrs/99 Yrs

Greene, Lynne, MD !"Provider ID: 769573Mackey Family Practice1025 W Meeting St Ste 200Lancaster, SC 29720(803) 285-7414

Ages Seen: 00 Yrs/99 Yrs

Rameshbabu, Alagusivakumari, MD !"

Provider ID: 766812Lancaster Internal Medicine834 W Meeting St Ste FLancaster, SC 29720(803) 258-8777

Ages Seen: 00 Yrs/99 Yrs

Sharma, Deovyaas, MD !"Provider ID: 769239Lancaster Internal Medicine834 W Meeting St Ste FLancaster, SC 29720(803) 285-8777

Ages Seen: 00 Yrs/99 Yrs

Woodbury, Lee, MD "Provider ID: 767724Language: Chinese, SpanishLancaster One Medical529 Hwy 9 Bypass ELancaster, SC 29720(803) 286-5700

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Belton, Darniya, MD !"Provider ID: 767015Lancaster Clinic Corp206 S Matson StKershaw, SC 29067(803) 475-1156

Ages Seen: 00 Yrs/99 Yrs

Belton, Darniya, MD !"Provider ID: 767016Lancaster Clinic Corp838 W Meeting StLancaster, SC 29720(803) 285-2700

Ages Seen: 00 Yrs/21 Yrs

Carter, Lucretia, MD !"Provider ID: 769498Morphis Pediatrics of Lancaster112 C Woodland DrLancaster, SC 29720(803) 416-5295

Ages Seen: 00 Yrs/99 Yrs

Carter, Lucretia, MD !"Provider ID: 769499Lancaster Clinic Corp800 W Meeting StLancaster, SC 29720(803) 286-1794

Ages Seen: 00 Yrs/99 Yrs

Cruz, Carmina, MD !"Provider ID: 768317Language: SpanishThe Childrens Clinic1228 Colonial Commons Ste 231Lancaster, SC 29720(803) 289-5437

Ages Seen: 00 Yrs/18 Yrs

Morphis, Elizabeth, MD "Provider ID: 769065Language: SpanishMorphis Pediatrics of Lancaster112 C Woodland DrLancaster, SC 29720(803) 416-5295

Ages Seen: 00 Yrs/21 Yrs

Morphis, Elizabeth, MD "Provider ID: 769067Language: SpanishLancaster Clinic Corp800 W Meeting StLancaster, SC 29720(803) 286-1794

Ages Seen: 00 Yrs/99 Yrs

Threatt, Deanna, MD !"Provider ID: 767187The Childrens Clinic1228 Colonial Commons Ste 231Lancaster, SC 29720(803) 289-5437

Ages Seen: 00 Yrs/21 Yrs

Umeh, Uchenna, MD !"Provider ID: 767081Children First Medical Center901 W Meeting St Ste 205Lancaster, SC 29720(803) 273-4200

Ages Seen: 00 Yrs/18 Yrs

West, Markeeta, MD "Provider ID: 768612Lancaster Clinic Corp800 W Meeting StLancaster, SC 29720(803) 286-1214

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Garcellano, Miriam, DO !"Provider ID: 769008Csc Bishopville I545 Sumter HwyBishopville, SC 29010(803) 484-5317

Ages Seen: 00 Yrs/99 Yrs

Towns, Danielle, MD !"Provider ID: 769651Caresouth Carolina545 Sumter HwyBishopville, SC 29010(803) 484-5317

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

KERSHAW COUNTY (cont.)

LANCASTER COUNTY

LEE COUNTY

Page 13: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY8

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

FEDERALLY QUALIFIED HEALTH CENTER

Caresouth Carolina "Provider ID: 768745106 Hospital SqCsc Bishopville IIBishopville, SC 29010(803) 484-5317

Ages Seen: 00 Yrs/99 Yrs

GENERAL PRACTICE

Hunt, Leon, MD "Provider ID: 768872Csc Bishopville II106 Hospital SqBishopville, SC 29010(803) 484-5943

Ages Seen: 00 Yrs/99 Yrs

Pate Jr, John, MD !"Provider ID: 767697Pate Medical Associates116 Hospital SqBishopville, SC 29010(803) 484-9424

Ages Seen: 02 Yrs/99 Yrs

INTERNAL MEDICINE

Daniel, Roosevelt, MD "Provider ID: 767610Csc Bishopville I545 Sumter HwyBishopville, SC 29010(843) 484-5317

Ages Seen: 00 Yrs/99 Yrs

Franco, Mark, MD "Provider ID: 767903Caresouth Carolina545 Sumter HwyBishopville, SC 29010(803) 484-5317

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Caresouth Carolina "Provider ID: 768750545 Sumter HwyCsc BishopvilleBishopville, SC 29010(803) 484-5317

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Birdsong, Claire, MD !"#Provider ID: 767824Harbison Family Practice190 Parkridge Dr Ste 250Columbia, SC 29212(803) 407-3857

Ages Seen: 00 Yrs/99 Yrs

Boone, Tasha, MD !"#Provider ID: 768942The Medical Place Family Practice3020 Sunset Blvd Ste 101West Columbia, SC 29169(803) 791-5680

Ages Seen: 00 Yrs/99 Yrs

Busse, Charles, MD "Provider ID: 768229Language: SpanishAgape Senior Primary Care2318 Sunset BlvdWest Columbia, SC 29169(508) 836-3663

Ages Seen: 00 Yrs/99 Yrs

Cribbs, Floyd, MD "Provider ID: 767259Agape Senior Primary Care2318 Sunset BlvdWest Columbia, SC 29169(803) 454-3510

Ages Seen: 00 Yrs/99 Yrs

Floyd, Dean, MD "Provider ID: 767930Brookland Cayce Medical Practice1115 State StCayce, SC 29033(803) 939-0174

Ages Seen: 00 Yrs/99 Yrs

Floyd, Dean, MD "Provider ID: 767933Womens Health Internal Medicine

B/L338 E Columbia Ave Ste BLeesville, SC 29070(803) 532-1580

Ages Seen: 00 Yrs/99 Yrs

Floyd, Dean, MD "Provider ID: 767936Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/99 Yrs

Harman, William, MD !"Provider ID: 769401Lakeview Family Medicine1316 Northlake DrLexington, SC 29072(803) 358-1191

Ages Seen: 00 Yrs/99 Yrs

Hudson, Deidre, MD !"#Provider ID: 769578Harbison Family Practice190 Parkridge Dr Ste 250Columbia, SC 29212(803) 407-3857

Ages Seen: 00 Yrs/99 Yrs

Hutto, Eric, MD !"#Provider ID: 768113Harbison Family Practice190 Parkridge Dr Ste 250Columbia, SC 29212(803) 407-3857

Ages Seen: 00 Yrs/99 Yrs

Jones, Kadijah, MD "Provider ID: 768381Brookland Cayce Medical Practice1115 State StCayce, SC 29033(803) 939-0174

Ages Seen: 00 Yrs/99 Yrs

Jones, Kadijah, MD "Provider ID: 768385Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/99 Yrs

Oliver, Hance, MD !"Provider ID: 766911Language: GermanProvidence Family Medicine

Lexingto2351 Augusta HwyLexington, SC 29072(803) 865-4780

Ages Seen: 00 Yrs/99 Yrs

Pierce, Angela, MD !"Provider ID: 768931Providence Family Medicine Cayce190 Knox Abbott DrCayce, SC 29033(803) 227-5330

Ages Seen: 00 Yrs/99 Yrs

Rhoe, Jandrette, MD "Provider ID: 769785Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/99 Yrs

Taylor, Scarlet, MD "Provider ID: 769665Lakeview Family Medicine1316 Northlake DrLexington, SC 29072(803) 358-1191

Ages Seen: 00 Yrs/99 Yrs

Wallace, Timothy, MD !"#Provider ID: 767627Twelve Mile Creek Family Medicine4711 Sunset BlvdLexington, SC 29072(803) 356-3609

Ages Seen: 00 Yrs/99 Yrs

Wenner, Allen, MD !"#Provider ID: 767767Twelve Mile Creek Family Medicine4711 Sunset BlvdLexington, SC 29072(803) 356-3609

Ages Seen: 00 Yrs/99 Yrs

Williams Jr, James, MD !"#Provider ID: 769546Twelve Mile Creek Family Medicine4711 Sunset BlvdLexington, SC 29072(803) 356-3609

Ages Seen: 00 Yrs/99 Yrs

Witherspoon, Alexandra, MD "Provider ID: 769495Twelve Mile Creek Family Medicine4711 Sunset BlvdLexington, SC 29072(803) 356-3609

Ages Seen: 00 Yrs/99 Yrs

Wofford, Charlie, MD "Provider ID: 768614Augustine Health Group190 Knox Abbott Dr Ste 3CCayce, SC 29033(803) 227-5330

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Arora, Sri, MD !"Provider ID: 768301Language: Hindi, UrduBrookland Cayce Medical Practice1115 State StCayce, SC 29033(803) 939-0174

Ages Seen: 18 Yrs/99 Yrs

Arora, Sri, MD "Provider ID: 768306Language: Hindi, UrduPelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 18 Yrs/99 Yrs

Bell, Woodrow, MD !"Provider ID: 768816Brookland Cayce Medical Practice1115 State StCayce, SC 29033(803) 939-0174

Ages Seen: 00 Yrs/18 Yrs

SOUTH CAROLINA (cont.)

LEE COUNTY (cont.)

LEXINGTON COUNTY

Page 14: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY9

INTERNAL MEDICINE (cont.)

Bell, Woodrow, MD "Provider ID: 768819Womens Health Internal Medicine

B/L338 E Columbia Ave Ste BLeesville, SC 29070(803) 532-1580

Ages Seen: 00 Yrs/18 Yrs

Campbell, Linda, MD !"Provider ID: 768546Brookland Cayce Medical Practice1115 State StCayce, SC 29033(803) 939-0174

Ages Seen: 00 Yrs/99 Yrs

Campbell, Linda, MD "Provider ID: 768549Womens Health Internal Medicine

B/L338 E Columbia Ave Ste BLeesville, SC 29070(803) 532-1580

Ages Seen: 00 Yrs/99 Yrs

Edford-Davis, Kim, DO !"Provider ID: 768701Brookland Cayce Medical Practice1115 State StCayce, SC 29033(803) 939-0174

Ages Seen: 16 Yrs/99 Yrs

Edford-Davis, Kim, DO "Provider ID: 768704Womens Health Internal Medicine

B/L338 E Columbia Ave Ste BLeesville, SC 29070(803) 532-1580

Ages Seen: 16 Yrs/99 Yrs

Markowitz, Jay, MD "Provider ID: 769675Markowitz and Associates103 Saluda Ridge CtWest Columbia, SC 29169(803) 794-3320

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Albert, Ruby, MD "Provider ID: 767698Language: IlocanoPediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/18 Yrs

Albert, Ruby, MD "Provider ID: 767702Language: IlocanoBrookland Community Pediatrics500 N 12th StWest Columbia, SC 29169(703) 939-0174

Ages Seen: 00 Yrs/18 Yrs

Albert, Ruby, MD "Provider ID: 767703Language: IlocanoPelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/18 Yrs

Atkinson, Katherine, MD "Provider ID: 768008Eau Claire Cooperative Health

Center500 N 12th StWest Columbia, SC 29169(803) 739-6982

Ages Seen: 00 Yrs/21 Yrs

Atkinson, Katherine, MD "Provider ID: 768009Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/21 Yrs

Baggett, Teresa, MD "Provider ID: 768428Palmetto Pediatric Adolescent Clin1404 - A W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Baggett, Teresa, MD "Provider ID: 768429Baggett Teresa N16 Woodcross DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Barker Jr, Michael, MD !"Provider ID: 769741Barker Jr Michael G1404 A W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Barker Jr, Michael, MD !"Provider ID: 769742Barker Jr Michael G16 Woodcross DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Bartlett, Emilie, MD !"Provider ID: 767955Palmetto Pediatric and Adolescent

C1404-A W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Bartlett, Emilie, MD !"Provider ID: 767956Palmetto Pediatric and Adolescent

C16 Woodcrosss DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Bodison, Dan, MD "Provider ID: 767449Pediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/18 Yrs

Bodison, Dan, MD "Provider ID: 767452Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/18 Yrs

Bonnett IV, Arthur, MD !"Provider ID: 768596Chapin Pediatrics119 Amicks Ferry RdChapin, SC 29036(803) 932-2200

Ages Seen: 00 Yrs/21 Yrs

Cabiness, Barry, MD !"Provider ID: 767314Cabiness Barry W1404 A - W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Cabiness, Barry, MD !"Provider ID: 767315Palmetto Pediatric Adolescent Clin16 Woodcross DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Chetty, Prishal, MD "Provider ID: 767103Pediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/18 Yrs

Chetty, Prishal, MD "Provider ID: 767107Brookland Community Pediatrics500 N 12th StWest Columbia, SC 29169(803) 217-0415

Ages Seen: 00 Yrs/18 Yrs

Cope, Bruce, MD !"Provider ID: 769098Sandhills Pediatrics4568 Sunset BlvdLexington, SC 29072(830) 520-5144

Ages Seen: 00 Yrs/99 Yrs

Davis, Danielle, MD "Provider ID: 768737Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/99 Yrs

Delaney, Joseph, MD !"Provider ID: 769316Lake Murray Pediatrics448 Old Cherokee RdLexington, SC 29072(803) 520-5800

Ages Seen: 00 Yrs/21 Yrs

Dewar, James, MD !"Provider ID: 768038Palmetto Pediatric Adolescent Clin1404 A - W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Dewar, James, MD !"Provider ID: 768039Dewar James B16 WoodcrossColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Dubose, Theodore, MD !"Provider ID: 768576Sandhills Pediatrics Adolsecent Cl4568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/21 Yrs

Finch Jr, Michael, MD !"Provider ID: 768765Sandhills Pediatrics Adolescent Cl4568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

Page 15: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY10

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PEDIATRICS (cont.)

Greenhouse, Deborah, MD !"Provider ID: 769324Greenhouse Deborah M1404 A W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Greenhouse, Deborah, MD !"Provider ID: 769325Greenhouse Deborah M16 Woodcross DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Greenhouse, Deborah, MD !"Provider ID: 769327Palmetto Pediatric Adolescent Clin3250 Harden StColumbia, SC 29212(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Grooms, Sarah, MD !"Provider ID: 768624Grooms Sarah G1404 A W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Grooms, Sarah, MD !"Provider ID: 768625Grooms Sarah G16 Woodcross DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Guyton, Richard, MD !"Provider ID: 768163Lake Murray Pediatrics448 Old Cherokee RdLexington, SC 29072(803) 520-5800

Ages Seen: 00 Yrs/21 Yrs

Haile, Elizabeth, MD !"Provider ID: 768947Sandhills Pediatrics Adolescent Cl4568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/99 Yrs

Hamilton, Stuart, MD "Provider ID: 767454Pediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/18 Yrs

Hamilton, Stuart, MD "Provider ID: 767457Brookland Community Pediatrics500 N 12th StWest Columbia, SC 29169(803) 217-0415

Ages Seen: 00 Yrs/18 Yrs

Hamzy, Nada, MD !"Provider ID: 769106Language: Arabic, FrenchHamzy Nada J1404 A - W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Hamzy, Nada, MD !"Provider ID: 769107Language: Arabic, FrenchHamzy Nada J16 WoodcrossColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Head, Sonya, MD !"Provider ID: 769222Palmetto Pediatric Adolescent Clin1404 A W MainLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Jayagopalan, Ramkumar, MD !"

Provider ID: 769427Language: TamilCarolina Pediatrics7033 St Andrews RdColumbia, SC 29212(803) 376-2838

Ages Seen: 00 Yrs/21 Yrs

Kapp, Lloyd, MD !"Provider ID: 766936Kapp Lloyd M1404 A - W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Kapp, Lloyd, MD !"Provider ID: 766937Palmetto Pediatric Adolescent Clin16 Woodcross DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Ledlie, Laura, MD !"Provider ID: 769484Sandhills Pediatrics Adolescent Cl4568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/99 Yrs

Lofton, Kiersten, MD "Provider ID: 769699Language: SpanishPediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/18 Yrs

Lofton, Kiersten, MD "Provider ID: 769703Language: SpanishBrookland Community Pediatrics500 N 12th StWest Columbia, SC 29169(803) 739-6982

Ages Seen: 00 Yrs/18 Yrs

Lofton, Kiersten, MD "Provider ID: 769704Language: SpanishPelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/18 Yrs

Miller, Catherine, MD !"Provider ID: 767399Palmetto Pediatric Adolescent Clin1404 A - W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Miller, Catherine, MD !"Provider ID: 767400Palmetto Pediatric Adolescent Clin16 Woodcross DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Mills, Melissa, MD !"Provider ID: 767511Palmetto Pediatric Adolescent Clin16 Woodcross DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Mincey, MacKenzie, MD "Provider ID: 768829Pediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/21 Yrs

Mincey, MacKenzie, MD "Provider ID: 768830Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/21 Yrs

Monteith, Ragin, MD "Provider ID: 767443Pediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/18 Yrs

Monteith, Ragin, MD "Provider ID: 767446Brookland Community Pediatrics500 N 12th StWest Columbia, SC 29169(803) 217-0415

Ages Seen: 00 Yrs/18 Yrs

Monteith, Ragin, MD "Provider ID: 767447Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/18 Yrs

Moore, Kay, MD !"Provider ID: 769694Palmetto Pediatric Adolescent Clin1404 A W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Moore, Kay, MD !"Provider ID: 769695Palmetto Pediatric Adolescent Clin16 Woodcross DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Oleary, Melinda, MD !"Provider ID: 769757Sandhills Pediatrics Adolescent Cl4568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/99 Yrs

Painter, William, MD !"Provider ID: 769594Palmetto Pediatric Adolescent Clin1404 A - W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Painter, William, MD !"Provider ID: 769595Palmetto Pediatric Adolescent Clin16 WoodcrossColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

Page 16: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY11

PEDIATRICS (cont.)

Painter, William, MD !"Provider ID: 769597Palmetto Pediatric Adolescent Clin3250 Harden StColumbia, SC 29212(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Palmetto Pediatric Adolescent Clinic "

Provider ID: 768147Palmetto Pediatric Adolescent Clin1970 Augusta HwyLexington, SC 29072(803) 788-6146

Ages Seen: 00 Yrs/21 Yrs

Parrish, Mary, MD "Provider ID: 769183Pediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/18 Yrs

Parrish, Mary, MD "Provider ID: 769186Brookland Community Pediatrics500 N 12th StWest Columbia, SC 29169(803) 217-0415

Ages Seen: 00 Yrs/18 Yrs

Parrish, Mary, MD "Provider ID: 769187Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/18 Yrs

Pruitt, James, MD "Provider ID: 767685Pediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/18 Yrs

Pruitt, James, MD "Provider ID: 767682Brookland Community Pediatrics500 N 12th StWest Columbia, SC 29169(803) 217-0415

Ages Seen: 00 Yrs/18 Yrs

Pruitt, James, MD "Provider ID: 767683Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/18 Yrs

Qadeer, Adnan, MD "Provider ID: 768998Pediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/18 Yrs

Qadeer, Adnan, MD "Provider ID: 769002Brookland Community Pediatrics500 N 12th StWest Columbia, SC 29169(803) 217-0415

Ages Seen: 00 Yrs/18 Yrs

Qadeer, Adnan, MD "Provider ID: 769003Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/18 Yrs

Rice, Carryn, MD "Provider ID: 768894Language: SpanishPediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/18 Yrs

Rice, Carryn, MD "Provider ID: 768898Language: SpanishBrookland Community Pediatrics500 N 12th StWest Columbia, SC 29169(803) 739-6982

Ages Seen: 00 Yrs/18 Yrs

Rice, Carryn, MD "Provider ID: 768899Language: SpanishPelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/18 Yrs

Rickenmann, Laura, MD !"Provider ID: 766999Sandhills Pediatrics Adolescent Cl4568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/21 Yrs

Rider, John, MD "Provider ID: 767032Carolina Pediatrics7033 St Andrews RdColumbia, SC 29212(803) 376-2838

Ages Seen: 00 Yrs/21 Yrs

Risinger, Patricia, MD !"Provider ID: 767841The Pediatric Care Center6614 Augusta HwyLeesville, SC 29070(803) 604-8400

Ages Seen: 00 Yrs/21 Yrs

Shealy, Jerri, MD !"Provider ID: 768241Chapin Pediatrics119 Amicks Ferry RdChapin, SC 29036(803) 932-2200

Ages Seen: 00 Yrs/21 Yrs

Shenoy, Naren, MD !"Provider ID: 767625Palmetto Pediatric Adolescent Clin1970 Agusta HwyLexington, SC 29072(803) 788-6146

Ages Seen: 00 Yrs/21 Yrs

Shrouds, Richard, MD !"Provider ID: 767924Palmetto Pediatric Adolescent Clin1404 A - W Main StLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Shrouds, Richard, MD !"Provider ID: 767925Palmetto Pediatric Adolescent Clin16 Woodcross DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Taylor, William, MD "Provider ID: 769635Sandhills Pediatrics Adolescent Cl4568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/99 Yrs

Thomas, Christie, MD !"Provider ID: 768333Sandhills Pediatrics4568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/21 Yrs

Thompson, Sarah, MD "Provider ID: 767591Chapin Pediatrics119 Amicks Ferry RdChapin, SC 29036(803) 932-2200

Ages Seen: 00 Yrs/21 Yrs

Trakas, Erin, MD "Provider ID: 768071Pediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/21 Yrs

Trakas, Erin, MD "Provider ID: 768075Brookland Community Pediatrics500 N 12th StWest Columbia, SC 29169(803) 217-0415

Ages Seen: 00 Yrs/21 Yrs

Wessinger, Kevin, MD !"Provider ID: 769480Sandhills Pediatrics4568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/99 Yrs

Whitaker, Robert, MD !"Provider ID: 767152Sandhills Pediatrics4568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/21 Yrs

White, Rebecca, MD "Provider ID: 768116Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/21 Yrs

Willard IV, William, MD !"Provider ID: 768725Sandhills Pediatrics4568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/99 Yrs

Wilson, Lynn, MD "Provider ID: 769091Pediatrics of Batesburg-Leesville120 W Church St Ste EBatesburg, SC 29006(803) 532-2208

Ages Seen: 00 Yrs/18 Yrs

Wilson, Lynn, MD "Provider ID: 769093Brookland Community Pediatrics500 N 12th StWest Columbia, SC 29169(803) 217-0415

Ages Seen: 00 Yrs/18 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

Page 17: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY12

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PEDIATRICS (cont.)

Wilson, Lynn, MD "Provider ID: 769094Pelion Family Practice8063 Edmund HwyPelion, SC 29123(803) 894-3736

Ages Seen: 00 Yrs/18 Yrs

FAMILY PRACTICE

Bernardo, Darly, MD !"Provider ID: 769156Newberry Family Health Center2605 Kinard St Ste 200Newberry, SC 29108(803) 405-1900

Ages Seen: 00 Yrs/99 Yrs

Bernardo, Michael, MD !"Provider ID: 768602Newberry Family Health Center2605 Kinard St Ste 200Newberry, SC 29108(803) 405-1900

Ages Seen: 00 Yrs/99 Yrs

Ferguson, John, MD !"Provider ID: 768380Pinner Clinic32 River StPeak, SC 29122(803) 945-7475

Ages Seen: 00 Yrs/99 Yrs

Garcia, Jorge, MD "Provider ID: 768664Language: SpanishEmmanuel Family Clinic2531 Evans St Ste ANewberry, SC 29108(803) 276-7978

Ages Seen: 00 Yrs/99 Yrs

Pinner, Benjamin, MD !"Provider ID: 768316Pinner Clinic32 River StPeak, SC 29122(803) 945-7475

Ages Seen: 00 Yrs/99 Yrs

Pinner III, Carroll, MD !"Provider ID: 767593Pinner Clinic32 River StPeak, SC 29122(803) 945-7475

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Bradberry, Thomas, MD "Provider ID: 768780Newberry Internal Medicine2033 Medical Park DrNewberry, SC 29108(803) 276-5188

Ages Seen: 00 Yrs/99 Yrs

Davis, Mark, MD "Provider ID: 768161Newberry Internal Medicine2033 Medical Park DrNewberry, SC 29108(803) 276-5188

Ages Seen: 00 Yrs/99 Yrs

Paysinger, Alan, MD !"Provider ID: 768519Newberry Internal Medicine2033 Medical Park DrNewberry, SC 29108(803) 276-5188

Ages Seen: 00 Yrs/99 Yrs

Thompson, John, MD "Provider ID: 769158Newberry Internal Medicine2033 Medical Park DrNewberry, SC 29108(803) 276-5188

Ages Seen: 00 Yrs/99 Yrs

Thompson, John, MD "Provider ID: 769157Little Mountain Family Health

Center99 North Mill StNewberry, SC 29108(803) 945-1005

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Albert, Ruby, MD "Provider ID: 767700Language: IlocanoPediatrics of Newberry2525 Kinard StNewberry, SC 29108(803) 405-0220

Ages Seen: 00 Yrs/18 Yrs

Chetty, Prishal, MD "Provider ID: 767104Pediatrics of Newberry2525 Kinard StNewberry, SC 29108(803) 405-0220

Ages Seen: 00 Yrs/18 Yrs

Davis, Danielle, MD "Provider ID: 768736Pediatrics of Newberry2525 Kinard StNewberry, SC 29108(803) 405-0220

Ages Seen: 00 Yrs/99 Yrs

Lofton, Kiersten, MD "Provider ID: 769701Language: SpanishPediatrics of Newberry2525 Kinard StNewberry, SC 29108(803) 405-0220

Ages Seen: 00 Yrs/18 Yrs

Pruitt, James, MD "Provider ID: 767680Pediatrics of Newberry2525 Kinard StNewberry, SC 29108(803) 405-0220

Ages Seen: 00 Yrs/18 Yrs

Qadeer, Adnan, MD "Provider ID: 769000Pediatrics of Newberry2525 Kinard StNewberry, SC 29108(803) 405-0220

Ages Seen: 00 Yrs/18 Yrs

Rice, Carryn, MD "Provider ID: 768896Language: SpanishPediatrics of Newberry2525 Kinard StNewberry, SC 29108(803) 405-0220

Ages Seen: 00 Yrs/18 Yrs

Trakas, Erin, MD "Provider ID: 768073Pediatrics of Newberry2525 Kinard StNewberry, SC 29108(803) 405-0220

Ages Seen: 00 Yrs/21 Yrs

White, Rebecca, MD "Provider ID: 768115Pediatrics of Newberry2525 Kinard StNewberry, SC 29108(803) 405-0220

Ages Seen: 00 Yrs/21 Yrs

FAMILY PRACTICE

Bennett, Antionette, MD "Provider ID: 769496Family Practice Associates of Holy187 Bunch Ford RdHolly Hill, SC 29059(803) 496-3312

Ages Seen: 00 Yrs/99 Yrs

Braswell, William, MD !"Provider ID: 769752Family Practice Assoc of Holly Hill187 Bunch Ford RdHolly Hill, SC 29059(803) 496-3312

Ages Seen: 00 Yrs/99 Yrs

Bull, Steven, MD !"Provider ID: 767868Family Practice Assoc of Holly Hill187 Bunch Ford RdHolly Hill, SC 29059(803) 496-3312

Ages Seen: 00 Yrs/99 Yrs

Coulter, Franklin, MD !"Provider ID: 769036Coulter Clinic941 Summers AveOrangeburg, SC 29115(803) 534-0437

Ages Seen: 00 Yrs/99 Yrs

Edwards, Nicole, DO "Provider ID: 768739Family Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-8977

Ages Seen: 00 Yrs/99 Yrs

Erhs Edisto Family Practice "Provider ID: 7676751619 Carolina AveOrangeburg, SC 29115(803) 531-7474

Ages Seen: 00 Yrs/99 Yrs

Erhs Edisto Family Practice "Provider ID: 7676761750 Village Park DrOrangeburg, SC 29118(803) 534-4254

Ages Seen: 00 Yrs/99 Yrs

Hayden Jr, John, MD !"Provider ID: 768594Erhs Edisto Family Practice1619 Carolina AveOrangeburg, SC 29115(803) 531-7474

Ages Seen: 00 Yrs/99 Yrs

Montgomery, Stefan, MD !"Provider ID: 768088Stefan L Montgomery Fam and

Sports2850 Pelham CtOrangeburg, SC 29118(803) 531-8500

Ages Seen: 00 Yrs/99 Yrs

Price, Anna, MD "Provider ID: 769624Family Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Rhame, Robert, MD !"Provider ID: 767481Family Practice Associates of Holly187 Bunch Ford RdHolly Hill, SC 29059(803) 496-3312

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

NEWBERRY COUNTY

ORANGEBURG COUNTY

Page 18: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY13

FAMILY PRACTICE (cont.)

Saavedra, Roland, MD "Provider ID: 768052North Family Medicine4631 Savannah HwyNorth, SC 29112(803) 247-2428

Ages Seen: 00 Yrs/99 Yrs

Sanders, Michael, MD !"Provider ID: 769279North Family Medicine4631 Savannah HwyNorth, SC 29112(803) 247-2428

Ages Seen: 00 Yrs/99 Yrs

Shuler, Vannbeth, MD "Provider ID: 768537RMC Primary Care1750 Village Park DrOrangeburg, SC 29118(803) 534-4254

Ages Seen: 00 Yrs/99 Yrs

Singleton, Monnieque, MD "Provider ID: 767816Medical Center of North119 Boltin AveNorth, SC 29112(803) 247-3900

Ages Seen: 00 Yrs/99 Yrs

Singleton, Monnieque, MD "Provider ID: 767817Singleton Health Center1773 Village Park DrOrangeburg, SC 29118(803) 535-3600

Ages Seen: 00 Yrs/99 Yrs

Singleton, Monnieque, MD "Provider ID: 767818Medical Center of Santee500 Bass DrSantee, SC 29142(803) 534-3805

Ages Seen: 00 Yrs/99 Yrs

GENERAL PRACTICE

Broadhead, Alfred, MD "Provider ID: 768223Family Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-8977

Ages Seen: 00 Yrs/99 Yrs

Brunson, James, MD !"#Provider ID: 768917Dr James H Brunson Jr1170 Blvd St NE Ste AOrangeburg, SC 29115(803) 533-0042

Ages Seen: 18 Yrs/99 Yrs

Louis, Willie, MD "Provider ID: 769609Willie B Louis MD1102 Summers AveOrangeburg, SC 29115(803) 534-2270

Ages Seen: 00 Yrs/99 Yrs

Oquinn, William, MD !"Provider ID: 768342William E Oquinn MD215 Dorange RdBranchville, SC 29432(803) 274-8400

Ages Seen: 00 Yrs/99 Yrs

Price, Anna, MD "Provider ID: 769625Bowman Medical Center106 Causeway DrBowman, SC 29018(803) 829-2523

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Amoah-Apraku, Bismarck, MD !"

Provider ID: 767989Language: SpanishFamily Health Center3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Heath Mathis, Gossie, MD !"Provider ID: 767734Santee Family Medical Center130 Plz CirSantee, SC 29142(803) 854-3940

Ages Seen: 00 Yrs/99 Yrs

Kondapaneni, Usha, MD !"Provider ID: 769611Language: SpanishFamily Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Akintunde, Oluyemisi, MD !"Provider ID: 767905Family Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/16 Yrs

Delaney, Joseph, MD !"Provider ID: 769315Hillcrest Pediatrics1740 Village Park DrOrangeburg, SC 29118(803) 928-5505

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers PCP "Provider ID: 76863710278 Old Hwy 6Vance Community Medical CenterVance, SC 29163(803) 531-6900

Ages Seen: 00 Yrs/16 Yrs

Family Health Centers PCP "Provider ID: 7686381255 Belleville RdRobert E Howard Middle SchoolOrangeburg, SC 29115(803) 533-6534

Ages Seen: 00 Yrs/16 Yrs

Family Health Centers PCP "Provider ID: 7686391620 Carolina AveOrangeburg, SC 29115(803) 536-4902

Ages Seen: 00 Yrs/16 Yrs

Family Health Centers PCP "Provider ID: 7686403310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/16 Yrs

Family Health Centers PCP "Provider ID: 768644655 Laurel StOrangeburg Medical CenterOrangeburg, SC 29115(803) 536-0944

Ages Seen: 00 Yrs/16 Yrs

Family Health Centers PCP "Provider ID: 7686457061 Norway RdNorfield Medical CenterNeeses, SC 29107(803) 263-4086

Ages Seen: 00 Yrs/16 Yrs

Guyton, Richard, MD !"Provider ID: 768162Hillcrest Pediatrics1740 Village Park DrOrangeburg, SC 29118(803) 928-5505

Ages Seen: 00 Yrs/21 Yrs

Smith, Nakia, MD "Provider ID: 768734Hillcrest Pediatrics1740 Village Park DrOrangeburg, SC 29118(803) 928-5505

Ages Seen: 00 Yrs/99 Yrs

Stephens, Sandra, MD "Provider ID: 767074Language: SpanishFamily Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/17 Yrs

Wagner, Virginia, MD !"Provider ID: 768582Language: SpanishFamily Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/16 Yrs

Wangeh, Joseph, MD "Provider ID: 769571Family Health Center3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/16 Yrs

FAMILY PRACTICE

Anderson III, William, MD !"Provider ID: 768120Usc Department of Family and

Preven3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Augustine, Melissa, MD "Provider ID: 769240Northeast Family Practice3000 NE Medical Park Ste 209Columbia, SC 29223(803) 736-6262

Ages Seen: 00 Yrs/99 Yrs

Baxley, Elizabeth, MD !"Provider ID: 769017Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Callis, Robert, MD !"Provider ID: 767082Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ORANGEBURG COUNTY (cont.)

RICHLAND COUNTY

Page 19: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY14

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

FAMILY PRACTICE (cont.)

Carter, Charles, MD !"Provider ID: 766864Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Cole, Robert, MD "Provider ID: 767383Waverly Family Practice2117 Gervais StColumbia, SC 29204(803) 744-1181

Ages Seen: 00 Yrs/99 Yrs

Cole, Robert, MD "Provider ID: 767384Hopkins Family Practice9019 Garners Ferry RdHopkins, SC 29061(803) 978-1848

Ages Seen: 00 Yrs/99 Yrs

Cone, David, MD !"Provider ID: 767173University Primary Care2 Medical Park Ste 203Columbia, SC 29203(803) 545-5600

Ages Seen: 00 Yrs/99 Yrs

Crisp, Jeremy, MD !"Provider ID: 767374Usc Department of Family and

Preven3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Daniels, Damon, MD !"Provider ID: 767489Wellspring Family Medicine114 Gateway Corporate Blvd

Ste 320Columbia, SC 29203(803) 865-9655

Ages Seen: 00 Yrs/99 Yrs

Douglas, Leonard, MD !"Provider ID: 768328University Primary Care2 Medical Park Ste 203Columbia, SC 29203(803) 545-5600

Ages Seen: 00 Yrs/99 Yrs

Elliott, Samuel, MD !"Provider ID: 768710Usc Dept of Family Preventive Med3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Ellison, Jody, MD "Provider ID: 769536Language: American Sign LanguageEastover Family Practice120 Clarkson StEastover, SC 29044(803) 353-8741

Ages Seen: 00 Yrs/99 Yrs

Ferguson, John, MD "Provider ID: 769767Usc Dept of Family Preventive Med3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Fitzgibbon II, Rodney, MD !"#Provider ID: 777457Northeast Family Practice3000 NE Medical Park Ste 209Columbia, SC 29223(803) 736-6262

Ages Seen: 00 Yrs/99 Yrs

Floyd, Dean, MD "Provider ID: 767931Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/99 Yrs

Floyd, Dean, MD "Provider ID: 767932Waverly Family Practice2117 Gervais StColumbia, SC 29204(803) 748-1181

Ages Seen: 00 Yrs/99 Yrs

Floyd, Dean, MD "Provider ID: 767934Eau Claire Internal Medicine4605 Monticello RdBldg A - Ste 3Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/99 Yrs

Greenhouse, David, MD !"Provider ID: 768884Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Hall, Jeffrey, MD !"Provider ID: 767207Usc Dept of Family Preventive Medi3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Hall, Rachel, MD !"Provider ID: 767890Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Hamada, Allison, MD !"Provider ID: 769337Providence Northeast Family Care

At114 Gateway Corp Blvd Ste 230Columbia, SC 29203(803) 788-2277

Ages Seen: 00 Yrs/99 Yrs

Harman, William, MD !"Provider ID: 769403Palmetto Health dba First Care2406 Decker BlvdColumbia, SC 29206(803) 736-2530

Ages Seen: 00 Yrs/99 Yrs

Heinke, Blair, MD !"Provider ID: 767913Usc Dept of Family Preventive Med3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Hernandez, Johan, MD !"Provider ID: 768874Language: SpanishUsc Department of Family and

Preven3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Hernandez, Johan, MD !"Provider ID: 768875Language: SpanishUniversity Family Medicine4311 Hardscrabble RdColumbia, SC 29229(803) 419-6334

Ages Seen: 00 Yrs/99 Yrs

Jones, Kadijah, MD "Provider ID: 768382Waverly Family Practice2117 Gervais StColumbia, SC 29204(803) 748-1181

Ages Seen: 00 Yrs/99 Yrs

Jones, Kadijah, MD "Provider ID: 768383Eau Claire Internal Medicine4605 Monticello RdBldg A - Ste 3Columbia, SC 29203(803) 754-0151

Ages Seen: 00 Yrs/99 Yrs

Joy, Annarosan, MD !"Provider ID: 767470Associates IN Internal Medicine114 Gateway Corp Blvd Ste 350Columbia, SC 29203(803) 788-2277

Ages Seen: 00 Yrs/99 Yrs

Keisler, Brian, MD !"Provider ID: 769125Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Keisler, David, MD !"Provider ID: 769028Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Keisler, Nikki, MD "Provider ID: 769111Providence Inpatient Medicine

Assoc105 Professional Park DrColumbia, SC 29229(803) 227-8828

Ages Seen: 00 Yrs/99 Yrs

Keisler, Nikki, MD "Provider ID: 769112Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 864-4780

Ages Seen: 00 Yrs/99 Yrs

Lamar, Charles, MD !"Provider ID: 767476Usc Dept of Family Practice Prev M3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Meriwether, Rebecca, MD !"Provider ID: 767490Family Preventive Medicine3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 20: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY15

FAMILY PRACTICE (cont.)

Millus, Donald, MD !"Provider ID: 769288Providence Northeast Family Care

At114 Gateway Corp Blvd Ste 230Columbia, SC 29203(803) 788-2277

Ages Seen: 00 Yrs/99 Yrs

Millwood III, Charles, MD !"#Provider ID: 767567Irmo Family Practice190 Parkridge Dr Ste 220Columbia, SC 29210(803) 749-0963

Ages Seen: 00 Yrs/99 Yrs

Platt, Tan, MD !"Provider ID: 767508Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Reed, John, MD "Provider ID: 769718Augustine Health Group105 Professional Park DrColumbia, SC 29229(803) 227-8828

Ages Seen: 00 Yrs/99 Yrs

Reed, Michael, MD !"#Provider ID: 768141University Primary Care2 Medical Park Ste 203Columbia, SC 29203(803) 545-5600

Ages Seen: 00 Yrs/99 Yrs

Schaefer, Catherine, MD !"#Provider ID: 768140Longcreek Family Practice1606 Horseshoe DrColumbia, SC 29223(803) 462-6733

Ages Seen: 00 Yrs/99 Yrs

Setzler Brown, Rachel, MD !"Provider ID: 767983Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Shafi, Nusrat, MD "Provider ID: 767057Providence Northeast Family Care114 Gateway Corp Blvd Ste 350Columbia, SC 29203(803) 788-2277

Ages Seen: 00 Yrs/99 Yrs

Stacy, Jason, MD !"Provider ID: 769334Univ Spec Clinic Family Preventive3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Stewart, Ada, MD "Provider ID: 769122Laurel Medical Practice1520 Laurel StColumbia, SC 29201(803) 799-8407

Ages Seen: 00 Yrs/99 Yrs

Strayer, Scott, MD "Provider ID: 767147Usc Dept of Family Preventive Med3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Varughese, Beena, MD !"#Provider ID: 766840Northeast Family Practice3000 NE Medical Park Ste 209Columbia, SC 29223(803) 736-6262

Ages Seen: 00 Yrs/99 Yrs

Varughese, Beena, MD !"Provider ID: 766841University Family Medicine4311 Hardscrabble RdColumbia, SC 29229(803) 419-6334

Ages Seen: 00 Yrs/99 Yrs

Wideman, Vanessa, MD !"Provider ID: 769812Providence Northeast Family Care

At114 Gateway Corp Blvd Ste 230Columbia, SC 29203(803) 788-2277

Ages Seen: 00 Yrs/99 Yrs

Witherspoon, Patricia, MD !"Provider ID: 767812Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Ylanan, Ramon, MD !"Provider ID: 768315Language: SpanishUsc Department of Family and

Preven3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Yousefian, Payam, MD !"Provider ID: 768245Providence Northeast Family Care

At114 Gateway Corporate Blvd

Ste 230Columbia, SC 29203(803) 788-2277

Ages Seen: 00 Yrs/99 Yrs

GENERAL PRACTICE

Rojas, Michelle, MD "Provider ID: 767387Grace Medical Group3025 Farrow RdColumbia, SC 29203(803) 993-0588

Ages Seen: 14 Yrs/99 Yrs

Young, Stewart, MD "#Provider ID: 769676First Care2406 Decker BlvdColumbia, SC 29206(803) 736-2530

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Abdulrahman, Amjad, MD !"Provider ID: 767343Language: Arabic, SpanishThree Rivers Medical Associates1301 Taylor St S Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Abdulrahman, Amjad, MD !"Provider ID: 767344Language: Arabic, SpanishThree Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Al-Hasan, Majdi, MD "Provider ID: 768212University Specialty Clinic-Surgery15 Medical Park Rd Ste 300Columbia, SC 29203(803) 545-5350

Ages Seen: 19 Yrs/99 Yrs

Allison III, James, MD "Provider ID: 769129Three Rivers Medical Associates1301 Taylor St Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Allison III, James, MD "Provider ID: 769130Three Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Arora, Sri, MD "Provider ID: 768302Language: Hindi, UrduFive Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 18 Yrs/99 Yrs

Arora, Sri, MD "Provider ID: 768303Language: Hindi, UrduWaverly Family Practice2117 Gervais StColumbia, SC 29204(803) 748-1181

Ages Seen: 18 Yrs/99 Yrs

Arora, Sri, MD !"Provider ID: 768304Language: Hindi, UrduEau Claire Internal Medicine4605 Monticello RdBldg A - Ste 3Columbia, SC 29203(803) 754-0151

Ages Seen: 18 Yrs/99 Yrs

Bell, Gary, MD "Provider ID: 768916Atruim Ridge Internal Medicine11 Atrium Ridge CtColumbia, SC 29223(803) 699-9992

Ages Seen: 00 Yrs/99 Yrs

Bell, Woodrow, MD "Provider ID: 768817Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/18 Yrs

Bell, Woodrow, MD "Provider ID: 768818Waverly Family Practice2117 Gervais StColumbia, SC 29204(803) 748-1181

Ages Seen: 00 Yrs/18 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 21: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY16

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

INTERNAL MEDICINE (cont.)

Bell, Woodrow, MD !"Provider ID: 768820Eau Claire Internal Medicine4605 Monticello RdBldg A - Ste 3Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Bridgers, David, MD "Provider ID: 769814Three Rivers Medical Associates1301 Taylor St S Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Bridgers, David, MD "Provider ID: 769815Three Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Browning, Rosalie, MD "Provider ID: 767869Three Rivers Medical Associates1301 Taylor St Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Browning, Rosalie, MD "Provider ID: 767870Three Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Campbell, Linda, MD "Provider ID: 768547Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/99 Yrs

Campbell, Linda, MD "Provider ID: 768548Waverly Family Practice2117 Gervais StColumbia, SC 29204(803) 748-1181

Ages Seen: 00 Yrs/99 Yrs

Campbell, Linda, MD !"Provider ID: 768550Eau Claire Internal Medicine4605 Monticello RdBldg A - Ste 3Columbia, SC 29203(803) 754-0151

Ages Seen: 00 Yrs/99 Yrs

Chillag, Shawn, MD "#Provider ID: 769307Pbha Clinic1801 Sunset BlvdColumbia, SC 29203(803) 434-4100

Ages Seen: 00 Yrs/99 Yrs

Edford-Davis, Kim, DO "Provider ID: 768702Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 16 Yrs/99 Yrs

Edford-Davis, Kim, DO "Provider ID: 768703Waverly Family Practice2117 Gervais StColumbia, SC 29204(803) 748-1181

Ages Seen: 16 Yrs/99 Yrs

Edford-Davis, Kim, DO !"Provider ID: 768708Augustine Health Group2601 Laurel St Ste 230Columbia, SC 29204(803) 865-4780

Ages Seen: 00 Yrs/99 Yrs

Edford-Davis, Kim, DO !"Provider ID: 768705Eau Claire Internal Medicine4605 Monticello RdBldg A - Ste 3Columbia, SC 29203(803) 754-0151

Ages Seen: 16 Yrs/99 Yrs

Edwards, Elizabeth, MD "Provider ID: 766950Dept of Internal Medicine1801 Sunset DrColumbia, SC 29203(803) 434-4100

Ages Seen: 00 Yrs/99 Yrs

Edwards, Elizabeth, MD "Provider ID: 766951Dept of Internal Medicine2 Medical Park Ste 502Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Franco, Mark, MD "Provider ID: 767904Augustine Health Group1655 Bernardin Ave Ste 110Columbia, SC 29204(803) 254-4056

Ages Seen: 00 Yrs/99 Yrs

Gaffney, Thomas, MD "Provider ID: 766979Pbha Clinic1801 Sunset BlvdColumbia, SC 29203(803) 434-4138

Ages Seen: 00 Yrs/99 Yrs

Goldstein, Francis, MD "Provider ID: 767792Three Rivers Medical Associates1301 Taylor St Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Goldstein, Francis, MD "Provider ID: 767793Three Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Gottlieb, Jack, MD "Provider ID: 769029Jack H Gottlieb MD2601 Laurel St"" 120""Columbia, SC 29204(803) 254-7889

Ages Seen: 00 Yrs/99 Yrs

Gould III, John, DO !"Provider ID: 767440Three Rivers Medical Associates1301 Taylor St Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Gould III, John, DO !"Provider ID: 767441Three Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Hamilton, Laura, MD !"Provider ID: 766915Associates IN Internal Medicine2701 Middleburg DrColumbia, SC 29204(803) 254-2786

Ages Seen: 00 Yrs/99 Yrs

Hite, Louis, MD !"Provider ID: 767570Three Rivers Medical Associates1301 Taylor St Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Hite, Louis, MD !"Provider ID: 767571Three Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Hook, Jeffrey, MD !"#Provider ID: 767565Midlands Internal Medicine3000 NE Medical Park Ste 108Columbia, SC 29223(803) 462-9200

Ages Seen: 16 Yrs/99 Yrs

Hummel, Melissa, MD !"Provider ID: 767547Associates IN Internal Medicine2701 Middleburg DrColumbia, SC 29204(803) 254-2786

Ages Seen: 00 Yrs/99 Yrs

Humphrey, Albert, MD "Provider ID: 769169Humphrey Albert4100 North Main StColumbia, SC 29203(803) 754-0006

Ages Seen: 16 Yrs/99 Yrs

Izard, Stephen, MD "#Provider ID: 768859First Care2406 Decker BlvdColumbia, SC 29206(803) 736-2530

Ages Seen: 00 Yrs/99 Yrs

Kneece, Robert, MD !"Provider ID: 769569Providence Internal Medicine

Downto2601 Laurel St Ste 230Columbia, SC 29204(803) 227-5320

Ages Seen: 00 Yrs/99 Yrs

Kneece, Robert, MD !"Provider ID: 769570Associates IN Internal Medicine2701 Middleburg DrColumbia, SC 29203(803) 254-2786

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 22: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY17

INTERNAL MEDICINE (cont.)

Lally, Davinder, MD "#Provider ID: 768940Pbha Clinic1801 Sunset BlvdColumbia, SC 29203(803) 434-4100

Ages Seen: 00 Yrs/99 Yrs

Matthews-Betts, Cynthia, MD "Provider ID: 768583Grace Medical Group3025 Farrow RdColumbia, SC 29203(803) 993-0588

Ages Seen: 16 Yrs/99 Yrs

Mitchell, Carl, MD "Provider ID: 769684Carl I Mitchell MD7201 Brookfield RdColumbia, SC 29223(803) 736-4050

Ages Seen: 16 Yrs/99 Yrs

Modesto, Maria, MD !"Provider ID: 767178Language: IlocanoProvidence Internal Medicine

Northe114 Gateway Corporate Blvd

Ste 300Columbia, SC 29203(803) 865-4514

Ages Seen: 18 Yrs/99 Yrs

Nairn, Dana, MD !"Provider ID: 769259Three Rivers Medical Associates1301 Taylor St Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Nairn, Dana, MD !"Provider ID: 769260Three Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Neal, Green, MD "Provider ID: 768652Green B Neal MD1415 Barnwell StColumbia, SC 29201(803) 920-0953

Ages Seen: 00 Yrs/99 Yrs

Patrick, Elizabeth, MD !"Provider ID: 769518Three Rivers Medical Associates1301 Taylor St S Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Patrick, Elizabeth, MD !"Provider ID: 769519Three Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Poston, Mary, MD !"#Provider ID: 768299Pbha Clinic1801 Sunset BlvdColumbia, SC 29203(803) 434-4100

Ages Seen: 16 Yrs/99 Yrs

Powell, Caroline, MD !"Provider ID: 767965Pbha Clinic1801 Sunset StColumbia, SC 29203(803) 434-4100

Ages Seen: 18 Yrs/99 Yrs

Randolph, Lilly, MD !"Provider ID: 768184Physicians Medical Group2719 Middleburg Dr Ste 103Columbia, SC 29204(803) 931-8337

Ages Seen: 00 Yrs/99 Yrs

Richeson, Nancy, MD "#Provider ID: 768509Pbha Clinic1801 Sunset BlvdColumbia, SC 29203(803) 434-4100

Ages Seen: 00 Yrs/99 Yrs

Robertson, Tracy, MD "#Provider ID: 767695Pbha Clinic1801 Sunset BlvdColumbia, SC 29203(803) 434-4100

Ages Seen: 00 Yrs/99 Yrs

Robinson, William, MD "#Provider ID: 767133Midlands Internal Medicine3000 NE Medical Park Ste 108Columbia, SC 29223(803) 462-9200

Ages Seen: 16 Yrs/99 Yrs

Rouse, Kelle, MD !"Provider ID: 768696Atrium Ridge Internal Medicine11 Atrium Ridge CtColumbia, SC 29223(803) 699-9992

Ages Seen: 00 Yrs/99 Yrs

Sribnick, Wayne, MD "Provider ID: 767352Associates IN Internal Medicine2701 Middleburg DrColumbia, SC 29203(803) 254-2786

Ages Seen: 00 Yrs/99 Yrs

Studnicka, Benedict, MD !"Provider ID: 768159Associates IN Internal Medicine2701 Middleburg DrColumbia, SC 29204(803) 254-2786

Ages Seen: 00 Yrs/99 Yrs

Taylor, Charis, MD !"Provider ID: 768007Associates IN Internal Medicine2701 Middleburg DrColumbia, SC 29204(803) 254-2786

Ages Seen: 00 Yrs/99 Yrs

Toliver-Dingle, Peggy, MD !"Provider ID: 768218Three Rivers Medical Associates1301 Taylor St Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Toliver-Dingle, Peggy, MD !"Provider ID: 768219Three Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Waleh, Meshia, MD "Provider ID: 768135Waleh Meshia Q3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Albert, Ruby, MD "Provider ID: 767699Language: IlocanoFive Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/18 Yrs

Albert, Ruby, MD "Provider ID: 767701Language: IlocanoSterling Sharpe Pediatrics4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Amrol, Jennifer, MD !"Provider ID: 767286University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7945

Ages Seen: 00 Yrs/21 Yrs

Anderson, Julie, MD "Provider ID: 769616University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/99 Yrs

Anderson, Julie, MD "Provider ID: 769617Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Baggett, Teresa, MD "Provider ID: 768430Baggett Teresa N300 Rice Meadow Way Ste BColumbia, SC 29229(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Baggett, Teresa, MD "Provider ID: 768431Palmetto Pediatric Adolescent Clin3250 Harden StColumbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Baggett, Teresa, MD "Provider ID: 768432Palmetto Pediatric Adolescent Clin74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Bagley, Tyler, MD !"Provider ID: 766948Pediatric Associates14 Richland Medical Park DrColumbia, SC 29203(803) 799-9044

Ages Seen: 00 Yrs/25 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 23: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY18

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PEDIATRICS (cont.)

Ballance, Julia, MD !"Provider ID: 768753University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7945

Ages Seen: 00 Yrs/99 Yrs

Barker Jr, Michael, MD !"Provider ID: 769743Palmetto Pediatric Adolescent Clin300 Rice Meadow Way Ste BColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Barker Jr, Michael, MD !"Provider ID: 769744Palmetto Pediatric Adolescent Clin3250 Harden StColumbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Barker Jr, Michael, MD !"Provider ID: 769745Barker Jr Michael G74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Bartlett, Emilie, MD !"Provider ID: 767957Palmetto Pediatric and Adolescent

C300 Rice Meadow Way Ste BColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Bartlett, Emilie, MD !"Provider ID: 767958Palmetto Pediatric and Adolescent

C3250 Harden St Ste 100Columbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Bartlett, Emilie, MD !"Provider ID: 767959Palmetto Pediatric and Adolescent

C74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Blackburn, Melanie, MD !"Provider ID: 769134University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/99 Yrs

Bodison, Dan, MD "Provider ID: 767450Sterling Sharpe Pediatrics4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Bodison, Dan, MD "Provider ID: 767453Hopkins Family Practice9019 Garners Ferry RdHopkins, SC 29061(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Cabiness, Barry, MD !"Provider ID: 767316Palmetto Pediatric and Adolescent

C300 Rice Meadow Way Ste BColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Cabiness, Barry, MD !"Provider ID: 767317Palmetto Pediatric Adolescent Clin3250 Harden St ExtColumbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Cabiness, Barry, MD !"Provider ID: 767318Cabiness Barry W74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Carney, Scott, MD !"Provider ID: 767555University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7945

Ages Seen: 00 Yrs/21 Yrs

Castles III, Charles, MD !"Provider ID: 769160Pediatric Associates14 Richland Medical Park DrColumbia, SC 29203(803) 799-9044

Ages Seen: 00 Yrs/99 Yrs

Castles III, Joe, MD !"Provider ID: 768357Pediatric Associates14 Richland Medical Park DrColumbia, SC 29203(803) 799-9044

Ages Seen: 00 Yrs/21 Yrs

Chetty, Prishal, MD "Provider ID: 767105Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/18 Yrs

Chetty, Prishal, MD "Provider ID: 767106Sterling Sharpe Pediatric Center4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Chetty, Prishal, MD "Provider ID: 767108Hopkins Family Practice9019 Garners Ferry RdHopkins, SC 29061(803) 978-1848

Ages Seen: 00 Yrs/18 Yrs

Claytor, Susan, MD "Provider ID: 768508Medical Park Pediatrics and

Adolesc120 Highland Center Dr Ste 100Columbia, SC 29229(803) 788-0577

Ages Seen: 00 Yrs/21 Yrs

Colby, Randall, MD !"Provider ID: 768216Medical Park Pediatrics and

Adolesc120 Highland Center Dr Ste 100Columbia, SC 29229(803) 788-0577

Ages Seen: 00 Yrs/18 Yrs

Cope, Bruce, MD !"Provider ID: 769096Sandhills Pediatrics110 Summit Centre DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/99 Yrs

Cope, Bruce, MD !"Provider ID: 769097Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/99 Yrs

Cope, Bruce, MD !"Provider ID: 769099Sandhills Pediatrics7941BROAD River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/99 Yrs

Davis, Danielle, MD "Provider ID: 768735Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/99 Yrs

Derrick Jr, Charles, MD "Provider ID: 768121University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/21 Yrs

Dewar, James, MD !"Provider ID: 768040Dewar James B300 Rice Meadow Way Ste BColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Dewar, James, MD !"Provider ID: 768041Palmetto Pediatric Adolescent Clin3250 Harden St ExtColumbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Dewar, James, MD !"Provider ID: 768042Dewar James B74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Dollison, Clarence, MD "Provider ID: 767320Midlands Pediatrics2712 Middleburg DrColumbia, SC 29204(803) 254-4257

Ages Seen: 00 Yrs/18 Yrs

Dubose, Theodore, MD !"Provider ID: 768574Sandhills Pediatrics Adolescent Cl110 Summitt Center DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/21 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 24: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY19

PEDIATRICS (cont.)

Dubose, Theodore, MD !"Provider ID: 768575Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/21 Yrs

Dubose, Theodore, MD !"Provider ID: 768577Sandhills Pediatrics Adolescent Cl7941 Broad River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/21 Yrs

Emery, James, MD !"Provider ID: 767852Pediatric Associates14 Richland Medical Park Dr

Ste 410Columbia, SC 29203(803) 799-9044

Ages Seen: 00 Yrs/25 Yrs

Finch Jr, Michael, MD !"Provider ID: 768763Sandhills Pediatrics Adolescent Cl110 Summit Centre DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/99 Yrs

Finch Jr, Michael, MD !"Provider ID: 768764Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/99 Yrs

Finch Jr, Michael, MD !"Provider ID: 768766Sandhills Pediatrics Adolescent Cl7941 Broad River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/99 Yrs

Frye, Courtney, MD "Provider ID: 767809University Pediatric9 Medical Park Rd Ste 400Columbia, SC 29203(803) 434-6155

Ages Seen: 00 Yrs/21 Yrs

Garber, Matthew, MD !"Provider ID: 767992Language: RussianUniversity Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7945

Ages Seen: 00 Yrs/21 Yrs

Geurkink, Deanne, MD !Provider ID: 768021Ballentine Pediatrics11134 Broad River RdIrmo, SC 29063(803) 732-0920

Ages Seen: 00 Yrs/21 Yrs

Greenhouse, Deborah, MD !"Provider ID: 769326Palmetto Pediatric Adolescent Clin300 Rice Meadow Way Ste BColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Greenhouse, Deborah, MD !"Provider ID: 769328Greenhouse Deborah M74 Polo RdColumbia, SC 29223(803) 788-6146

Ages Seen: 00 Yrs/21 Yrs

Grooms, Sarah, MD !"Provider ID: 768626Grooms Sarah G300 Rice Meadow Way Ste BColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Grooms, Sarah, MD !"Provider ID: 768627Grooms Sarah G3250 Harden St ExtColumbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Grooms, Sarah, MD !"Provider ID: 768628Palmetto Pediatric Adolescent Clin74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Gunter, Timothy, MD !"Provider ID: 767396Ballentine Pediatrics11134 Broad River Rd Ste DIrmo, SC 29063(803) 732-0920

Ages Seen: 00 Yrs/21 Yrs

Haile, Elizabeth, MD !"Provider ID: 768945Sandhills Pediatrics Adolescent Cl110 Summit Centre DrColumbia, SC 29223(803) 744-9000

Ages Seen: 00 Yrs/99 Yrs

Haile, Elizabeth, MD !"Provider ID: 768946Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/99 Yrs

Haile, Elizabeth, MD !"Provider ID: 768948Sandhills Pediatrics Adolescent Cl7941 Broad River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/99 Yrs

Hamilton, Stuart, MD "Provider ID: 767455Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/18 Yrs

Hamilton, Stuart, MD "Provider ID: 767456Sterling Sharpe Pediatric Center4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Hamilton, Stuart, MD "Provider ID: 767458Hopkins Family Practice9019 Garners Ferry RdHopkins, SC 29061(803) 978-1848

Ages Seen: 00 Yrs/18 Yrs

Hamzy, Nada, MD !"Provider ID: 769108Language: Arabic, FrenchHamzy Nada J300 Rice Meadow Way Ste BColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Hamzy, Nada, MD !"Provider ID: 769109Language: Arabic, FrenchHamzy Nada J3250 Harden St ExtColumbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Hamzy, Nada, MD !"Provider ID: 769110Language: Arabic, FrenchPalmetto Pediatric Adolescent Clin74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Hawn, Jason, MD !"Provider ID: 768904University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7945

Ages Seen: 00 Yrs/99 Yrs

Heebner, Carol, MD !"Provider ID: 768457University Primary Care2 Medical Park Ste 203Columbia, SC 29203(803) 545-5600

Ages Seen: 00 Yrs/21 Yrs

Herzog, Katherine, MD "Provider ID: 767912Sterling Sharpe Pediatrics4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/21 Yrs

Holloway, Jeffrey, MD "Provider ID: 767929University Pediatrics9 Medical Park Rd Ste 200AColumbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/21 Yrs

Jayagopalan, Ramkumar, MD !"

Provider ID: 769426Language: TamilCarolina Pediatrics2113 Adams Grove Rd Ste 101Columbia, SC 29203(803) 256-0531

Ages Seen: 00 Yrs/21 Yrs

Kapp, Lloyd, MD !"Provider ID: 766938Kapp Lloyd M300 Rice Meadow Way Ste BColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Kapp, Lloyd, MD !"Provider ID: 766939Kapp Lloyd M3250 Harden St ExtColumbia, SC 29223(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 25: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY20

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PEDIATRICS (cont.)

Kapp, Lloyd, MD !"Provider ID: 766940Kapp Lloyd M74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Kelly, Nicholas, MD "Provider ID: 767058University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/21 Yrs

Lazaro, Andrea, MD !"Provider ID: 767813Midlands Pediatrics2712 Middleburg Dr Ste 101Columbia, SC 29204(803) 254-4257

Ages Seen: 00 Yrs/18 Yrs

Ledlie, Laura, MD !"Provider ID: 769482Sandhills Pediatrics Adolescent Cl110 Summit Center DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/99 Yrs

Ledlie, Laura, MD !"Provider ID: 769483Sandhills Pediatrics1749 Marshall DrColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/99 Yrs

Ledlie, Laura, MD !"Provider ID: 769485Sandhills Pediatrics Adolescent Cl7941 Broad River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/99 Yrs

Lindler, Charlotte, MD "Provider ID: 769783Pediatric Associates14 Richland Medical Park DrColumbia, SC 29203(803) 799-9044

Ages Seen: 00 Yrs/99 Yrs

Lindsey, Sara, MD !"Provider ID: 769532University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7945

Ages Seen: 00 Yrs/99 Yrs

Lofton, Kiersten, MD "Provider ID: 769700Language: SpanishFive Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/18 Yrs

Lofton, Kiersten, MD "Provider ID: 769702Language: SpanishSterling Sharpe Pediatric Center4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

McCutcheon, Monica, MD "Provider ID: 767204Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/18 Yrs

Miller, Catherine, MD !"Provider ID: 767401Palmetto Pediatric Adolescent Clin300 Rice Meadow Way Ste BColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Miller, Catherine, MD !"Provider ID: 767402Palmetto Pediatric Adolescent Clin3250 Harden St ExtColumbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Monteith, Ragin, MD "Provider ID: 767444Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/18 Yrs

Monteith, Ragin, MD "Provider ID: 767445Sterling Sharpe Pediatric Center4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Monteith, Ragin, MD "Provider ID: 767448Hopkins Family Practice9019 Garners Ferry RdHopkins, SC 29061(803) 978-1848

Ages Seen: 00 Yrs/18 Yrs

Moore, Kay, MD !"Provider ID: 769696Palmetto Pediatric Adolescent Clin300 Rice Meadow Way Ste BColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Moore, Kay, MD !"Provider ID: 769697Palmetto Pediatric Adolescent Clin3250 Harden St Ext Ste 100Columbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Moore, Kay, MD !"Provider ID: 769698Palmetto Pediatric Adolescent Clin74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Mubarak, Philip, MD !"Provider ID: 767788Language: ArabicCarolina Pediatrics2113 Adams Grove Ste 101Columbia, SC 29203(803) 256-0531

Ages Seen: 00 Yrs/21 Yrs

Oleary, Melinda, MD !"Provider ID: 769755Sandhills Pediatrics Adolescent Cl110 Summitt Center DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/99 Yrs

Oleary, Melinda, MD !"Provider ID: 769756Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/99 Yrs

Oleary, Melinda, MD !"Provider ID: 769758Sandhills Pediarics Adolescent Cli7941 Broad River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/99 Yrs

Oneill, Cara, MD !"Provider ID: 769281University Pediatrics14 Richland Medical Park Dr

Ste 400Columbia, SC 29203(803) 434-7945

Ages Seen: 00 Yrs/99 Yrs

Painter, William, MD !"Provider ID: 769596Painter William B300 Rice Meadow Way Ste BColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Painter, William, MD !"Provider ID: 769598Palmetto Pediatric Adolescent Clin74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Parrish, Mary, MD "Provider ID: 769184Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/18 Yrs

Parrish, Mary, MD "Provider ID: 769185Sterling Sharpe Pediatrics4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Parsons, Scott, MD !"Provider ID: 767121Language: ArabicCarolina Pediatrics2113 Adams Grove Rd Ste 101Columbia, SC 29203(803) 256-0531

Ages Seen: 00 Yrs/21 Yrs

Pollock, Karen, MD "Provider ID: 766881Ballentine Pediatrics11134 Broad River Rd Ste DIrmo, SC 29063(803) 732-0920

Ages Seen: 00 Yrs/21 Yrs

Pruitt, James, MD "Provider ID: 767678Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/18 Yrs

Pruitt, James, MD "Provider ID: 767679Waverly Family Practice2117 Gervais StColumbia, SC 29204(803) 748-1181

Ages Seen: 00 Yrs/18 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 26: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY21

PEDIATRICS (cont.)

Pruitt, James, MD "Provider ID: 767681Sterling Sharpe Pediatric Center4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Pruitt, James, MD "Provider ID: 767684Hopkins Family Practice9019 Garners Ferry RdHopkins, SC 29061(803) 978-1848

Ages Seen: 00 Yrs/18 Yrs

Qadeer, Adnan, MD "Provider ID: 768999Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/18 Yrs

Qadeer, Adnan, MD "Provider ID: 769001Sterling Sharpe Pediatrics4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Rice, Carryn, MD "Provider ID: 768895Language: SpanishFive Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/18 Yrs

Rice, Carryn, MD "Provider ID: 768897Language: SpanishSterling Sharpe Pediatric Center4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Richland Community Healthcare Associates "

Provider ID: 768487Richland Community Healthcare

Assoc120 Clarkson StEastover, SC 29044(803) 353-8741

Ages Seen: 02 Yrs/21 Yrs

Richland Community Healthcare Associates "

Provider ID: 768488Richland Community Healthcare

Assoc1520 Laurel StColumbia, SC 29201(803) 799-8407

Ages Seen: 02 Yrs/21 Yrs

Rickenmann, Laura, MD !"Provider ID: 766997Sandhills Pediatrics Adolescent Cl110 Summit Center DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/21 Yrs

Rickenmann, Laura, MD !"Provider ID: 766998Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/21 Yrs

Rickenmann, Laura, MD !"Provider ID: 767000Sandhills Pediatrics Adolescent Cl7941 Broad River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/21 Yrs

Rider, John, MD "Provider ID: 767030Carolina Pediatrics114 Gateway Corp Blvd Ste 220Columbia, SC 29203(803) 376-4447

Ages Seen: 00 Yrs/21 Yrs

Rider, John, MD "Provider ID: 767031Carolina Pediatrics2113 Adams Grove Rd Ste 101Columbia, SC 29203(803) 256-0531

Ages Seen: 00 Yrs/21 Yrs

Russo, Tanya, DO !"Provider ID: 766852Carolina Pediatrics114 Gateway Corporate Blvd

Ste 210Columbia, SC 29203(803) 376-4447

Ages Seen: 00 Yrs/21 Yrs

Russo, Tanya, DO !"Provider ID: 766853Carolina Pediatrics2113 Adams Grove Rd Ste 101Columbia, SC 29203(803) 256-0531

Ages Seen: 00 Yrs/21 Yrs

Shenoy, Naren, MD !"Provider ID: 767626Palmetto Pediatric Adolescent Clin3250 Harden St ExtColumbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Shrouds, Richard, MD !"Provider ID: 767926Palmetto Pediatric Adolescent Clin300 Rice Meadow WayColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Shrouds, Richard, MD !"Provider ID: 767927Palmetto Pediatric Adolescent Clin3250 Harden St ExtColumbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Shrouds, Richard, MD !"Provider ID: 767928Palmetto Pediatric Adolescent Clin74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Smith, Leah, MD !"Provider ID: 768997Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/99 Yrs

Solaja, Mojibola, MD !"Provider ID: 767244Milestone Pediatrics120 Wildewood Park Dr Ste BColumbia, SC 29223(803) 788-7882

Ages Seen: 00 Yrs/19 Yrs

Soroos, Jennifer, MD !"Provider ID: 768591Palmetto Pediatric Adolescent Clin300 Rice Meadow WayColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Soroos, Jennifer, MD !"Provider ID: 768592Palmetto Pediatric Adolescent Clin74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Stallworth, James, MD "Provider ID: 769023University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7945

Ages Seen: 00 Yrs/99 Yrs

Stanfield, Robin, MD !"Provider ID: 767160University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/99 Yrs

Stephenson, Kathryn, MD !"Provider ID: 768646University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7945

Ages Seen: 00 Yrs/99 Yrs

Talente, Gregg, MD !"Provider ID: 769223University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/99 Yrs

Taylor, Roger, MD "Provider ID: 768495University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/21 Yrs

Taylor, William, MD "Provider ID: 769633Sandhills Pediatrics Adolescent Cl110 Summitt Center DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/99 Yrs

Taylor, William, MD "Provider ID: 769634Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/99 Yrs

Taylor, William, MD "Provider ID: 769636Sandhills Pediatrics Adolescent Cl7941 Broad River RdIrmo, SC 29063(803) 407-0714

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 27: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY22

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PEDIATRICS (cont.)

Thomas, Christie, MD !"Provider ID: 768331Sandhills Pediatrics110 Summitt Center DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/21 Yrs

Thomas, Christie, MD !"Provider ID: 768332Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/21 Yrs

Thomas, Christie, MD !"Provider ID: 768334Sandhills Pediatrics7941 Broad River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/21 Yrs

Todd, Marc, MD !"Provider ID: 768345Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/21 Yrs

Todd, Marc, MD !"Provider ID: 768346Sandhills Pediatrics7941 Broad River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/21 Yrs

Trakas, Erin, MD "Provider ID: 768072Five Points Pediatics/Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/21 Yrs

Trakas, Erin, MD "Provider ID: 768074Sterling Sharpe Pediatric Center4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/21 Yrs

Walsh, Eileen, MD !"Provider ID: 769089University Primary Care2 Medical Park Ste 203Columbia, SC 29203(803) 545-5600

Ages Seen: 00 Yrs/99 Yrs

Wessinger, Kevin, MD !"Provider ID: 769478Sandhills Pediatrics110 Summit Centre DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/99 Yrs

Wessinger, Kevin, MD !"Provider ID: 769479Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/99 Yrs

Wessinger, Kevin, MD !"Provider ID: 769481Sandhills Pediatrics7941 Broad River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/99 Yrs

Whitaker, Robert, MD !"Provider ID: 767150Sandhills Pediatrics110 Summit Center DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/21 Yrs

Whitaker, Robert, MD !"Provider ID: 767151Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/21 Yrs

Whitaker, Robert, MD !"Provider ID: 767153Sandhills Pediatrics7941 Broad River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/21 Yrs

Widener, Rebecca, MD "Provider ID: 769339University Pediatrics9 Medical Park Rd Ste 210Columbia, SC 29203(803) 434-7995

Ages Seen: 00 Yrs/99 Yrs

Willard IV, William, MD !"Provider ID: 768723Sandhills Pediatrics110 Summit Centre DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/99 Yrs

Willard IV, William, MD !"Provider ID: 768724Sandhills Pediatrics1749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/99 Yrs

Willard IV, William, MD !"Provider ID: 768726Sandhills Pediatrics7941 Broad River BlvdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/99 Yrs

Wilson, Lynn, MD "Provider ID: 769092Sterling Sharpe Pediatric Center4605 Monticello RdBldg A - Ste 1Columbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

FAMILY PRACTICE

Denny, Richard, MD "Provider ID: 768600Sumter Family Health Center1278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Denny, Richard, MD "Provider ID: 768601Dbapinewood Heatlh Center25 E Clark StPinewood, SC 29125(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Dogra, Atul, MD !"Provider ID: 767100Sandhills Medical Foundation425 N Salem StSumter, SC 29150(803) 778-2442

Ages Seen: 00 Yrs/99 Yrs

Ingram, James, MD !"Provider ID: 769013Sumter Family Medicine738 W Liberty St Ste ASumter, SC 29150(803) 775-6374

Ages Seen: 06 Yrs/99 Yrs

Maxwell, Crystal, MD !"Provider ID: 767430Sandhills Medical Foundation425 N Salem StSumter, SC 29150(803) 778-2442

Ages Seen: 00 Yrs/99 Yrs

Mizelle, Donna, MD !"Provider ID: 769151Sumter Family Health Center1278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Mizelle, Donna, MD !"Provider ID: 769152Dbapinewood Health Center25 E Clark StPinewood, SC 29125(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Sandhills Medical Foundation "Provider ID: 769193425 N Salem StSumter, SC 29150(803) 778-2442

Ages Seen: 00 Yrs/99 Yrs

Siegmann, James, MD "Provider ID: 768033Language: GermanSandhills Medical Foundation6 Bernette DrSumter, SC 29150(803) 778-2442

Ages Seen: 00 Yrs/99 Yrs

FEDERALLY QUALIFIED HEALTH CENTER

Pinewood Health Center "Provider ID: 769290Sumter Family Health Center25 E Clark StPinewood, SC 29125(803) 774-4515

Ages Seen: 00 Yrs/18 Yrs

GENERAL PRACTICE

Ahuja, Divya, MD !"#Provider ID: 767154Language: Hindi, PunjabiSumter Family Health Center1278 N Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Ahuja, Divya, MD !"#Provider ID: 767155Language: Hindi, PunjabiDbapinewood Health Center25 E Clark StPinewood, SC 29125(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

SUMTER COUNTY

Page 28: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY23

INTERNAL MEDICINE

Brant, Russell, MD "Provider ID: 768339Sumter Family Health Center1278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 12 Yrs/99 Yrs

Brant, Russell, MD "Provider ID: 768340dba Pinewood Health Center25 E Clark StPinewood, SC 29125(803) 774-4500

Ages Seen: 12 Yrs/99 Yrs

Hawkey, Thomas, DO "Provider ID: 766928Sumter Internal Medical Associates12 Barnett DrSumter, SC 29150(803) 773-5442

Ages Seen: 18 Yrs/99 Yrs

Minhas, Meha, MD !"Provider ID: 768961Sandhills Medical Foundation425 N Salem StSumter, SC 29150(803) 778-2442

Ages Seen: 00 Yrs/99 Yrs

Olatosi, Akinwale, MD !"Provider ID: 769083Sandhills Medical Foundation425 N Salem StSumter, SC 29150(803) 778-2442

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Sumter Family Health Center "Provider ID: 7692891278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/18 Yrs

PEDIATRICS

Arscott, Melissa, MD !"Provider ID: 769355Sumter Pediatrics237 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Arscott, Melissa, MD !"Provider ID: 769356Sumter Pediatrics241 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Ashley, Kimberly, MD !"Provider ID: 767736Sumter Pediatrics237 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Ashley, Kimberly, MD !"Provider ID: 767737Sumter Pediatrics241 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Buschor, Teresa, MD !"Provider ID: 769131Sumter Pediatrics237 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Buschor, Teresa, MD !"Provider ID: 769132Sumter Pediatrics241 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Durant Jr, James, MD "Provider ID: 768090Sumter Pediatrics237 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Durant Jr, James, MDProvider ID: 768091241 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/21 Yrs

Grier, Jason, MD !"Provider ID: 768889Sumter Pediatrics237 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Grier, Jason, MD !"Provider ID: 768890Sumter Pediatrics241 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Key, Timothy, MD !"Provider ID: 769486Sumter Pediatrics237 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Key, Timothy, MD !"Provider ID: 769487Sumter Pediatrics241 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Mitchiner, John, MD !"Provider ID: 767185Sumter Pediatrics237 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Quadir, Zafar, MD !"Provider ID: 768153Sandhills Medical Foundation6 Bernette DrSumter, SC 29150(803) 778-2442

Ages Seen: 00 Yrs/21 Yrs

Rowe III, John, MD "Provider ID: 767183Sumter Pediatrics237 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Rowe III, John, MD "Provider ID: 767184Sumter Pediatrics241 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Sturgis III, Nelson, MD "Provider ID: 768220Language: French, SpanishSumter Family Health Center1278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/20 Yrs

Sturgis III, Nelson, MD "Provider ID: 768221Language: French, SpanishSumter Family Health Center25 E Clark StPinewood, SC 29125(803) 774-4500

Ages Seen: 00 Yrs/20 Yrs

Whetsell, Carl, MD !"Provider ID: 769721Sumter Pedatrics237 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Whetsell, Carl, MD !"Provider ID: 769722Sumter Pediatrics241 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

FAMILY PRACTICE

Culp, Steven, MD !"#Provider ID: 766850Mackey Family Practice 28351 Charlotte Hwy Ste 200Ft Mill, SC 29707(803) 396-5333

Ages Seen: 00 Yrs/99 Yrs

Graham, Lalonda, MD !"Provider ID: 769303North Central Family Medical

Center1131 Saluda StRock Hill, SC 29730(803) 325-7744

Ages Seen: 00 Yrs/99 Yrs

Graham, Lalonda, MD !"Provider ID: 769305North Central Family Medical

Center313 Fargo StRock Hill, SC 29730(803) 325-8742

Ages Seen: 00 Yrs/99 Yrs

Liu, Jonathan, MD !"Provider ID: 768712Agape Senior Primary Care159 Sedgewood DrRock Hill, SC 29732(803) 454-3510

Ages Seen: 00 Yrs/99 Yrs

Maduro, Lissette, MD "Provider ID: 767017North Central Family Medical

Center1131 Saluda StRock Hill, SC 29730(803) 325-7744

Ages Seen: 00 Yrs/99 Yrs

Mbadinuju, Adanma, MD !"Provider ID: 768123First Care Medical Clinic1462 Constitution BlvdRock Hill, SC 29732(803) 909-4040

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

SUMTER COUNTY (cont.)

YORK COUNTY

Page 29: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY24

PRIMARY CARE PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

FAMILY PRACTICE (cont.)

Patel, Nimish, MD !"Provider ID: 769009Language: Gujarati, HindiPalmetto Medical Group9789 Charlotte Hwy Ste 1400Ft Mill, SC 29707(803) 548-7007

Ages Seen: 01 Yrs/99 Yrs

Patel, Shephali, MD !"Provider ID: 768443Language: Gujarati, HindiPalmetto Medical Group9789 Charlotte Hwy Ste 1400Ft Mill, SC 29707(803) 548-2007

Ages Seen: 01 Yrs/99 Yrs

Sharp, Frank, MD !"#Provider ID: 769272Mackey Family Practice 28351 Charlotte Hwy Ste 200Ft Mill, SC 29707(803) 396-5333

Ages Seen: 00 Yrs/99 Yrs

Shealy, Keith, MD !"Provider ID: 768536Mackey Family Practice 28351 Charlotte Hwy Ste 200Ft Mill, SC 29707(803) 396-5333

Ages Seen: 00 Yrs/99 Yrs

Villamor, Shelaila, DO !"Provider ID: 767783North Central Family Medical

Center1131 Saluda StRock Hill, SC 29730(803) 325-7744

Ages Seen: 00 Yrs/99 Yrs

Villamor, Shelaila, DO !"Provider ID: 767784North Central Family Medical

Center313 Fargo StRock Hill, SC 29730(803) 325-8742

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Arain, Shazia, MD !"Provider ID: 769469First Care Medical Clinic1462 Constitution BlvdRock Hill, SC 29732(803) 909-4040

Ages Seen: 00 Yrs/99 Yrs

Bhaskaran, Dharmendra, MD !"

Provider ID: 766887Language: Hindi, KannadaLancaster Internal Medicine225 S Herlong Ave Ste 230Rock Hill, SC 29732(803) 366-3900

Ages Seen: 00 Yrs/99 Yrs

Ekunsanmi, Bamidele, MD "Provider ID: 769672Premier Clinics of York114 S Congress StYork, SC 29745(803) 628-4090

Ages Seen: 00 Yrs/99 Yrs

Ekunsanmi, Bamidele, MD "Provider ID: 769673Premier Clinic of Rock Hill1609 Constitution BlvdRock Hill, SC 29732(803) 326-3000

Ages Seen: 00 Yrs/99 Yrs

Okwara, Benedict, MD "Provider ID: 768260First Care Medical Clinic1462 Constitution BlvdRock Hill, SC 29732(803) 909-4040

Ages Seen: 00 Yrs/99 Yrs

Shah, Amit, MD !"Provider ID: 769100Language: GujaratiPalmetto Medical Group9789 Charlotte Hwy Ste 1400Ft Mill, SC 29707(803) 548-7007

Ages Seen: 18 Yrs/99 Yrs

Sharma, Deovyaas, MD !"Provider ID: 769238Lancaster Internal Medicine225 South Herlong Ave Ste 230Rock Hill, SC 29730(803) 366-3900

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Ayodele, Ayotunde, MD "Provider ID: 769581York Pediatrics1538 Health Care DrRock Hill, SC 29732(803) 980-6610

Ages Seen: 00 Yrs/99 Yrs

Badalyan, Rupal, MD !"Provider ID: 767002Language: SpanishNorth Central Family Medical

Center1131 Saluda StRock Hill, SC 29730(803) 325-7744

Ages Seen: 00 Yrs/21 Yrs

Ibrahim, Nadia, MD "Provider ID: 767040First Care Medical Clinic1462 Constitution BlvdRock Hill, SC 29732(704) 291-9267

Ages Seen: 00 Yrs/21 Yrs

John, Trent, MD !"Provider ID: 769322Tri County Pediatrics165 Amendment Ave Ste 102Rock Hill, SC 29732(803) 329-2700

Ages Seen: 00 Yrs/99 Yrs

John, Trent, MD !"Provider ID: 769323Tri County Pediatrics815 E Liberty StYork, SC 29745(803) 628-2728

Ages Seen: 00 Yrs/99 Yrs

Modi, Ankita, MD !"Provider ID: 768605Tri Country Pediatrics165 Amendment Ave Ste 102Rock Hill, SC 29732(803) 329-2700

Ages Seen: 00 Yrs/18 Yrs

Modi, Ankita, MD !"Provider ID: 768606Tri Country Pediatrics815 E Liberty StYork, SC 29745(803) 628-2728

Ages Seen: 00 Yrs/99 Yrs

Nair, Jyothi, MD !"Provider ID: 768989Tri Country Pediatrics165 Amendment Ave Ste 102Rock Hill, SC 29732(803) 329-2700

Ages Seen: 00 Yrs/99 Yrs

Nair, Jyothi, MD !"Provider ID: 768990Tri County Pediatrics815 E Liberty StYork, SC 29745(803) 628-2728

Ages Seen: 00 Yrs/99 Yrs

Shah, Gaurang, MD !"Provider ID: 769677Tri County Pediatrics165 Amendment Ave Ste 102Rock Hill, SC 29732(803) 329-2700

Ages Seen: 00 Yrs/18 Yrs

Shah, Gaurang, MD !"Provider ID: 769678Tri County Pediatrics815 E Liberty StYork, SC 29745(803) 628-2728

Ages Seen: 00 Yrs/99 Yrs

Shah, Khyati, MD "Provider ID: 768403Tri County Pediatrics815 E Liberty StYork, SC 29745(803) 628-2728

Ages Seen: 00 Yrs/18 Yrs

Tafari, Gashaw, MD "Provider ID: 769285North Central Family Medical

Center313 Fargo StRock Hill, SC 29730(803) 325-8742

Ages Seen: 00 Yrs/21 Yrs

Threatt, Deanna, MD !"Provider ID: 767188The Childrens Clinic8351 Charlotte HwyFt Mill, SC 29707(803) 547-4053

Ages Seen: 00 Yrs/21 Yrs

Yaraei, Julia, MD "Provider ID: 769118North Central Family Medical

Center1131 Saluda StRock Hill, SC 29730(803) 325-7744

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

YORK COUNTY (cont.)

Page 30: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY25

ALLERGY & IMMUNOLOGY

Clark, Matthew, MD !"Provider ID: 770253Covenant Family Allergy1810 Knox Ave Ste BNorth Augusta, SC 29841(803) 279-7666

Ages Seen: 00 Yrs/99 Yrs

Covenant Family Allergy "Provider ID: 7712831810 Knox Ave Ste BNorth Augusta, SC 29841(803) 279-7666

Ages Seen: 00 Yrs/99 Yrs

CARDIAC ELECTROPHYSIOLOGY

Gregory H Esselman MD "Provider ID: 773629121 Aurora Pl Ste BAiken, SC 29801(803) 649-0003

Ages Seen: 00 Yrs/99 Yrs

CARDIOLOGY

Aiken Cardiovascular Associates "

Provider ID: 773891137 Miracle Dr NWAiken, SC 29801(803) 641-4874

Ages Seen: 00 Yrs/99 Yrs

Arthur, Ansermo, MD !"Provider ID: 775346Aiken Cardiovascular Associates137 Miracle Dr NWAiken, SC 29801(803) 641-4874

Ages Seen: 07 Yrs/99 Yrs

Cundey, David, MD "Provider ID: 777109Aiken Cardiovascular Associates137 Miracle Dr NWAiken, SC 29801(803) 641-4874

Ages Seen: 07 Yrs/99 Yrs

Eaves, Gregory, MD "Provider ID: 773447Aiken Cardiovascular Associates137 Miracle Dr NWAiken, SC 29801(803) 641-4874

Ages Seen: 00 Yrs/99 Yrs

Pennington III, Weems, MD !"Provider ID: 771356Aiken Cardiovascular Associates137 Miracle Dr NWAiken, SC 29801(803) 641-4874

Ages Seen: 00 Yrs/99 Yrs

Sharaf, Idris, MD "Provider ID: 774773Aiken Cardiovascular Associates137 Miracle Dr NWAiken, SC 29801(803) 641-4874

Ages Seen: 16 Yrs/99 Yrs

CHIROPRACTIC

Aiken Chiropractic "Provider ID: 769947425 Laurens St NWAiken, SC 29801(803) 641-9191

Ages Seen: 00 Yrs/99 Yrs

Bradley, Blair, DC "Provider ID: 771763Bradley Blair S425 Laurens St NWAiken, SC 29801(803) 641-9191

Ages Seen: 00 Yrs/99 Yrs

Djolic, Dejan, DC "Provider ID: 772178Aiken Chiropractic Associates425 Laurens St North WAiken, SC 29801(803) 641-9191

Ages Seen: 00 Yrs/99 Yrs

Odom, Jerry, DC "Provider ID: 770967Palmetto Chiropractic147 Pendleton St NWAiken, SC 29801(803) 646-4381

Ages Seen: 00 Yrs/99 Yrs

COLON & RECTAL SURGERY

Gibbs, David, MD !"Provider ID: 775633Gibbs David H410 University Pkwy Ste 2100Aiken, SC 29801(803) 648-1171

Ages Seen: 18 Yrs/99 Yrs

Jakubs Jr, Edward, MD !"Provider ID: 771936Colon and Rectal Surgery

Associates410 University Pkwy Ste 2100Aiken, SC 29801(803) 648-1171

Ages Seen: 18 Yrs/99 Yrs

Winburn, Virginia, MD !"Provider ID: 774024Colon and Rectal Surgery

Associates410 University Pkwy Ste 2100Aiken, SC 29801(803) 648-1171

Ages Seen: 00 Yrs/99 Yrs

EAR NOSE & THROAT

Esselman, Gregory, MD "Provider ID: 771722Aiken Ear Nose Throat121 Aurora PlAiken, SC 29804(803) 649-0003

Ages Seen: 00 Yrs/99 Yrs

Gregory H Esselman MD "Provider ID: 773629121 Aurora Pl Ste BAiken, SC 29801(803) 649-0003

Ages Seen: 00 Yrs/99 Yrs

ENDOCRINOLOGY DIABETES METABOLISM

Vaughters III, Ray, MD !"Provider ID: 773164Vaughters III Ray B526 Richland Ave WAiken, SC 29801(803) 648-3130

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Depina, Manuel, MD "Provider ID: 769977Palmetto Infusion Service815 W AveNorth Augusta, SC 29841(803) 489-0130

Ages Seen: 00 Yrs/99 Yrs

Duvall, Lance, MD "Provider ID: 776243Palmetto Infusion Services121 Aurora Pl Ste CAiken, SC 29801(800) 809-1265

Ages Seen: 00 Yrs/99 Yrs

Duvall, Lance, MD "Provider ID: 776243Palmetto Infusion Services815 W AveNorth Augusta, SC 29841(803) 489-0130

Ages Seen: 00 Yrs/99 Yrs

GASTROENTEROLOGY

Chaudhary, Ayaz, MD !"Provider ID: 774613Language: Punjabi, UrduGeorgia Gastroeterology of Augusta35 Varden Dr Ste CAiken, SC 29803(803) 226-0073

Ages Seen: 00 Yrs/99 Yrs

Chaudhary, Ayaz, MD !"Provider ID: 774613Language: Punjabi, UrduGeorgia Gastroenterology410 University Pkwy Ste 1560Aiken, SC 29801(803) 226-0073

Ages Seen: 00 Yrs/99 Yrs

Keisler Jr, David, MD "Provider ID: 775502Aiken Internal Medicine Associates410 University Pkwy Ste 2500Aiken, SC 29801(803) 648-7888

Ages Seen: 21 Yrs/99 Yrs

GENERAL SURGERY

Aiken Surgical Associtaes "Provider ID: 771452410 University Pkwy Ste 2310Aiken, SC 29801(803) 648-1318

Ages Seen: 00 Yrs/99 Yrs

Buchanan, Allison, MD "Provider ID: 773044Aiken Surgical Associtaes410 University Pkwy Ste 2310Aiken, SC 29801(803) 648-1318

Ages Seen: 00 Yrs/99 Yrs

Chase, Frank, MD !"Provider ID: 775294Aiken Surgical Associtaes410 University Pkwy Ste 2310Aiken, SC 29801(803) 648-1318

Ages Seen: 00 Yrs/99 Yrs

Frei, Wayne, MD "Provider ID: 774984Aiken Surgical Associtaes410 University Pkwy Ste 2310Aiken, SC 29801(803) 648-1318

Ages Seen: 00 Yrs/99 Yrs

Terry, Robert, MD !"Provider ID: 774210Aiken Surgical Associtaes410 University Pkwy Ste 2310Aiken, SC 29801(803) 648-1318

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINAAIKEN COUNTY

Page 31: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY26

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

HEMATOLOGY & ONCOLOGY

Ergul, Sitki, MD !"Provider ID: 776114Language: TurkishCancer Center Associates of

Carolin111 Miracle DrAiken, SC 29801(803) 641-5757

Ages Seen: 13 Yrs/99 Yrs

INTERNAL MEDICINE

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care North Aiken1029 York St NEAiken, SC 29801(803) 648-4119

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care North Augusta1520 Knox AveNorth Augusta, SC 29841(803) 279-4120

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Aiken Mall850 Aiken Mall DrAiken, SC 29803(803) 648-1464

Ages Seen: 00 Yrs/99 Yrs

MEDICAL ONCOLOGY

Gill, Ahmad, MD "Provider ID: 771870Language: Indian, PakistaniCancer Center Associates of

Carolin111 Miracle DrAiken, SC 29801(803) 641-5757

Ages Seen: 00 Yrs/99 Yrs

NEPHROLOGY

Dibona, Francis, MD "Provider ID: 774118Csra Renal Services755 Medical Park DrAiken, SC 29801(803) 648-0718

Ages Seen: 00 Yrs/99 Yrs

Patel, Devesh, MD !"Provider ID: 772062Language: Gujarati, HindiCsra Renal Services755 Medical Park DrAiken, SC 29801(803) 648-0718

Ages Seen: 00 Yrs/99 Yrs

Stahura, Douglas, DO !"Provider ID: 773256Csra Renal Services755 Medical Park DrAiken, SC 29801(803) 648-0718

Ages Seen: 00 Yrs/99 Yrs

Sussman, Hy, MD "Provider ID: 777168755 Medical Park DrAiken, SC 29801(803) 648-0718

Ages Seen: 14 Yrs/99 YrsAiken Regional Medical Center

NEUROLOGY

Eisenberg, Richard, MD "Provider ID: 772160Aiken Neurosciences410 University Pkwy Ste 2360Aiken, SC 29801(803) 642-6500

Ages Seen: 12 Yrs/99 Yrs

Haas, Melvyn, MD "Provider ID: 773940Aiken Neurosciences410 University Pkwy Ste 2360Aiken, SC 29801(803) 642-6500

Ages Seen: 04 Yrs/99 Yrs

Lyon, Michelle, MD !"Provider ID: 771008Carolina Musculoskeletal Institute410 University Pkwy Ste 1000Aiken, SC 29801(803) 644-2264

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Boehner, James, MD "Provider ID: 772889Aiken Obstetrics and Gynecology410 University Pkwy Ste 1550Aiken, SC 29801(803) 649-7535

Ages Seen: 00 Yrs/99 Yrs

Boone, Robert, MD "Provider ID: 770997Aiken Obstetrics and Gynecology410 University Pkwy Ste 1550Aiken, SC 29801(803) 649-7535

Ages Seen: 00 Yrs/99 Yrs

Bryan, Gasnel, MD "Provider ID: 771498Bryan Gasnel E209 Abbeville Ave NWAiken, SC 29801(803) 648-0874

Ages Seen: 00 Yrs/99 Yrs

Daniels, Brandon, MD "Provider ID: 777268Daniels Brandon L953 Dougherty RdUnit AAiken, SC 29803(803) 632-2533

Ages Seen: 00 Yrs/99 Yrs

Daniels, Lloyd, MD "Provider ID: 770728Daniels Lloyd B80 Physician DrAiken, SC 29801(803) 649-4117

Ages Seen: 00 Yrs/99 Yrs

Hoover, Judith, MD !"Provider ID: 777370Parkside Womens Center1518 Two Notch RdAiken, SC 29803(803) 649-7746

Ages Seen: 00 Yrs/99 Yrs

Keller, Jessica, DO "Provider ID: 774240Aiken Obgyn Associates410 University Pkwy Ste 1550Aiken, SC 29801(803) 649-7535

Ages Seen: 00 Yrs/99 Yrs

Minto, Oletha, MD !"Provider ID: 776282Aiken Obstetrics and Gynecology410 University Pkwy Ste 1550Aiken, SC 29801(803) 649-7535

Ages Seen: 00 Yrs/99 Yrs

Muniz, Margo, MD !"Provider ID: 773176Magnolia Medical Center410 University Pkwy Ste 2300Aiken, SC 29801(803) 649-6366

Ages Seen: 00 Yrs/99 Yrs

Parkside Womens Center "Provider ID: 7759001518 Two Notch RdAiken, SC 29803(803) 649-7746

Ages Seen: 00 Yrs/99 Yrs

OPHTHALMOLOGY

Grantham, Richard, MD "Provider ID: 772428Center For Sight139 Waterloo StAiken, SC 29801(803) 642-1000

Ages Seen: 00 Yrs/99 Yrs

Patheja, Nini, MD "Provider ID: 774112Aiken Ophthalmology110 Pepper Hill WayAiken, SC 29801(803) 642-6060

Ages Seen: 00 Yrs/99 Yrs

Smith, Daniel, MD "Provider ID: 774490Aiken Ophthalmology110 Pepper Hill WayAiken, SC 29801(803) 642-6060

Ages Seen: 00 Yrs/99 Yrs

Tsai, Enoch, MD "Provider ID: 775482Tsai Enoch N111 Gregg AveAiken, SC 29801(803) 649-6991

Ages Seen: 00 Yrs/99 Yrs

OPTICIAN

Wal Mart Stores East LPProvider ID: TPVWALM40-06Wal-Mart Stores East LP1201 Knox AveWalmart Vision Center Ste 1270North Augusta, SC 29841(803) 202-0182

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-18Wal-Mart Stores East LP2035 Whiskey RdWalmart Vision Center Ste 514Aiken, SC 29803(803) 648-4442

Ages Seen: 00 Yrs/99 Yrs

OPTOMETRY

Antley, Rufus, ODProvider ID: TPVANTL01-02R B Antley149 North Main StWagener Vision ClinicWagener, SC 29164(803) 564-6728

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

AIKEN COUNTY (cont.)

Page 32: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY27

OPTOMETRY (cont.)

Boyd, Clifton, OD "Provider ID: TPVBOYD06-01Kenneth R Braun724 Richland Ave WAiken, SC 29801(803) 648-8974

Ages Seen: 00 Yrs/99 Yrs

Braun, Kenneth, OD "Provider ID: TPVBRAU07-01Kenneth R Braun724 Richland Ave WAiken, SC 29801(803) 648-8974

Ages Seen: 00 Yrs/99 Yrs

Kozlowski, Jeffrey, OD "Provider ID: TPVKOZL03-04Nini S Patheja110 Pepper Hill WayAiken, SC 29801(803) 642-6060

Ages Seen: 00 Yrs/99 Yrs

Kozlowski, Jeffrey, OD "Provider ID: TPVKOZL03-05Nini S Patheja336 Georgia Ave Ste 102North Augusta, SC 29841(803) 442-3006

Ages Seen: 00 Yrs/99 Yrs

Shepard, Gary, ODProvider ID: TPVSHEP04-01Dr Gary Shepard2035 Whiskey RdWalmart Vision CenterAiken, SC 29803(803) 643-3785

Ages Seen: 00 Yrs/99 Yrs

Wu, Yan, ODProvider ID: TPVWU13-01Wu Family Eye Care1201 Knox AveNorth Augusta, SC 29841(803) 279-0188

Ages Seen: 00 Yrs/99 Yrs

ORTHOPAEDIC SURGERY

Carter, Ty, MD !"Provider ID: 776039Carolina Musculoskeletal Institute410 University Pkwy Ste 1000Aiken, SC 29801(803) 644-2264

Ages Seen: 00 Yrs/99 Yrs

Holford, Doulgas, MD "Provider ID: 773497Carolina Musculoskeletal Institute410 University Pkwy Ste 1000Aiken, SC 29801(803) 644-2264

Ages Seen: 00 Yrs/99 Yrs

Massie, Richard, MD !"Provider ID: 776799Carolina Musculoskeltal Institute P410 University Pkwy Ste 1000Aiken, SC 29801(803) 644-2264

Ages Seen: 00 Yrs/99 Yrs

Moore, Clark, MD "Provider ID: 772868Carolina Musculoskeletal Institute410 University Pkwy Ste 1000Aiken, SC 29801(803) 644-2264

Ages Seen: 00 Yrs/99 Yrs

Shannon, Timothy, MD !"Provider ID: 776038Carolina Musculoskeletal Institute410 University Pkwy Ste 1000Aiken, SC 29801(803) 644-2264

Ages Seen: 00 Yrs/99 Yrs

PAIN MANAGEMENT

Durrett, William, MD "Provider ID: 771390Aiken Neurosciences410 University Pkwy Ste 2360Aiken, SC 29801(803) 642-6500

Ages Seen: 12 Yrs/99 Yrs

PEDIATRICS

Aiken Pediatrics "Provider ID: 76931074 Physician DrAiken, SC 29801(803) 649-0578

Ages Seen: 00 Yrs/99 Yrs

Palmetto Pediatrics "Provider ID: 76770560 Physician DrAiken, SC 29801(803) 641-5437

Ages Seen: 00 Yrs/21 Yrs

PODIATRY

Carolina Musculoskeletal Institute "

Provider ID: 773671410 University Pkwy Ste 1000Aiken, SC 29801(803) 649-0563

Ages Seen: 00 Yrs/99 Yrs

Carolina Musculoskeletal Institute "

Provider ID: 773671721 Richland Ave W Ste 100Aiken, SC 29801(803) 649-3668

Ages Seen: 00 Yrs/99 Yrs

Molnar, Angela, DPM "Provider ID: 776969Carolina Musculoskeletal Institute410 University Pkwy Ste 1000Aiken, SC 29801(803) 649-0563

Ages Seen: 00 Yrs/99 Yrs

Walker Jr, Mackie, DPM "Provider ID: 773413Carolina Musculoskeletal Institute410 University Pkwy Ste 1000Aiken, SC 29801(803) 649-4426

Ages Seen: 00 Yrs/99 Yrs

PSYCHIATRY

Aiken Regional Psychiatric Services "

Provider ID: 772804655 Medical Park DrAiken, SC 29801(803) 641-5900

Ages Seen: 00 Yrs/99 Yrs

Deleon, Merry, MD !"Provider ID: 775231Aiken Regional Psychiatric Services655 Medical Park DrAiken, SC 29801(803) 641-5900

Ages Seen: 00 Yrs/99 Yrs

Sachdev, Simi, MD !"Provider ID: 770538Aiken Regional Psychiatric Services655 Medical Park DrAiken, SC 29801(803) 641-5900

Ages Seen: 00 Yrs/99 Yrs

PULMONARY DISEASE

Aiken Pulmonary Associates "Provider ID: 77145168 Physician DrAiken, SC 29801(803) 643-1090

Ages Seen: 00 Yrs/99 Yrs

Sanito, Nicholas, DO !"Provider ID: 772802Aiken Pulmonary Associates68 Physician DrAiken, SC 29801(803) 643-1090

Ages Seen: 00 Yrs/99 Yrs

Zotovic, Miroslav, MD "Provider ID: 774690Aiken Pulmonary Associates68 Physician DrAiken, SC 29801(803) 643-1090

Ages Seen: 07 Yrs/99 Yrs

RADIATION ONCOLOGY

Ezekiel, Mark, MD !"Provider ID: 772461Radiation Oncology Center111 Miracle DrAiken, SC 29801(803) 641-7850

Ages Seen: 00 Yrs/99 Yrs

Howington, Jed, MD !"Provider ID: 772854Radiation Oncology Center of Aiken111 Miracle DrAiken, SC 29801(803) 641-7850

Ages Seen: 18 Yrs/99 Yrs

Radiation Oncology Center of Aiken "

Provider ID: 776896111 Miracle DrAiken, SC 29801(803) 641-7850

Ages Seen: 00 Yrs/99 Yrs

RHEUMATOLOGY

Bonner Jr, Walter, MD "Provider ID: 775173Palmetto Infusion Services121 Aurora Pl Ste CAiken, SC 29801(800) 809-1265

Ages Seen: 00 Yrs/99 Yrs

Bonner Jr, Walter, MD "Provider ID: 775173Palmetto Infusion Services815 W AveNorth Augusta, SC 29841(803) 489-0130

Ages Seen: 00 Yrs/99 Yrs

Martinez De Andino, Edwin, MD "

Provider ID: 776238Language: SpanishCarolina Musculoskeletal Institute410 University Pkwy Ste 1000Aiken, SC 29801(803) 644-2264

Ages Seen: 00 Yrs/99 Yrs

UROLOGY

Aiken Urological Assocaites "Provider ID: 772050191 Centre South Blvd Ste 20Aiken, SC 29803(803) 648-7815

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

AIKEN COUNTY (cont.)

Page 33: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY28

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

UROLOGY (cont.)

Anderson, Jonathan, MD !"Provider ID: 772249Aiken Center For Urology770 Medical Park DrAiken, SC 29801(803) 649-3903

Ages Seen: 00 Yrs/99 Yrs

Maniam, Prakash, MD !"Provider ID: 776870Urology of Aiken410 University PkwySte 1500 BAiken, SC 29801(803) 643-7311

Ages Seen: 00 Yrs/99 Yrs

Vonbuedingen, Richard, MD "Provider ID: 771766Aiken Urological Associates191 Centre South Blvd Ste 20Aiken, SC 29803(803) 648-7815

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Allendale County Hospital "Provider ID: 769070Laffitte and Warrren Medical Center1787 Allendale-Fairfax HwyFairfax, SC 29827(803) 632-2433

Ages Seen: 00 Yrs/99 Yrs

Armstrong, Brent, MD !"Provider ID: 772349Allendale County Hospital1787 Allendale Fairfax HwyFairfax, SC 29827(803) 632-3311

Ages Seen: 00 Yrs/99 Yrs

Hayden Jr, John, MD !"Provider ID: 774275Allendale County Hospital1787 Allendale Fairfax HwyFairfax, SC 29827(803) 774-3311

Ages Seen: 00 Yrs/99 Yrs

Jones, Robert, MD !"Provider ID: 770399Language: SpanishAllendale County Hospital1787 Allendale Fairfax HwyFairfax, SC 29827(803) 632-3311

Ages Seen: 00 Yrs/99 Yrs

Laffitte Warren Medical Center "Provider ID: 768026623 North Memorial AveAllendale, SC 29810(803) 584-2128

Ages Seen: 00 Yrs/99 Yrs

Low Country Health Care System "

Provider ID: 768785333 Revolutionary TrlFairfax, SC 29827(803) 632-2533

Ages Seen: 00 Yrs/99 Yrs

McKissick, Janet, MD !"Provider ID: 772783Language: SpanishAllendale County Hospital1787 Allendale Fairfax HwyFairfax, SC 29827(803) 632-3311

Ages Seen: 00 Yrs/99 Yrs

GENERAL PRACTICE

Ky, Mol, DO !"Provider ID: 770325Allendale County Hospital1787 Allendale Fairfax HwyFairfax, SC 29827(803) 632-3361

Ages Seen: 00 Yrs/99 Yrs

INFECTIOUS DISEASE

Cieza, Octavio, MD "Provider ID: 772109Allendale County Hospital1787 Allendale Fairfax HwyFairfax, SC 29827(803) 632-3311

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Ackerman III, Riddick, MD !"Provider ID: 770592Allendale County Hospital1787 Allendale Fairfax HwyFairfax, SC 29827(803) 632-3311

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Ilsley, Jeffery, MD "Provider ID: 777464Bamberg County Hospital509 North StBamberg, SC 29003(803) 245-4321

Ages Seen: 00 Yrs/99 Yrs

William D Glenn IV MD "Provider ID: 7668075073 Carolina HwyDenmark, SC 29042(803) 245-5144

Ages Seen: 00 Yrs/99 Yrs

GASTROENTEROLOGY

RMC Internal Medicine and Gastroenterolo "

Provider ID: 772430RMC Internal Medicine and

Gastroent498 North StBamberg, SC 29003(803) 245-5144

Ages Seen: 00 Yrs/99 Yrs

Yunis, Muhammad, MD "Provider ID: 770854Language: Pashtu, UrduRMC Internal Med and

Gastroenterol498 North StBamberg, SC 29003(803) 245-5144

Ages Seen: 00 Yrs/99 Yrs

GENERAL SURGERY

Montenegro, Carlos, MD !"Provider ID: 774179Language: SpanishBamberg County Memorial Hospital509 North StBamberg, SC 29003(803) 245-6690

Ages Seen: 00 Yrs/99 Yrs

Ross, John, MD "Provider ID: 774138Bamberg County Hospital509 North StBamberg, SC 29003(803) 245-4321

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Biggers, Frank, MD "Provider ID: 776445Bambberg County Hospital509 North StBamberg, SC 29003(803) 245-4321

Ages Seen: 00 Yrs/99 Yrs

Thomas, Mathew, MD "Provider ID: 770030Bamberg County Memorial Hospital509 North StBamberg, SC 29003(803) 245-6690

Ages Seen: 00 Yrs/99 Yrs

NEPHROLOGY

Durham, John, MD !"Provider ID: 773973Language: ArabicPalmetto Nephrology67 Sunset DrBamberg, SC 29003(803) 245-9344

Ages Seen: 00 Yrs/99 Yrs

Hamad, Abdullah, MD !"Provider ID: 774871Language: ArabicPalmetto Nephrology67 Sunset DrBamberg, SC 29003(803) 245-9344

Ages Seen: 00 Yrs/99 Yrs

Moustafa, Moustafa, MD !"Provider ID: 772345SC Nephrology and Hypertension2046 Main HwyBamberg, SC 29003(803) 245-5505

Ages Seen: 00 Yrs/99 Yrs

Nassri, Mohammad, MD "Provider ID: 771777Language: ArabicPalmetto Nephrology67 Sunset DrBamberg, SC 29003(803) 245-9344

Ages Seen: 00 Yrs/99 Yrs

Palmetto Nephrology "Provider ID: 77714367 Sunset DrBamberg, SC 29003(803) 245-9344

Ages Seen: 00 Yrs/99 Yrs

SC Nephrology and Hypertension "

Provider ID: 7708132046 Main HwyBamberg, SC 29003(803) 245-5505

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Family Health Centers Obgyn "Provider ID: 7744281241 Solomon Blatt BlvdDenmark, SC 29042(803) 793-4282

Ages Seen: 00 Yrs/99 Yrs

Glenn IV, William, MD !"Provider ID: 772637Bamberg County Hospital509 North StBamberg, SC 29003(803) 274-5432

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

AIKEN COUNTY (cont.)

ALLENDALE COUNTY

BAMBERG COUNTY

Page 34: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY29

OBSTETRICS/GYNECOLOGY (cont.)

Jackson, Lisa, MD "Provider ID: 776793Family Health Centers Obgyn1241 Solomon Blatt BlvdDenmark, SC 29042(803) 793-4282

Ages Seen: 00 Yrs/99 Yrs

PODIATRY

Family Health Centers "Provider ID: 770851Denmark Medical Center5616 Carolina HwyDenmark, SC 29042(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

CARDIOLOGY

Pennington, Don, MD "Provider ID: 773291Barnwell County Hospital811 Reynolds RdBarnwell, SC 29812(803) 541-4395

Ages Seen: 00 Yrs/99 Yrs

EAR NOSE & THROAT

Cassone, Rocco, MD "Provider ID: 776845Carolina Ear Nose Throat Clinic100 Wren StBarnwell, SC 29812(803) 536-5511

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Low Country Health Care System "

Provider ID: 76878686 Wren StBarnwell, SC 29812(803) 259-5762

Ages Seen: 00 Yrs/99 Yrs

GASTROENTEROLOGY

Palmetto Gastroenterology and Hepatology "

Provider ID: 777269Palmetto Gastroenterology and

Hepat85 Wren StBarnwell, SC 29812(803) 541-4702

Ages Seen: 00 Yrs/99 Yrs

Waraich, Afsar, MD !"Provider ID: 773494Language: SpanishPalmetto Gastroenterology and

Hepat85 Wren StBarnwell, SC 29812(803) 541-4702

Ages Seen: 00 Yrs/99 Yrs

GENERAL SURGERY

Cunningham, Joseph, MD "Provider ID: 773367Barnwell County Hospital811 Reynolds RdBarnwell, SC 29812(803) 541-4395

Ages Seen: 00 Yrs/99 Yrs

Kaun, Majeed, MD "Provider ID: 773615Barnwell County Hospital1184 Jackson StBarnwell, SC 29812(803) 259-2512

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Bair, Curtis, MD "Provider ID: 772029Barnwell County Hospital811 Reynolds RdBarnwell, SC 29812(803) 541-4395

Ages Seen: 00 Yrs/99 Yrs

Benraouane, Fethi, MD "Provider ID: 775355Barnwell County Hospital811 Reynolds RdBarnwell, SC 29812(803) 541-4395

Ages Seen: 00 Yrs/99 Yrs

NEPHROLOGY

Patel, Devesh, MD !"Provider ID: 772062Language: Gujarati, HindiCsra Renal Services10708 Marboro AveBarnwell, SC 29812(803) 648-0718

Ages Seen: 00 Yrs/99 Yrs

Stahura, Douglas, DO !"Provider ID: 773256Csra Renal Services10708 Marlboro AveBarnwell, SC 29812(803) 648-0718

Ages Seen: 00 Yrs/99 Yrs

Sussman, Hy, MD "Provider ID: 77716810708 Marlboro AveBarnwell, SC 29812(803) 648-0718

Ages Seen: 14 Yrs/99 YrsAiken Regional Medical Center

OPTOMETRY

Barrett, Bob, OD "Provider ID: TPVBARR10-01Barnwell Eye Center30 Fuldner RdBarnwell, SC 29812(803) 259-5155

Ages Seen: 00 Yrs/99 Yrs

Carey, Bruce, ODProvider ID: TPVCARE03-02Bruce Carey12927 Main StWilliston, SC 29853(803) 266-7010

Ages Seen: 00 Yrs/99 Yrs

Carey, Bruce, ODProvider ID: TPVCARE03-01Bruce Carey12989 Main StBox 559Williston, SC 29853(803) 266-7050

Ages Seen: 00 Yrs/99 Yrs

Lemon, Edward, OD "Provider ID: TPVLEMO02-01Edward Lemon267 Main StPO Box 405Barnwell, SC 29812(803) 259-2020

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

St Matthews Family Practice "Provider ID: 769738725 Harry C Raysor DrSaint Matthews, SC 29135(803) 874-3902

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Family Health Centers Obgyn "Provider ID: 774428558 Chestnut StSaint Matthews, SC 29135(843) 563-5315

Ages Seen: 00 Yrs/99 Yrs

Jackson, Lisa, MD "Provider ID: 776793Family Health Centers Obgyn558 Chestnut StSaint Matthews, SC 29135(843) 563-5315

Ages Seen: 00 Yrs/99 Yrs

CARDIOLOGY

Butterfield, Lee, MD !"Provider ID: 774002Clarendon Cardiovascular

Associates21 E Hospital StManning, SC 29102(803) 435-3133

Ages Seen: 00 Yrs/99 Yrs

Clarendon Cardiovascular Associates "

Provider ID: 77470821 E Hospital StManning, SC 29102(803) 435-3133

Ages Seen: 00 Yrs/99 Yrs

Hicks II, John, MD !"Provider ID: 773696Clarendon Cardiovascular

Associates21 E Hospital StManning, SC 29102(803) 435-3133

Ages Seen: 00 Yrs/99 Yrs

EAR NOSE & THROAT

Cassone, Rocco, MD "Provider ID: 776845Carolina Ear Nose Throat Clinic20 Hospital StManning, SC 29102(803) 536-5511

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Black River Healthcare - Manning "

Provider ID: 768477Black River Healthcare12 W South StPO Box 578Manning, SC 29102(803) 433-4321

Ages Seen: 00 Yrs/99 Yrs

Palmetto Primary Care "Provider ID: 76790922 Bozard StManning, SC 29102(803) 435-8828

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

BAMBERG COUNTY (cont.)

BARNWELL COUNTY

CALHOUN COUNTY

CLARENDON COUNTY

Page 35: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY30

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

FAMILY PRACTICE (cont.)

Thompson, Catherine, DO !"Provider ID: 775052Clarendon Memorial Hospital10 E Hospital StManning, SC 29102(803) 435-3182

Ages Seen: 00 Yrs/99 Yrs

GENERAL SURGERY

Alejo, Carlos, MD "Provider ID: 770898Language: SpanishClarendon Surgical Specialists20 Hospital StManning, SC 29102(803) 435-2822

Ages Seen: 00 Yrs/99 Yrs

Clarendon Surgical Specialists "

Provider ID: 77200420 Hospital StManning, SC 29102(803) 435-2822

Ages Seen: 00 Yrs/99 Yrs

Dominici, Raymond, MD "Provider ID: 773875Clarendon Surgical Specialists20 Hospital StManning, SC 29102(803) 435-2822

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Dr J Daulton Dubose Medical Center "

Provider ID: 7674861056 Felton StSummerton, SC 29148(803) 488-9355

Ages Seen: 00 Yrs/99 Yrs

NEUROSURGERY

Meier, Gerald, MD "Provider ID: 775329Pain Management Center20 Hospital StManning, SC 29102(803) 435-5256

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Moore, Dorwin, MD !"Provider ID: 772610Santee Cooper Obgyn Assoc1014 Professional CtManning, SC 29102(803) 433-7262

Ages Seen: 00 Yrs/99 Yrs

Palmetto Womens Healthcare "Provider ID: 77241021 Hospital StManning, SC 29102(803) 433-0797

Ages Seen: 00 Yrs/99 Yrs

Quang, David, DO "Provider ID: 775751Language: VietnameseBlack River Healthcare Manning12 W South StManning, SC 29102(803) 443-4321

Ages Seen: 00 Yrs/99 Yrs

Ridgeway, Robert, MD !"Provider ID: 776573Palmetto Womens Healthcare21 Hospital StManning, SC 29102(803) 433-0797

Ages Seen: 00 Yrs/99 Yrs

Santee Cooper OB GYN Associates P A "

Provider ID: 7738831014 Professional CtManning, SC 29102(803) 433-7262

Ages Seen: 00 Yrs/99 Yrs

Tollison, Steven, MD "Provider ID: 776380Palmetto Womens Healthcare21 Hospital StManning, SC 29102(803) 433-0797

Ages Seen: 00 Yrs/99 Yrs

OPTICIAN

Wal Mart Stores East LPProvider ID: TPVWALM40-16Wal-Mart Stores East LP2010 Paxville HwyWalmart Vision Center Ste 1017Manning, SC 29102(803) 435-6686

Ages Seen: 00 Yrs/99 Yrs

OPTOMETRY

Fullen, Ryan, ODProvider ID: TPVFULL04-01Clarendon Eye Center1774 Paxville HwyClarendon Eye CenterManning, SC 29102(803) 435-2494

Ages Seen: 00 Yrs/99 Yrs

Wearden, Steven, ODProvider ID: TPVWEAR01-01Clarendon Eye Center1774 Paxville HwyManning, SC 29102(803) 435-2494

Ages Seen: 00 Yrs/99 Yrs

PAIN MANAGEMENT

Zargham-Koranloo, Kamran, MD "

Provider ID: 769915Pain Management Center20 Hospital StManning, SC 29102(803) 435-5256

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Hopehealth "Provider ID: 76929112 W South StManning, SC 29102(803) 433-4124

Ages Seen: 00 Yrs/99 Yrs

PODIATRY

Butterworth, Michelle, DPM !"Provider ID: 771536Pee Dee Foot Center10 Hospital StManning, SC 29102(843) 355-9690

Ages Seen: 00 Yrs/99 Yrs

Corey, Stephen, DPM !"Provider ID: 772016Pee Dee Foot Center10 Hospital StManning, SC 29102(843) 355-9690

Ages Seen: 00 Yrs/99 Yrs

Pee Dee Foot Center "Provider ID: 77363310 Hospital StManning, SC 29102(843) 355-9690

Ages Seen: 00 Yrs/99 Yrs

UROLOGY

Picard, Jonathan, MD "Provider ID: 774421CHS Musc409 S Mill StManning, SC 29102(803) 433-8419

Ages Seen: 00 Yrs/99 Yrs

CARDIOLOGY

Alexander, Milton, MD "Provider ID: 770844Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

Baugh, John, MD !"Provider ID: 776985Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

Collins III, Hampton, MD "Provider ID: 775810Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

Feldman, Barry, MD "Provider ID: 774300Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

Feldman, Jennifer, MD "Provider ID: 772772Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

Hendricks, Charles, MD "Provider ID: 771214Fairfiled Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

Humphrey, Steven, MD "Provider ID: 771505Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

CLARENDON COUNTY (cont.)

FAIRFIELD COUNTY

Page 36: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY31

CARDIOLOGY (cont.)

Jones, Benjamin, MD "Provider ID: 775705Fairfield Memorial Hospital102 US Hwy 321 By Pass NWinnsboro, SC 29180(803) 385-2552

Ages Seen: 00 Yrs/99 Yrs

Phillips, James, MD !"Provider ID: 770663Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

Prosser, Leverne, MD !"Provider ID: 774207Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

Shah, Gopi, MD !"Provider ID: 775572Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

Wells, Marion, MD !"Provider ID: 770703Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

CHIROPRACTIC

Davis, Karl, DC "Provider ID: 773799Davis and Davis Health Center1089 Columbia RdWinnsboro, SC 29180(803) 712-1911

Ages Seen: 00 Yrs/99 Yrs

Keroson, Robert, DC "Provider ID: 770883Winnsboro Chriopractic143 Hwy 321 BypassWinnsboro, SC 29180(803) 635-3211

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Barnett, Steven, MD "Provider ID: 770798Fairfield Memorial Hospital102 Hwy 321 North BypassWinnsboro, SC 29180(803) 635-0278

Ages Seen: 00 Yrs/99 Yrs

Fairfield Medical Associates "Provider ID: 767331880 W Moultrie St Ste 200Winnsboro, SC 29180(803) 635-6461

Ages Seen: 00 Yrs/99 Yrs

GENERAL PRACTICE

John A Martin Primary Healthcare "

Provider ID: 767754Martin Primary Health Care56 US Hwy 321 By Pass NWinnsboro, SC 29180(803) 635-6099

Ages Seen: 00 Yrs/99 Yrs

MEDICAL ONCOLOGY

Mushtaq, Chaudhry, MD !"Provider ID: 777026Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

Smith Jr, Robert, MD "Provider ID: 772309Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Davis, Deborah, MD !"Provider ID: 774291Ridgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 00 Yrs/99 Yrs

Eau Claire Cooperative Health Center Obg "

Provider ID: 772261Ridgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 00 Yrs/99 Yrs

Ogunleye, Oluseyi, MD "Provider ID: 771758Ridgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 00 Yrs/99 Yrs

Providence, Kathryn, MD "Provider ID: 772968Ridgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 00 Yrs/99 Yrs

Ravenell, Dianna, MD !"Provider ID: 776635Ridgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 00 Yrs/99 Yrs

Thapa, Nita, MD "Provider ID: 775440Language: Hindi, NepaliRidgeway Family Practice755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

Ages Seen: 00 Yrs/99 Yrs

OPTOMETRY

Bailey, Joel, ODProvider ID: TPVBAIL05-01Joel Bailey1007 Kincaid Bridge RdWinnsboro, SC 29180(803) 635-6496

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Eau Claire Coop Health Ct "Provider ID: 767827Winnsboro Pediatrics and Family1136 Kincaid Bridge Rd Ste AWinnsboro, SC 29180(803) 635-1052

Ages Seen: 00 Yrs/18 Yrs

ALLERGY & IMMUNOLOGY

Allergy Partners of The Midlands "

Provider ID: 7755681001 B Fairlawn DrCamden, SC 29020(803) 424-2041

Ages Seen: 00 Yrs/99 Yrs

Coleman, Dewitt, MD !"Provider ID: 776099Allergy Partners of The Midlands1001 B Fairlawn DrCamden, SC 29020(803) 424-2041

Ages Seen: 00 Yrs/99 Yrs

Markham, Roy, MD "Provider ID: 774205Allergy Partners of The Midlands1001 B Fairlawn DrCamden, SC 29020(803) 424-2041

Ages Seen: 00 Yrs/99 Yrs

EAR NOSE & THROAT

Battiata, Andrew, MD !"Provider ID: 774603SC ENT Allergy and Sleep Medicine15 Exchange DrLugoff, SC 29078(803) 408-3277

Ages Seen: 00 Yrs/99 Yrs

Puchalski, Robert, MD !"Provider ID: 775473SC ENT Allergy and Sleep Medicine15 Exchange DrLugoff, SC 29078(803) 408-3277

Ages Seen: 00 Yrs/99 Yrs

Puchalski, Robert, MD !"Provider ID: 775473SC ENT Allergy and Sleep Medicine710 Rabon Rd Ste 202Lugoff, SC 29078(803) 736-3277

Ages Seen: 00 Yrs/99 Yrs

Simmons, Oliver, MD !"Provider ID: 777354SC ENT Allergy and Sleep Medicine15 Exchange DrLugoff, SC 29078(803) 408-3277

Ages Seen: 00 Yrs/99 Yrs

South Carolina ENT Allergy and Sleep Med "

Provider ID: 770789South Carolina ENT Allergy and

Slee15 Exchange DrLugoff, SC 29078(803) 408-3277

Ages Seen: 00 Yrs/99 Yrs

Vidrine, David, MD !"Provider ID: 773096South Carolina ENT Facial Surgery15 Exchange DrLugoff, SC 29078(803) 408-3277

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

FAIRFIELD COUNTY (cont.)

KERSHAW COUNTY

Page 37: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY32

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

EAR NOSE & THROAT (cont.)

Vidrine, David, MD !"Provider ID: 773096SC ENT Allergy and Sleep Medicine710 Rabon Rd Ste 202Lugoff, SC 29078(803) 736-3277

Ages Seen: 00 Yrs/99 Yrs

INFECTIOUS DISEASE

Olatosi, Akinwale, MD !"Provider ID: 775460Sandhills Medical Foundation1165 Hwy 1 SouthLugoff, SC 29078(803) 408-3262

Ages Seen: 00 Yrs/99 Yrs

Sandhills Medical Foundation "Provider ID: 7734421165 Hwy 1 SouthLugoff, SC 29078(803) 408-3262

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Wateree1060 Hwy 1 SouthLugoff, SC 29078(803) 438-9759

Ages Seen: 00 Yrs/99 Yrs

OPTICIAN

East Coast OptometricProvider ID: TPVHRUB01-042209 West Dekalb StCamden, SC 29020(803) 424-2020

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-21Wal-Mart Stores East LP2240 West Dekalb StWalmart Vision Center Ste 634Camden, SC 29020(803) 425-9896

Ages Seen: 00 Yrs/99 Yrs

OPTOMETRY

Crook, Theodore, ODProvider ID: TPVCROO01-01Theodore G Crook408 East Dekalb St Ste CCamden, SC 29020(803) 424-1142

Ages Seen: 00 Yrs/99 Yrs

Meredith, Phillip, ODProvider ID: TPVMERE01-03East Coast Optometric2209 West Dekalb StEast Coast Optometric IncCamden, SC 29020(803) 424-2020

Ages Seen: 00 Yrs/99 Yrs

Plaxico, Brent, ODProvider ID: TPVPLAX01-02Plaxico Eye Care2240 West Dekalb StCamden, SC 29020(803) 425-9657

Ages Seen: 00 Yrs/99 Yrs

Witt, Darrell, ODProvider ID: TPVWITT03-01East Coast Optometric2209 West Dekalb StCamden, SC 29020(803) 424-2020

Ages Seen: 00 Yrs/99 Yrs

ORTHOPAEDIC SURGERY

Camden Bone and Joint "Provider ID: 7735211112 Mill StCamden, SC 29020(803) 432-4498

Ages Seen: 00 Yrs/99 Yrs

Joseph, Thomas, MD !"Provider ID: 769870Camden Bone and Joint1112 Mill StCamden, SC 29020(803) 432-4498

Ages Seen: 00 Yrs/99 Yrs

Nichols, James, DO "Provider ID: 771227Camden Bone and Joint1112 Mill StCamden, SC 29020(803) 432-4498

Ages Seen: 00 Yrs/99 Yrs

Piasecki, Andrew, MD "Provider ID: 776529Camden Bone and Joint1112 Mill StCamden, SC 29020(803) 432-4498

Ages Seen: 00 Yrs/99 Yrs

PODIATRY

Ksor, John, DPM "Provider ID: 772276Carolina Podiatry Clinic2604 North Broad StCamden, SC 29020(803) 425-5510

Ages Seen: 00 Yrs/99 Yrs

CARDIOLOGY

Ciminelli, Mark, MD !"Provider ID: 777297Carolina Heart Specialists1029 W Meeting StLancaster, SC 29720(803) 285-2041

Ages Seen: 00 Yrs/99 Yrs

Ciminelli, Mark, MD !"Provider ID: 777297Carolina Heart Specialists8351 Charlotte HwyLancaster, SC 29720(803) 802-3512

Ages Seen: 00 Yrs/99 Yrs

Shah, Deepak, MD !"Provider ID: 772088Carolina Heart Specialists1029 W Meeting StLancaster, SC 29720(803) 285-2041

Ages Seen: 00 Yrs/99 Yrs

Shah, Deepak, MD !"Provider ID: 772088Carolina Heart Specialists8351 Charlotte HwyLancaster, SC 29720(803) 802-3512

Ages Seen: 00 Yrs/99 Yrs

Shah, Vipul, MD !"Provider ID: 776222Carolina Heart Specialists1029 W Meeting StLancaster, SC 29720(803) 285-2041

Ages Seen: 00 Yrs/99 Yrs

Slota, Paul, MD !"Provider ID: 770598Carolina Heart Specialists1029 W Meeting StLancaster, SC 29720(803) 285-2041

Ages Seen: 00 Yrs/99 Yrs

CHIROPRACTIC

Dong, Ankang, DC "Provider ID: 773892Language: ChineseLancaster One Medical539 Hwy 9 Bypass ELancaster, SC 29720(803) 286-5700

Ages Seen: 00 Yrs/99 Yrs

Rucker, Ellen, DC "Provider ID: 772035Rucker Chiropractic106 B Woodland DrLancaster, SC 29720(803) 286-7746

Ages Seen: 00 Yrs/99 Yrs

EAR NOSE & THROAT

Central Carolina Ear Nose Throat and AuD "

Provider ID: 773590Central Carolina Ear Nose Throat

An838 W Meeting St Ste CLancaster, SC 29720(803) 286-8626

Ages Seen: 00 Yrs/99 Yrs

Jones, Christopher, MD !"Provider ID: 772271Central Carolina Ear Nose Throat A838 W Meeting St Ste CLancaster, SC 29720(803) 286-8626

Ages Seen: 00 Yrs/99 Yrs

Kelly, Timothy, MD "Provider ID: 775003Central Carolina ENT and

Audiology838 W Meeting St Ste CLancaster, SC 29720(803) 286-8626

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Care Heatlh Center Care Net "Provider ID: 767232838 W Meeting St Ste HLancaster, SC 29720(803) 285-2273

Ages Seen: 00 Yrs/99 Yrs

New Day Family Practice "Provider ID: 769762820 Meeting StLancaster, SC 29720(803) 285-5441

Ages Seen: 00 Yrs/99 Yrs

Palmetto Family Medicine of Kershaw "

Provider ID: 769163Lancaster Clinic Corp206 South Matson StKershaw, SC 29067(803) 475-1156

Ages Seen: 00 Yrs/99 Yrs

GASTROENTEROLOGY

Amato, Victor, MD !"Provider ID: 770208Catawba Gastroenterology108 Healthcare DrLancaster, SC 29720(803) 286-9963

Ages Seen: 11 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

KERSHAW COUNTY (cont.)

LANCASTER COUNTY

Page 38: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY33

GASTROENTEROLOGY (cont.)

Amin, Vimal, MD !"Provider ID: 772408Language: IndianCatawba Gastroenterology108 Healthcare DrLancaster, SC 29720(803) 286-9963

Ages Seen: 12 Yrs/99 Yrs

Catawba Gastroenterology "Provider ID: 770846108 Healthcare DrLancaster, SC 29720(800) 328-6996

Ages Seen: 00 Yrs/99 Yrs

Khandekar, Suresh, MD !"Provider ID: 772072Language: Hindi, IndianCatawba Gastroentrerology108 Healthcare DrLancaster, SC 29720(803) 286-9963

Ages Seen: 13 Yrs/99 Yrs

GENERAL SURGERY

David, George, MD "Provider ID: 777033Lancaster Surgical Associates1033 W Meeting StLancaster, SC 29720(803) 286-9762

Ages Seen: 00 Yrs/99 Yrs

David, George, MD "Provider ID: 777034George L David Jr MD838 W Meeting St Ste ELancaster, SC 29720(803) 285-8700

Ages Seen: 00 Yrs/99 Yrs

Goins, Wendell, MD !"Provider ID: 776181Mid Carolina Surgery Specialists1010 Woodland DrLancaster, SC 29720(803) 286-8211

Ages Seen: 00 Yrs/99 Yrs

Lalla, Sunil, MD !"Provider ID: 771219Lancaster Surgical Associates1033 W Meeting StLancaster, SC 29720(803) 286-9762

Ages Seen: 00 Yrs/99 Yrs

Sizemore, Patrick, MD !"Provider ID: 774904The Surgery Center of Lancaster421 W Meeting StLancaster, SC 29720(803) 286-8688

Ages Seen: 00 Yrs/99 Yrs

HEMATOLOGY & ONCOLOGY

Carolina Blood Cancer Care Associates "

Provider ID: 769906Carolina Blood Cancer Care Assoc2403 Charlotte HwyLancaster, SC 29720(803) 286-9696

Ages Seen: 00 Yrs/99 Yrs

Nathwani, Niyati, MD !"Provider ID: 775418Language: Gujarati, HindiCarolina Blood Cancer Care Assoc2403 Charlotte HwyLancaster, SC 29720(803) 286-9696

Ages Seen: 00 Yrs/99 Yrs

INFECTIOUS DISEASE

Nadkarni, Adhijeet, MD !"Provider ID: 772362Carolina Infecitous Diseasecritical834 W Meeting St Ste HLancaster, SC 29720(803) 285-5454

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Apogee Medical Group "Provider ID: 774405800 W Meeting StLancaster, SC 29720(803) 313-3234

Ages Seen: 00 Yrs/99 Yrs

Badalamenti, Vito, MD "Provider ID: 773484Language: ItalianApogee Medical Group800 W Meeting StLancaster, SC 29720(803) 313-3234

Ages Seen: 00 Yrs/99 Yrs

Johnson, Samuel, MD !"Provider ID: 771482Apogee Medical Group SC800 W Meeting StLancaster, SC 29720(803) 313-3234

Ages Seen: 00 Yrs/99 Yrs

Juneja, Avinash, MD !"Provider ID: 776657Apogee Medical Group SC800 W Meeting StLancaster, SC 29720(803) 313-3234

Ages Seen: 00 Yrs/99 Yrs

Mackey Family Practice "#Provider ID: 7695441025 W Meeting StLancaster, SC 29720(803) 285-7414

Ages Seen: 00 Yrs/99 Yrs

Meka, Praveen, MD !"Provider ID: 772677Apogee Medical Group800 W Meeting StLancaster, SC 29720(803) 313-3234

Ages Seen: 00 Yrs/99 Yrs

Padma, Hymavathi, MD !"Provider ID: 776673Language: Hindi, TeluguApogee Medical Groyup800 W Meeting StLancaster, SC 29720(803) 313-3234

Ages Seen: 00 Yrs/99 Yrs

Velasco, Juan, MD "Provider ID: 775130Apogee Medical Group800 W Meeting StLancaster, SC 29720(803) 313-3234

Ages Seen: 00 Yrs/99 Yrs

MEDICAL ONCOLOGY

Gor, Asutosh, MD !"Provider ID: 772799Language: Gujarati, HindiCarolina Blood Cancer Care Assoc2403 Charlotte HwyLancaster, SC 29720(803) 286-9696

Ages Seen: 00 Yrs/99 Yrs

Naidu, Sashi, MD !"Provider ID: 771604Carolina Blood Cancer Care Assoc2403 Charlotte HwyLancaster, SC 29720(803) 286-9696

Ages Seen: 00 Yrs/99 Yrs

Patel, Kashyap, MD !"Provider ID: 774150Language: Gujarati, HindiCarolina Blood Cancer Care Assoc2403 Charlotte HwyLancaster, SC 29720(803) 286-9696

Ages Seen: 00 Yrs/99 Yrs

Welsh, James, MD "Provider ID: 770051Carolina Blood Cancer Care Assoc2403 Charlotte HwyLancaster, SC 29720(803) 286-9696

Ages Seen: 00 Yrs/99 Yrs

NEUROLOGY

Khan, Tooba, MD !"Provider ID: 771463Lancaster Clinic Corp834 W Meeting St Ste GLancaster, SC 29720(803) 285-1111

Ages Seen: 17 Yrs/99 Yrs

Mandell, Howard, MD "Provider ID: 772077Metrolina Neurological Associates1228 Colonial Commons CtLancaster, SC 29720(803) 285-6192

Ages Seen: 00 Yrs/99 Yrs

Porter, Mark, MD "Provider ID: 772251Metrolina Neurological Associates1228 Colonial Commons CtLancaster, SC 29720(803) 285-6192

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Baker, Kenneth, MD !"Provider ID: 776459Carolinas Complete Care For

Women105 W Meeting St Ste 204Lancaster, SC 29720(803) 286-5400

Ages Seen: 12 Yrs/99 Yrs

Eskridge, Carolyn, MD "Provider ID: 776206Palmetto Preferred OB GYN838 W Meeting St Ste FLancaster, SC 29720(803) 286-4405

Ages Seen: 00 Yrs/99 Yrs

Helwig, Jane, MD !"Provider ID: 773704Blossom Care For Women421 W Meeting St Ste BLancaster, SC 29720(803) 286-6400

Ages Seen: 12 Yrs/99 Yrs

Palmetto Preferred Obgyn "Provider ID: 777032834 W Meeting St Ste BLancaster, SC 29720(803) 286-4405

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LANCASTER COUNTY (cont.)

Page 39: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY34

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

OBSTETRICS/GYNECOLOGY (cont.)

Tiedt, Douglas, MD !"Provider ID: 776797Language: SpanishLancaster Womens Center1370 W Meeting StLancaster, SC 29720(803) 286-6922

Ages Seen: 00 Yrs/99 Yrs

Townsend, Richard, MD !"Provider ID: 770838Palmetto Preferred Obgyn834 W Meeting St Ste BLancaster, SC 29720(803) 286-4405

Ages Seen: 00 Yrs/99 Yrs

OPHTHALMOLOGY

Edwards, Robert, MD "Provider ID: 776048The Eye and Laser Center1240 Colonial CommonsLancaster, SC 29720(803) 285-4333

Ages Seen: 00 Yrs/99 Yrs

Nusz, Kevin, MD !"Provider ID: 773866The Eye and Laser Center1240 Colonial CommonsLancaster, SC 29720(803) 285-4333

Ages Seen: 00 Yrs/99 Yrs

Scott, Todd, MD !"Provider ID: 777179The Eye and Laser Center1240 Colonial CommonsLancaster, SC 29720(803) 285-4333

Ages Seen: 00 Yrs/99 Yrs

Story, Frances, MD "Provider ID: 775188The Eye and Laser Center1240 Colonial CommonsLancaster, SC 29720(803) 285-4333

Ages Seen: 00 Yrs/99 Yrs

The Eye and Laser Center "Provider ID: 7753881240 Colonial CommonsLancaster, SC 29720(803) 285-4333

Ages Seen: 00 Yrs/99 Yrs

OPTICIAN

Wal Mart Stores East LPProvider ID: TPVWALM40-55Wal-Mart Stores East LP10048 Charlotte HwyWalmart Vision Center Ste 4237Ft Mill, SC 29707(803) 548-6622

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-46Wal-Mart Stores East LP805 Hwy 9 Bypass WestWalmart Vision Center Ste 1030Lancaster, SC 29720(803) 286-4826

Ages Seen: 00 Yrs/99 Yrs

OPTOMETRY

Dukes, Johnny, ODProvider ID: TPVDUKE01-01Johnny Dukes929 North Main StLancaster, SC 29720(803) 285-8433

Ages Seen: 00 Yrs/99 Yrs

Jewell, Vickie, ODProvider ID: TPVJEWE02-01Jewell Vision Care689 Lancaster Bypass EastLancaster, SC 29720(803) 283-2020

Ages Seen: 00 Yrs/99 Yrs

Jewell, Vickie, ODProvider ID: TPVJEWE02-02Jewell Vision Care9789 Charlotte Hwy Ste 900Ft Mill, SC 29707(803) 802-7757

Ages Seen: 00 Yrs/99 Yrs

Jewell Vision Care "Provider ID: TPVJEWE01-01689 Lancaster Bypass EastLancaster, SC 29720(803) 283-2020

Ages Seen: 00 Yrs/99 Yrs

McDowell, James, ODProvider ID: TPVMCDO17-02Drs Kelley McDowell112 East Hilton StPO Box 98Kershaw, SC 29067(803) 475-6075

Ages Seen: 00 Yrs/99 Yrs

Walden, Taylor, ODProvider ID: TPVWALD05-02Walden Eyecare805 Hwy 9 Bypass WestWal-Mart Vision CenterLancaster, SC 29720(803) 286-4826

Ages Seen: 00 Yrs/99 Yrs

ORTHOPAEDIC SURGERY

Blue, Brian, MD !"Provider ID: 771500Lancaster Orthopaedics Sports

Medi901 W Meeting St Ste 104Lancaster, SC 29720(803) 285-3700

Ages Seen: 00 Yrs/99 Yrs

Carolina Orthopaedic Surgery Associates "

Provider ID: 770614Carolina Orthopaedic Surgery

Associ1201 Colonial CommonsLancaster, SC 29720(803) 286-8443

Ages Seen: 00 Yrs/99 Yrs

Heinig, Michael, MD !"Provider ID: 771994Carolina Orthopaedic Surgery

Associ1201 Colonial CommonsLancaster, SC 29720(803) 286-8443

Ages Seen: 00 Yrs/99 Yrs

James III, Walter, MD !"Provider ID: 775288Carolina Orthopaedic Surgery

Associ1201 Colonial CommonsLancaster, SC 29720(803) 286-8443

Ages Seen: 00 Yrs/99 Yrs

Lancaster Orthopaedics Sports Medicine "

Provider ID: 775673Lancaster Orthopaedics Sports

Medi901 W Meeting St Ste 104Lancaster, SC 29720(803) 285-3700

Ages Seen: 00 Yrs/99 Yrs

Lehman, William, MD !"Provider ID: 774129Carolina Orthopaedic Surgery

Associ1201 Colonial CommonsLancaster, SC 29720(803) 286-8443

Ages Seen: 00 Yrs/99 Yrs

McCarthy, William, MD !"Provider ID: 774663Carolina Orthopaedic Surgery

Associ1201 Colonial CommonsLancaster, SC 29720(803) 286-8443

Ages Seen: 00 Yrs/99 Yrs

McQueen, Donald, MD "Provider ID: 776735Carolina Orthopaedic Surgery

Associ1201 Colonial CommonsLancaster, SC 29720(803) 286-8443

Ages Seen: 00 Yrs/99 Yrs

Omalley, Aran, MD !"Provider ID: 774691Lancaster Orthopaedics Sports

Medi901 W Meeting St Ste 104Lancaster, SC 29720(803) 285-3700

Ages Seen: 00 Yrs/99 Yrs

Powell, Eugene, MD !"Provider ID: 777098Carolina Orthopaedic Surgery

Associ1201 Colonial CommonsLancaster, SC 29720(803) 286-8443

Ages Seen: 00 Yrs/99 Yrs

Rentz, James, MD !"Provider ID: 776165Carolina Orthopaedic Surgery

Associ1201 Colonial CommonsLancaster, SC 29720(803) 286-8443

Ages Seen: 00 Yrs/99 Yrs

Schwartz, Matthew, MD "Provider ID: 774851Carolina Orthopaedic Surgery

Associ120 Colonial CommonsLancaster, SC 29720(803) 286-8443

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Cagle-Richardson, Nicole, MD "Provider ID: 769917Lancaster Clinic Corp800 W Meeting StLancaster, SC 29720(803) 286-1214

Ages Seen: 00 Yrs/18 Yrs

Children First Medical Center "Provider ID: 767245901 W Meeting St Ste 205Lancaster, SC 29720(803) 283-4200

Ages Seen: 00 Yrs/21 Yrs

Lancaster Clinic Corp "Provider ID: 775668800 W Meeting StLancaster, SC 29720(803) 286-1214

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LANCASTER COUNTY (cont.)

Page 40: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY35

PEDIATRICS (cont.)

Lancaster Clinic Corp "Provider ID: 775668834 W Meeting St Ste GLancaster, SC 29720(803) 285-1111

Ages Seen: 00 Yrs/99 Yrs

Lancaster Clinic Corp "Provider ID: 775668838 W Meeting St Ste DLancaster, SC 29720(803) 285-4400

Ages Seen: 00 Yrs/99 Yrs

Lancaster Pediatrics "Provider ID: 769162838 W Meeting St Ste BLancaster, SC 29720(803) 285-2700

Ages Seen: 00 Yrs/99 Yrs

Morphis Pediatrics of Lancaster "

Provider ID: 767494112 C Woodland DrLancaster, SC 29720(803) 416-5295

Ages Seen: 00 Yrs/21 Yrs

PODIATRY

Carolina Podiatry Group "Provider ID: 7737481190 Hwy 9 By Pass WLancaster, SC 29720(803) 285-1411

Ages Seen: 00 Yrs/99 Yrs

Percival, Brandon, DPM !"Provider ID: 773666Carolina Podiatry Group1190 Hwy 9 By Pass WLancaster, SC 29720(803) 285-1411

Ages Seen: 00 Yrs/99 Yrs

Percival, Julie, DPM !"Provider ID: 770739Carolina Podiatry Group1190 Hwy 9 By Pass WLancaster, SC 29720(803) 285-1411

Ages Seen: 00 Yrs/99 Yrs

PULMONARY DISEASE

Dayrit, Francis, MD !"Provider ID: 774795Language: SpanishThe Lung Center1228 Colonial Commons Ste 231Lancaster, SC 29720(803) 285-8333

Ages Seen: 08 Yrs/99 Yrs

THORACIC SURGERY

Sharma, Ramesh, MD !"Provider ID: 776710Vascular Solutions1228 Colonial Commons Ste 235Lancaster, SC 29720(704) 544-7535

Ages Seen: 00 Yrs/99 Yrs

Sharma, Ramesh, MD !"Provider ID: 776710Vascular Solutions209 South College StHeath Springs, SC 29058(704) 544-7535

Ages Seen: 00 Yrs/99 Yrs

Sharma, Ramesh, MD !"Provider ID: 776710Vascular Solutions216 B E Marion StKershaw, SC 29067(704) 544-7535

Ages Seen: 00 Yrs/99 Yrs

Vascular Solutions "Provider ID: 7713981228 Colonial Commons Ste 235Lancaster, SC 29720(804) 544-7535

Ages Seen: 00 Yrs/99 Yrs

Vascular Solutions "Provider ID: 771398209 South College StHeath Springs, SC 29058(704) 544-7535

Ages Seen: 00 Yrs/99 Yrs

Vascular Solutions "Provider ID: 771398216 B E Marion StKershaw, SC 29067(704) 544-7535

Ages Seen: 00 Yrs/99 Yrs

UROLOGY

Carolina Urology Center "Provider ID: 7724091077 A W Meeting StLancaster, SC 29720(803) 285-1337

Ages Seen: 00 Yrs/99 Yrs

Douglas, Thomas, MD !"Provider ID: 772198Carolina Urology Center1077 A W Meeting StLancaster, SC 29720(803) 285-1337

Ages Seen: 00 Yrs/99 Yrs

Ezell, Terry, MD !"Provider ID: 770470Carolina Urology Center1077 A W Meeting StLancaster, SC 29720(803) 285-1337

Ages Seen: 00 Yrs/99 Yrs

Johnson, Bradlee, MD "Provider ID: 774545Comprehensive Urology838 W Meeting St Ste DLancaster, SC 29720(803) 285-4400

Ages Seen: 00 Yrs/99 Yrs

Livingston, Wilbur, MD "Provider ID: 777045Carolina Urology Center1077 A W Meeting StLancaster, SC 29720(803) 285-1337

Ages Seen: 00 Yrs/99 Yrs

Magura, Christian, MD "Provider ID: 771294Carolina Urology Center1077 A W Meeting StLancaster, SC 29720(803) 285-1337

Ages Seen: 00 Yrs/99 Yrs

Makhuli, Mark, MD !"Provider ID: 769871Lancaster Clinic Corp838 W Meeting St Ste DLancaster, SC 29720(803) 285-4400

Ages Seen: 00 Yrs/99 Yrs

Matthews, Curtis, MD !"Provider ID: 777382Carolina Urology Center1077A W Meeting StLancaster, SC 29720(803) 285-1337

Ages Seen: 00 Yrs/99 Yrs

Wright, David, MD !"Provider ID: 775967Carolina Urology Center1077 A W Meeting StLancaster, SC 29720(803) 285-1337

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Pate Medical Associates "Provider ID: 769736116 Hospital SqBishopville, SC 29010(803) 484-9424

Ages Seen: 02 Yrs/99 Yrs

OPTOMETRY

Andrews, David, ODProvider ID: TPVANDR14-02Palmetto Vision Center730 West Church StPO Box 352Bishopville, SC 29010(843) 662-1989

Ages Seen: 00 Yrs/99 Yrs

Lee, Jason, ODProvider ID: TPVLEE57-02Palmetto Vision Center730 West Church StBishopville, SC 29010(803) 484-5494

Ages Seen: 00 Yrs/99 Yrs

ALLERGY & IMMUNOLOGY

Allergy Asthma Care "Provider ID: 7700167045 A St Andrews RdColumbia, SC 29212(803) 407-0385

Ages Seen: 00 Yrs/99 Yrs

Allergy Partners of The Midlands "

Provider ID: 775568103 Midlands CtWest Columbia, SC 29169(803) 794-3581

Ages Seen: 00 Yrs/99 Yrs

Black, Jonathan, MD "Provider ID: 774793Carolina Allergy Asthma Cons Phy190 Parkridge Dr Ste 340Columbia, SC 29212(803) 929-0290

Ages Seen: 00 Yrs/99 Yrs

Bykowsky, Michael, MD !"Provider ID: 771608Carolina Allergy and Asthma320 Harbison BlvdColumbia, SC 29212(803) 732-1960

Ages Seen: 00 Yrs/99 Yrs

Carolina Allergy and Asthma Consultants "

Provider ID: 771868Carolina Allergy and Asthma

Consult320 Harbison BlvdColumbia, SC 29212(803) 732-1960

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LANCASTER COUNTY (cont.)

LEE COUNTY

LEXINGTON COUNTY

Page 41: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY36

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

ALLERGY & IMMUNOLOGY (cont.)

Coleman, Dewitt, MD !"Provider ID: 776099Allergy Partners of The Midlands103 Midlands CtWest Columbia, SC 29169(803) 794-3581

Ages Seen: 00 Yrs/99 Yrs

Dougherty, Laura, MD !"Provider ID: 776531Allergy Asthma Care7045 A St Andrews RdColumbia, SC 29212(803) 407-0385

Ages Seen: 00 Yrs/99 Yrs

Markham, Roy, MD "Provider ID: 774205Allergy Partners of The Midlands103 Midlands CtWest Columbia, SC 29169(803) 794-3581

Ages Seen: 00 Yrs/99 Yrs

Perrick, David, MD !"Provider ID: 772203Carolina Allergy Asthma Consultant320 Harbison BlvdColumbia, SC 29212(803) 732-1960

Ages Seen: 00 Yrs/99 Yrs

Vande Stouwe, Robert, MD "Provider ID: 777106Carolina Allergy and Asthma320 Harbison BlvdColumbia, SC 29212(803) 732-1960

Ages Seen: 00 Yrs/99 Yrs

Weiner, Lawrence, MD "Provider ID: 772957Carolina Allergy and Asthma

Consult320 Harbison Blvd Ste 280Columbia, SC 29212(803) 407-0701

Ages Seen: 00 Yrs/99 Yrs

CARDIOLOGY

Baugh, John, MD !"Provider ID: 776984Lexington Heart120 W HospitalWest Columbia, SC 29169(803) 739-6500

Ages Seen: 18 Yrs/99 Yrs

Bauknight, Gerald, MD "Provider ID: 770868Carolina Cardiovascular Associates108 Palmetto Park BlvdLexington, SC 29072(803) 356-0949

Ages Seen: 00 Yrs/99 Yrs

Butterfield, Lee, MD !"Provider ID: 774003Carolina Cardiovascular Associates108 Palmetto Park BlvdLexington, SC 29072(803) 356-0949

Ages Seen: 00 Yrs/99 Yrs

Carolina Cardiovascular Associates "

Provider ID: 776591108 Palmetto Park BlvdLexington, SC 29072(803) 356-0949

Ages Seen: 00 Yrs/99 Yrs

Duncan, Joel, MD !"Provider ID: 776442Carolina Cardiovascular Associates108 Palmetto Park BlvdLexington, SC 29072(803) 356-0949

Ages Seen: 00 Yrs/99 Yrs

Feldman, Barry, MD "Provider ID: 774299Lexington Heart Clinic120 W Hospital DrWest Columbia, SC 29169(803) 739-6500

Ages Seen: 18 Yrs/99 Yrs

Feldman, Jennifer, MD "Provider ID: 772771Lexington Heart120 W HospitalWest Columbia, SC 29169(803) 739-6500

Ages Seen: 06 Yrs/99 Yrs

Hewett, Jonathan, MD !"Provider ID: 770341Lexington Heart Clinic120 W Hospital DrWest Columbia, SC 29169(803) 739-6500

Ages Seen: 00 Yrs/99 Yrs

Hicks II, John, MD !"Provider ID: 773697Carolina Cardiovascular Associates108 Palmetto Park BlvdLexington, SC 29072(803) 356-0949

Ages Seen: 00 Yrs/99 Yrs

Lexington Heart Clinic "Provider ID: 776156120 W Hospital DrWest Columbia, SC 29169(803) 739-6500

Ages Seen: 00 Yrs/99 Yrs

Macnevin, Ryan, MD "Provider ID: 777388Palmetto Heart Columbia120 W Hospital DrWest Columbia, SC 29169(803) 739-6500

Ages Seen: 00 Yrs/99 Yrs

Pineda, Guillermo, MD !"Provider ID: 771334Language: SpanishLexington Heart Clinic120 W HospitalWest Columbia, SC 29169(803) 739-6500

Ages Seen: 00 Yrs/99 Yrs

CHIROPRACTIC

Benton, Michael, DC "Provider ID: 773076Peach Orchard Family Chiropractic3347 C Augusta Hwy Ste CGilbert, SC 29054(803) 356-2225

Ages Seen: 00 Yrs/99 Yrs

Bonham Jr, James, DC "Provider ID: 776333Bonham Clinic1525 B Sunset BlvdWest Columbia, SC 29169(803) 791-3900

Ages Seen: 00 Yrs/99 Yrs

Bowers, Ryan, DC "Provider ID: 774956Carew7453 Irmo Dr Ste AColumbia, SC 29212(803) 781-4092

Ages Seen: 00 Yrs/99 Yrs

Carew, Karen, DC "Provider ID: 776919Associated Chiropractic Physicians7453 Irmo Dr Ste AColumbia, SC 29212(803) 781-4092

Ages Seen: 00 Yrs/99 Yrs

Chandler, David, DC "Provider ID: 771418Chandler Chiropractic3119 Sunset BlvdWest Columbia, SC 29169(803) 796-0855

Ages Seen: 00 Yrs/99 Yrs

Cooper, Kayla, DC "Provider ID: 771055Carew7453 Irmo DrColumbia, SC 29212(803) 781-4092

Ages Seen: 00 Yrs/99 Yrs

Farmer, Jason, DC "Provider ID: 771480Healthsource Cayce2427 Fish Hatchery RdWest Columbia, SC 29172(803) 939-0785

Ages Seen: 00 Yrs/99 Yrs

COLON & RECTAL SURGERY

Moore, Leslie, MD !"Provider ID: 772994Lake Murray Endoscopy Center190 Parkridge Dr Ste 100Columbia, SC 29212(803) 407-6767

Ages Seen: 00 Yrs/99 Yrs

Morrison III, Sidney, MD "Provider ID: 776979Lake Murray Endoscopy Center190 Parkridge Dr Ste 100Columbia, SC 29212(803) 407-6767

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Depina, Manuel, MD "Provider ID: 769977Palmetto Infusion Service172 McSwain Dr Ste AWest Columbia, SC 29169(803) 771-7740

Ages Seen: 00 Yrs/99 Yrs

Duvall, Lance, MD "Provider ID: 776243Palmetto Infusion Services172 McSwain Dr Ste AWest Columbia, SC 29169(803) 771-7740

Ages Seen: 00 Yrs/99 Yrs

Espinoza, Paul, MD !"Provider ID: 775753Palmetto Vein Aesthetic Center117 Park Pl CtLexington, SC 29072(803) 359-8346

Ages Seen: 18 Yrs/99 Yrs

Lakeview Family Medicine "Provider ID: 7670711316 Northlake DrLexington, SC 29072(803) 358-1191

Ages Seen: 00 Yrs/99 Yrs

Parkridge Convenience Care "Provider ID: 773299190 Parkridge Dr Ste 104Columbia, SC 29212(803) 434-5668

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

Page 42: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY37

FAMILY PRACTICE (cont.)

Pridgen, Kaoru, MD !"Provider ID: 775873Parkridge Convenience Care190 Parkridge Dr Ste 104Columbia, SC 29212(803) 434-5668

Ages Seen: 00 Yrs/99 Yrs

Providence Family Medicine Lexington "

Provider ID: 768563Providence Family Medicine

Lexingto2351 Augusta HwyLexington, SC 29072(803) 865-4780

Ages Seen: 00 Yrs/99 Yrs

Twelve Mile Creek Family Medicine "#

Provider ID: 769113Palmetto Health4711 Sunset BlvdLexington, SC 29072(803) 356-3609

Ages Seen: 00 Yrs/99 Yrs

GASTROENTEROLOGY

Iseman, Daniel, MD !"Provider ID: 770517Columbia Gastroenterology Assoc190 Parkridge Dr Ste 102Columbia, SC 29212(803) 407-6770

Ages Seen: 00 Yrs/99 Yrs

Lowman, Anthony, MD "Provider ID: 770428Columbia Gastro Associates190 Parkridge Ste 102Columbia, SC 29212(803) 407-6771

Ages Seen: 00 Yrs/99 Yrs

Postic, Georges, MD "Provider ID: 773075Columbia Gastroenterology Assoc190 Parkridge Dr Ste 102Columbia, SC 29212(803) 407-6700

Ages Seen: 00 Yrs/99 Yrs

Strohecker, James, MD "Provider ID: 770978Columbia Gastroenterology Assoc2739 Laurel St Ste 1AColumbia, SC 29212(803) 407-6770

Ages Seen: 00 Yrs/99 Yrs

GENERAL SURGERY

Bunch, Robert, MD !"Provider ID: 774200Surgical Associates of South Caroli190 Parkridge Dr Ste 200Columbia, SC 29212(803) 744-0888

Ages Seen: 00 Yrs/99 Yrs

Metropol, Stephen, MD !"Provider ID: 773370Palmetto Surgical Associates320 Harbison Ste 230Columbia, SC 29212(803) 749-0001

Ages Seen: 00 Yrs/99 Yrs

Mirra, Martin, MD !"Provider ID: 777248Palmetto Surgical Associates320 Harbison Ste 230Columbia, SC 29212(803) 749-0001

Ages Seen: 00 Yrs/99 Yrs

Palmetto Surgical Associates "Provider ID: 771270320 Harbison Ste 230Columbia, SC 29212(803) 490-0001

Ages Seen: 00 Yrs/99 Yrs

Prickett, Dalton, MD !"Provider ID: 770159Surgical Associates of South Caroli1850 Laurel StColumbia, SC 29212(803) 256-3400

Ages Seen: 00 Yrs/99 Yrs

Prickett, Dalton, MD !"Provider ID: 770159Surgical Associates of South Caroli190 Parkridge Dr Ste 200Columbia, SC 29212(803) 744-0888

Ages Seen: 00 Yrs/99 Yrs

Rubin, Chad, MD !"Provider ID: 776629Surgical Associates of South Caroli1850 Laurel StColumbia, SC 29212(803) 256-3400

Ages Seen: 00 Yrs/99 Yrs

Surgical Associates of South Carolina "

Provider ID: 770897Surgical Associates of South Caroli190 Parkridge Dr Ste 200Columbia, SC 29212(803) 744-0888

Ages Seen: 00 Yrs/99 Yrs

Taber, Scott, MD !"Provider ID: 772074Surgical Associates of South Caroin1850 Laurel StColumbia, SC 29212(803) 256-3400

Ages Seen: 00 Yrs/99 Yrs

Tribble, James, MD !"Provider ID: 771572Surgical Associates of South Caroli1850 Laurel StColumbia, SC 29212(803) 256-3400

Ages Seen: 00 Yrs/99 Yrs

Tribble, James, MD !"Provider ID: 771572Surgical Associates of South Caroli190 Parkridge Dr Ste 200Columbia, SC 29212(803) 744-0888

Ages Seen: 00 Yrs/99 Yrs

Willcox III, Hugh, MD "Provider ID: 771111Surgical Associates of South Caroli190 Parkridge Dr Ste 200Columbia, SC 29212(803) 744-0888

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care100 Jimmy Love LaneColumbia, SC 29212(803) 772-5030

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Lexington247 Columbia AveLexington, SC 29072(803) 359-5533

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Augusta Road2836 Augusta RdWest Columbia, SC 29170(803) 939-0545

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care West Columbia3240 Sunset BlvdWest Columbia, SC 29169(803) 796-4251

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Triangle City720 Charleston HwyWest Columbia, SC 29169(803) 791-0734

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Cayce977 Knox Abbott DrCayce, SC 29033(803) 794-0476

Ages Seen: 00 Yrs/99 Yrs

Augustine Health Group "Provider ID: 768363190 Knox Abbott Dr Ste 3CCayce, SC 29033(803) 227-5330

Ages Seen: 00 Yrs/99 Yrs

MEDICAL ONCOLOGY

Newberry III, William, MD "Provider ID: 774526Palmetto Infusion172 McSwain Dr Ste AWest Columbia, SC 29169(803) 771-7740

Ages Seen: 00 Yrs/99 Yrs

NEONATAL PERINATAL MEDICINE

Amarnath, UMA, MD "Provider ID: 775533Pediatrix Medical Group of SC2720 Sunset BlvdWest Columbia, SC 29169(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Bartley, John, MD !"Provider ID: 771873Pediatrix Medical Grp of South Caro2720 Sunset BlvdWest Columbia, SC 29169(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Coates, Eric, MD !"Provider ID: 770212Pediatrix Medical Group of SC2720 Sunset BlvdWest Columbia, SC 29169(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Gamble, Yvette, MD !"Provider ID: 773033Pediatrix Medical Grp of South Caro2720 Sunset BlvdWest Columbia, SC 29169(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

Page 43: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY38

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

NEONATAL PERINATAL MEDICINE (cont.)

Iskersky, Victor, MD !"Provider ID: 771568Pediatrix Medical Group of SC2720 Sunset BlvdWest Columbia, SC 29169(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Lall, Ritu, MD !"Provider ID: 770448Pediatrix Medical Grp of South Caro2720 Sunset BlvdWest Columbia, SC 29169(803) 434-4369

Ages Seen: 00 Yrs/01 Yrs

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro2720 Sunset BlvdWest Columbia, SC 29169(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Rao, Raviprasad, MD !"Provider ID: 774033Pediatrix Medical Group of SC2720 Sunset BlvdWest Columbia, SC 29169(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Yajnik, Bhavana, MD "Provider ID: 770064Sleepmed3020 Sunset Blvd US Hwy 378Ste 103 104West Columbia, SC 29169(803) 739-2227

Ages Seen: 00 Yrs/99 Yrs

Yajnik, Bhavana, MD "Provider ID: 770064Sleepmed610 Columbiana DrColumbia, SC 29212(803) 749-3599

Ages Seen: 00 Yrs/99 Yrs

NEUROLOGY

Faber, Theodore, MD "Provider ID: 773966South Carolina Neurological Clinica110 Medical Ln E Ste 230West Columbia, SC 29169(803) 779-4325

Ages Seen: 00 Yrs/99 Yrs

Lencke, Mark, MD !"Provider ID: 775336South Carolina Neurological Clinica110 Medical Ln E Ste 230West Columbia, SC 29169(803) 779-4325

Ages Seen: 00 Yrs/99 Yrs

Morgan, Alan, MD !"Provider ID: 774332South Carolina Neurological Clinica110 Medical Ln E Ste 230West Columbia, SC 29169(803) 799-4325

Ages Seen: 00 Yrs/99 Yrs

South Carolina Neurological Clinical "

Provider ID: 776053South Carolina Neurological Clinica110 Medical Ln E Ste 230West Columbia, SC 29169(803) 779-4325

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Bradshaw-Graham, Electra, MD "

Provider ID: 771824Palmetto Obgyn Associates190 Parkridge Dr Ste 250Columbia, SC 29212(803) 733-9598

Ages Seen: 00 Yrs/99 Yrs

Davis, Deborah, MD !"Provider ID: 774291Brookland Cayce Medical Practice1115 State StCayce, SC 29033(803) 939-0174

Ages Seen: 00 Yrs/99 Yrs

Davis, Deborah, MD !"Provider ID: 774291Womens Care of

Batesburg-Leesville338 E Columbia Ave Ste BLeesville, SC 29070(803) 532-1580

Ages Seen: 00 Yrs/99 Yrs

Eau Claire Cooperative Health Center Obg "

Provider ID: 772261Brookland-Cayce Medical Practice1115 State StCayce, SC 29033(803) 939-0174

Ages Seen: 00 Yrs/99 Yrs

Eau Claire Cooperative Health Center Obg "

Provider ID: 772261Womens Health Internal Medicine

of338 E Columbia AveLeesville, SC 29070(803) 532-1580

Ages Seen: 00 Yrs/99 Yrs

Franks, Sherri, MD !"Provider ID: 777044Palmetto Obgyn Associates190 Parkridge Dr Ste 250Columbia, SC 29212(803) 733-9598

Ages Seen: 00 Yrs/99 Yrs

Levin, Philip, MD "#Provider ID: 776789Midland Obgyn3020 Sunset Blvd Ste 105West Columbia, SC 29169(803) 798-7660

Ages Seen: 00 Yrs/99 Yrs

Midlands Obgyn "Provider ID: 7713323020 Sunset Blvd Ste 105West Columbia, SC 29169(803) 798-7660

Ages Seen: 00 Yrs/99 Yrs

Mullins, Julie, DO "Provider ID: 774915Palmetto Health190 Parkridge Dr Ste 250Columbia, SC 29212(803) 733-9598

Ages Seen: 00 Yrs/99 Yrs

Ogunleye, Oluseyi, MD "Provider ID: 771758Womens Healthinternal Medicine338 E Columbia Ave Ste BLeesville, SC 29070(803) 532-1580

Ages Seen: 00 Yrs/99 Yrs

Palmetto Obgyn Associates "Provider ID: 770918190 Parkridge Dr Ste 220Columbia, SC 29212(803) 733-9598

Ages Seen: 00 Yrs/99 Yrs

Pezzella, Andrea, MD !"Provider ID: 775400Southern Urogynecology109 Midlands Ct Ste AWest Columbia, SC 29169(803) 457-7000

Ages Seen: 00 Yrs/99 Yrs

Providence, Kathryn, MD "Provider ID: 772968Womens Health Internal Medicine

of338 E Columbia AveLeesville, SC 29070(803) 532-1580

Ages Seen: 00 Yrs/99 Yrs

Ravenell, Dianna, MD !"Provider ID: 776635Brookland-Cayce Medical Practice1115 State StCayce, SC 29033(803) 939-0174

Ages Seen: 00 Yrs/99 Yrs

Reynolds, Freddie, MD "Provider ID: 772873South Lake Obgyn811 South Lake DrLexington, SC 29072(803) 359-2326

Ages Seen: 00 Yrs/99 Yrs

Scheuer-Smith, Abigail, MD !"Provider ID: 771287Palmetto Obgyn Associates190 Parkridge Dr Ste 250Columbia, SC 29212(803) 733-9598

Ages Seen: 00 Yrs/99 Yrs

Smith, Marie, MD !"Provider ID: 770583Brookland-Cayce Medical Practice1115 State StCayce, SC 29033(803) 939-0174

Ages Seen: 00 Yrs/99 Yrs

Smith, Marie, MD !"Provider ID: 770583Womens Health Internal Medicine

of338 E Columbia Ave Ste BLeesville, SC 29070(803) 532-1580

Ages Seen: 00 Yrs/99 Yrs

South Lake Obgyn "Provider ID: 776228811 South LakeLexington, SC 29072(803) 359-3236

Ages Seen: 00 Yrs/99 Yrs

Thapa, Nita, MD "Provider ID: 775440Language: Hindi, NepaliBrookland-Cayce Medical Practice1115 State StCayce, SC 29033(803) 939-0174

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

Page 44: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY39

OBSTETRICS/GYNECOLOGY (cont.)

Thapa, Nita, MD "Provider ID: 775440Language: Hindi, NepaliWomens Health Internal Medicine

of338 E Columbia Ave Ste BLeesville, SC 29070(803) 532-1580

Ages Seen: 00 Yrs/99 Yrs

OPHTHALMOLOGY

Barker, Derek, MD !"Provider ID: 777300Columbia Eye Clinic100 Palmetto BlvdLexington, SC 29072(803) 356-0000

Ages Seen: 07 Yrs/99 Yrs

Bradley, Anika, MD !"Provider ID: 771852University Specialty Clinics Ophtha190 Parkridge Dr Ste 350Columbia, SC 29212(803) 749-1000

Ages Seen: 00 Yrs/99 Yrs

Bradley, Anika, MD !"Provider ID: 771852University Specialty Clinics Ophtha320 Harbison Blvd Ste 120Columbia, SC 29212(803) 749-1000

Ages Seen: 00 Yrs/99 Yrs

Cain Jr, William, MD "Provider ID: 776726Columbia Eye Clinic100 Palmetto BlvdLexington, SC 29072(803) 356-0000

Ages Seen: 07 Yrs/99 Yrs

Cheeseman, Edward, MD !"Provider ID: 775190Univ Specialty Clinics - Ophthalmol190 Parkridge Dr Ste 350Columbia, SC 29212(803) 749-1000

Ages Seen: 00 Yrs/99 Yrs

Clark, William, MD !"Provider ID: 773722Palmetto Retina Center124 Sunset CtWest Columbia, SC 29169(803) 931-0077

Ages Seen: 00 Yrs/99 Yrs

Columbia Eye Clinic "Provider ID: 775313100 Palmetto Park BlvdLexington, SC 29072(803) 356-0080

Ages Seen: 07 Yrs/99 Yrs

Crosswell, William, MD "Provider ID: 773131Columbia Eye Clinic100 Palmetto BlvdLexington, SC 29072(803) 356-0000

Ages Seen: 07 Yrs/99 Yrs

Crosswell III, Hal, MD !"Provider ID: 774570Columbia Eye Clinic100 Palmetto BlvdLexington, SC 29072(803) 356-0000

Ages Seen: 07 Yrs/99 Yrs

Crosswell Jr, Hal, MD "Provider ID: 776852Columbia Eye Clinic100 Palmetto Park BlvdLexington, SC 29072(803) 356-0668

Ages Seen: 07 Yrs/99 Yrs

Finley, Charles, MD !"Provider ID: 775311Columbia Eye Clinic100 Palmetto BlvdLexington, SC 29072(803) 356-0000

Ages Seen: 07 Yrs/99 Yrs

Harder-Smith, Donna, DO !"Provider ID: 772339Columbia Eye Clinic100 Palmetto Park BlvdLexington, SC 29072(803) 356-0000

Ages Seen: 07 Yrs/99 Yrs

Hicks-Snoddy, Lynn, MD "Provider ID: 771865Columbia Eye Clinic100 Palmetto BlvdLexington, SC 29072(803) 356-0000

Ages Seen: 07 Yrs/99 Yrs

Johnson, David, MD !"Provider ID: 776010Palmetto Retina Center124 Sunset CtWest Columbia, SC 29169(803) 931-0077

Ages Seen: 00 Yrs/99 Yrs

Johnson, William, MD !"Provider ID: 772467Columbia Eye Clinic100 Palmetto BlvdLexington, SC 29072(803) 356-0000

Ages Seen: 07 Yrs/99 Yrs

Kan, Leo, DO !"Provider ID: 773110Language: Chinese, MandarinColumbia Eye Clinic100 Palmetto Park BlvdLexington, SC 29072(803) 806-0080

Ages Seen: 07 Yrs/99 Yrs

Markowitz, Bethany, MD "Provider ID: 776177University Specialty Clinics Ophtha190 Parkridge Dr Ste 350Columbia, SC 29212(803) 749-1000

Ages Seen: 00 Yrs/99 Yrs

Mintz, Edward, MD !"Provider ID: 774496Columbia Eye Clinic100 Palmetto BlvdLexington, SC 29072(803) 356-0000

Ages Seen: 07 Yrs/99 Yrs

Neff, Kristiana, MD !"Provider ID: 771118Language: SpanishUniversity Specialty Clinics Ophtha190 Parkridge Dr Ste 350Columbia, SC 29212(803) 749-1000

Ages Seen: 00 Yrs/99 Yrs

Newman, Rudolph, MD !"Provider ID: 775951Columbia Eye Clinic100 Palmetto BlvdLexington, SC 29072(803) 356-0000

Ages Seen: 07 Yrs/99 Yrs

Pakalnis, Vytautas, MD "Provider ID: 770681Univ Specialty Clinics

Ophthalmolog190 Parkridge Dr Ste 350Columbia, SC 29212(803) 749-1000

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Ophthalmolo "

Provider ID: 771774University Specialty Clinics Ophtha190 Parkridge Dr Ste 350Columbia, SC 29212(803) 749-1000

Ages Seen: 00 Yrs/99 Yrs

Walvoord, Charles, MD "Provider ID: 774133Univ Specialty Clinics

Ophthalmolog190 Parkridge Dr Ste 350Columbia, SC 29212(803) 749-1000

Ages Seen: 00 Yrs/99 Yrs

Wells III, John, MD "Provider ID: 776249Palmetto Retina Center124 Sunset CtWest Columbia, SC 29169(803) 931-0077

Ages Seen: 00 Yrs/99 Yrs

Wild, Garner, MD !"Provider ID: 776722Columbia Eye Clinic100 Palmetto BlvdLexington, SC 29072(803) 356-0000

Ages Seen: 07 Yrs/99 Yrs

OPTICIAN

East Coast OptometricProvider ID: TPVHRUB01-031420 Knox Abbott RdWest Columbia, SC 29169(803) 739-8254

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-03Wal-Mart Stores East LP115 East Church StWalmart Vision Center Ste 4420Leesville, SC 29070(803) 532-5339

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-15Wal-Mart Stores East LP1780 South Lake DrWalmart Vision Center Ste 4521Lexington, SC 29073(803) 957-1839

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-22Wal-Mart Stores East LP2401 Augusta RdWalmart Vision Center Ste 1183West Columbia, SC 29169(803) 796-8902

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-28Wal-Mart Stores East LP360 Harbison BlvdWalmart Vision Center Ste 1164Columbia, SC 29212(803) 732-6230

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

Page 45: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY40

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

OPTOMETRY

Ahders, William, OD "Provider ID: TPVAHDE01-04Focus Eye Care Center115 East Church StFocus Eye Care CenterLeesville, SC 29070(803) 582-7999

Ages Seen: 00 Yrs/99 Yrs

Ahders, William, OD "Provider ID: TPVAHDE01-07Focus Eye Care Center2401 Augusta RdWest Columbia, SC 29169(803) 796-2021

Ages Seen: 00 Yrs/99 Yrs

Ahders, William, OD "Provider ID: TPVAHDE01-05Focus Eye Care Center360 Harbison BlvdFocus Eye Care CenterColumbia, SC 29212(803) 732-8663

Ages Seen: 00 Yrs/99 Yrs

Antley, Rufus, ODProvider ID: TPVANTL01-04R B Antley117 West Church StBatesburg, SC 29006(803) 532-9870

Ages Seen: 00 Yrs/99 Yrs

Bailey, Joel, ODProvider ID: TPVBAIL05-02Eye Care of Lexington119 Library Hill LaneLexington, SC 29072(803) 359-2110

Ages Seen: 00 Yrs/99 Yrs

Bharadia, Mohamed, ODProvider ID: TPVBHAR01-09Focus Eye Care Center115 East Church StLeesville, SC 29070(803) 582-7999

Ages Seen: 00 Yrs/99 Yrs

Bharadia, Mohamed, ODProvider ID: TPVBHAR01-04Focus Eye Care Center2401 Augusta RdWest Columbia, SC 29169(803) 796-2021

Ages Seen: 00 Yrs/99 Yrs

Bharadia, Mohamed, ODProvider ID: TPVBHAR01-05Focus Eye Care Center360 Harbison BlvdColumbia, SC 29212(803) 732-8663

Ages Seen: 00 Yrs/99 Yrs

Branch, Robert, ODProvider ID: TPVBRAN11-01Branch Stafford Optometric A506 A Old Lexington HwyChapin, SC 29036(803) 345-3170

Ages Seen: 00 Yrs/99 Yrs

Brinkley, John, OD "Provider ID: TPVBRIN07-07Focus Eye Care Center115 East Church StFocus Eye Care CenterLeesville, SC 29070(803) 582-7999

Ages Seen: 00 Yrs/99 Yrs

Brinkley, John, OD "Provider ID: TPVBRIN07-10Focus Eye Care Center2401 Augusta RdWest Columbia, SC 29169(803) 796-2021

Ages Seen: 00 Yrs/99 Yrs

Brinkley, John, OD "Provider ID: TPVBRIN07-02Focus Eye Care Center360 Harbison BlvdFocus Eye Care CenterColumbia, SC 29212(803) 732-8663

Ages Seen: 00 Yrs/99 Yrs

Cohen, Gerald, ODProvider ID: TPVCOHE15-02East Coast Optometric1420 Knox Abbott DrWest Columbia, SC 29169(803) 739-8254

Ages Seen: 00 Yrs/99 Yrs

Davis, William, ODProvider ID: TPVDAVI44-01Ye Associates of Cayce West Co600 Knox Abbott DrCayce, SC 29033(803) 794-4444

Ages Seen: 00 Yrs/99 Yrs

Dickerson, Maria, ODProvider ID: TPVDICK07-03Branch Stafford Optometric A506 A Old Lexington HwyChapin, SC 29036(803) 345-3170

Ages Seen: 00 Yrs/99 Yrs

Efron, Marvin, ODProvider ID: TPVEFRO01-01Ye Associates of Cayce West Co600 Knox Abbott DrCayce, SC 29033(803) 794-4444

Ages Seen: 00 Yrs/99 Yrs

Kleckley, Julianne, ODProvider ID: TPVKLEC01-01Ye Associates of Cayce West Co600 Knox Abbott DrCayce, SC 29033(803) 794-4444

Ages Seen: 00 Yrs/99 Yrs

Lau, Conrad, ODProvider ID: TPVLAU05-02Conrad Lau200 Clark StChapin, SC 29036(803) 345-1952

Ages Seen: 00 Yrs/99 Yrs

Loftis, Clarence, ODProvider ID: TPVLOFT02-03Focus Eye Care Center115 East Church StFocus Eye Care CenterLeesville, SC 29070(803) 582-7999

Ages Seen: 00 Yrs/99 Yrs

Loftis, Clarence, ODProvider ID: TPVLOFT02-04Focus Eye Care Center360 Harbison BlvdFocus Eye Care CenterColumbia, SC 29212(803) 732-8663

Ages Seen: 00 Yrs/99 Yrs

Meredith, Phillip, ODProvider ID: TPVMERE01-02East Coast Optometric1420 Knox Abbott RdEast Coast Optometric IncWest Columbia, SC 29169(803) 739-8254

Ages Seen: 00 Yrs/99 Yrs

Mitchell, Edwin, OD "Provider ID: TPVMITC17-04Focus Eye Care Center115 East Church StLeesville, SC 29070(803) 582-7999

Ages Seen: 00 Yrs/99 Yrs

Mitchell, Edwin, ODProvider ID: TPVMITC17-02Focus Eye Care Center2401 Augusta RdWest Columbia, SC 29169(803) 796-2021

Ages Seen: 00 Yrs/99 Yrs

Mitchell, Edwin, OD "Provider ID: TPVMITC17-03Focus Eye Care Center360 Harbison BlvdColumbia, SC 29212(803) 732-8663

Ages Seen: 00 Yrs/99 Yrs

Morris, Ronald, ODProvider ID: TPVMORR18-01Ye Associates of Cayce West Co600 Knox Abbott DrCayce, SC 29033(803) 794-4444

Ages Seen: 00 Yrs/99 Yrs

Pratt, David, ODProvider ID: TPVPRAT04-01Bright Sight Eyecare1780 South Lake DrLexington, SC 29073(803) 356-1414

Ages Seen: 00 Yrs/99 Yrs

Seibert, Jennifer, ODProvider ID: TPVSEIB02-05Focus Eye Care Center360 Harbison BlvdColumbia, SC 29212(803) 732-8663

Ages Seen: 00 Yrs/99 Yrs

Shockney, Sara, OD "Provider ID: TPVSHOC01-06Focus Eye Care Center115 East Church StLeesville, SC 29070(803) 582-7999

Ages Seen: 00 Yrs/99 Yrs

Shockney, Sara, OD "Provider ID: TPVSHOC01-09Focus Eye Care Center2401 Augusta RdWest Columbia, SC 29169(803) 796-2021

Ages Seen: 00 Yrs/99 Yrs

Shockney, Sara, OD "Provider ID: TPVSHOC01-03Focus Eye Care Center360 Harbison BlvdColumbia, SC 29212(803) 732-8663

Ages Seen: 00 Yrs/99 Yrs

Spittler, Michelle, ODProvider ID: TPVSPIT05-03Focus Eye Care Center360 Harbison BlvdWalmart Vision Center Ste 1164Columbia, SC 29212(803) 732-8663

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

Page 46: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY41

OPTOMETRY (cont.)

Stafford, Timothy, ODProvider ID: TPVSTAF03-02Branch Stafford Optometric A506 A Old Lexington HwyChapin, SC 29036(803) 345-3170

Ages Seen: 00 Yrs/99 Yrs

Whittington, Crystal, ODProvider ID: TPVWHIT20-02Ye Associates of Cayce West Co600 Knox Abbott DrCayce, SC 29033(803) 794-4444

Ages Seen: 00 Yrs/99 Yrs

Zeplin, Vincent, OD "Provider ID: TPVZEPL01-06Focus Eye Care Center115 East Church StLeesville, SC 29070(803) 582-7999

Ages Seen: 00 Yrs/99 Yrs

Zeplin, Vincent, OD "Provider ID: TPVZEPL01-10Focus Eye Care Center2401 Augusta RdWest Columbia, SC 29169(803) 796-2021

Ages Seen: 00 Yrs/99 Yrs

Zeplin, Vincent, OD "Provider ID: TPVZEPL01-07Focus Eye Care Center360 Harbison BlvdColumbia, SC 29212(803) 732-8663

Ages Seen: 00 Yrs/99 Yrs

ORTHOPAEDIC SURGERY

Kirkley, William, MD "Provider ID: 771569Carolina Orthopaedic Sports Medici3221SUNSET BlvdWest Columbia, SC 29169(803) 791-6969

Ages Seen: 00 Yrs/99 Yrs

Kirol, Bernard, MD !"#Provider ID: 776458Midlands Orthopaedics2989 Sunset BlvdWest Columbia, SC 29169(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Lee, David, MD !"Provider ID: 776461Carolina Orthopaedic Sports

Medcin3221 Sunset BlvdWest Columbia, SC 29169(803) 791-6969

Ages Seen: 00 Yrs/99 Yrs

Single, Daniel, MD "Provider ID: 771019Carolina Orthopedic Sports Medicin3221 Sunset BlvdWest Columbia, SC 29169(803) 791-6969

Ages Seen: 00 Yrs/99 Yrs

Wetzel, Ryan, MD !"Provider ID: 775114Midlands Orthopaedics2989 Sunset BlvdWest Columbia, SC 29169(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

PAIN MANAGEMENT

Girault, Gisele, MD !"Provider ID: 773080The Pain Center of First Choice

Health3227 Sunset Blvd Ste 102West Columbia, SC 29169(803) 791-9200

Ages Seen: 00 Yrs/99 Yrs

The Pain Center of First Choice Healthca "

Provider ID: 776756The Pain Center of First Choice Hea3227 Sunset Blvd Ste FWest Columbia, SC 29169(803) 791-9200

Ages Seen: 00 Yrs/99 Yrs

PEDIATRIC ALLERGY & IMMUNOLOGY

Black, Jonathan, MD "Provider ID: 774793Carolina Allergy Asthma Cons Phy190 Parkridge Dr Ste 340Columbia, SC 29212(803) 929-0290

Ages Seen: 00 Yrs/99 Yrs

PEDIATRIC OPHTHALMOLOGY

North Jr, Robert, DO !"Provider ID: 773785University Specialty Clinics Ophtha190 Parkridge Dr Ste 350Columbia, SC 29212(803) 749-1000

Ages Seen: 00 Yrs/21 Yrs

PEDIATRICS

Chapin Pediatrics "Provider ID: 767302119 Amicks Ferry RdChapin, SC 29036(803) 932-2200

Ages Seen: 00 Yrs/21 Yrs

Eau Claire Coop Health Ct "Provider ID: 767834Womens Health Int Medicine

Batesbu338 E Columbia Ave Ste BLeesville, SC 29070(803) 532-1580

Ages Seen: 00 Yrs/18 Yrs

Lake Murray Pediatrics "Provider ID: 767124448 Old Cherokee RdLexington, SC 29072(803) 520-5800

Ages Seen: 00 Yrs/22 Yrs

Palmetto Pediatric Adolescent Clinic "

Provider ID: 768145Palmetto Pediatric Adolescent Clin1404 A W MainLexington, SC 29072(803) 358-2370

Ages Seen: 00 Yrs/21 Yrs

Palmetto Pediatric Adolescent Clinic "

Provider ID: 768146Palmetto Pediatric Adolescent Clin16 Woodcross DrColumbia, SC 29212(803) 732-0140

Ages Seen: 00 Yrs/21 Yrs

Pediatric After Hours Care "Provider ID: 777318100 Palmetto Health Pkwy Ste G

100Columbia, SC 29212(803) 434-8773

Ages Seen: 00 Yrs/99 Yrs

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro2720 Sunset BlvdWest Columbia, SC 29169(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Sandhills Pediatrics "Provider ID: 7690624568 Sunset BlvdLexington, SC 29072(803) 520-5144

Ages Seen: 00 Yrs/99 Yrs

Tildon, Toni, MD !"Provider ID: 773588Language: SpanishPediatrix Medical Grp of South Caro2720 Sunset BlvdWest Columbia, SC 29169(803) 434-4369

Ages Seen: 00 Yrs/01 Yrs

Yajnik, Bhavana, MD "Provider ID: 770062Sleep RX112 Saluda Ridge Ct Ste 200West Columbia, SC 29169(803) 358-0158

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS BEHAVIORAL AND DEVELOPMENTAL

Brigman, Shelly, MD !"Provider ID: 775255Carolina Developmental Clinic107 Vista Oaks Dr Ste CLexington, SC 29072(803) 356-7102

Ages Seen: 00 Yrs/21 Yrs

PODIATRY

Altman, Renee, DPM "Provider ID: 771041Altman Foot Care1004 12th StCayce, SC 29033(803) 796-0616

Ages Seen: 00 Yrs/99 Yrs

Altman, Renee, DPM "Provider ID: 771041Altman Foot Care1787 Allendale Fairfax HwyCayce, SC 29033(803) 632-3244

Ages Seen: 00 Yrs/99 Yrs

Arabi, Arash, DPM "Provider ID: 773070The Foot Institute901 12th StCayce, SC 29033(803) 796-0616

Ages Seen: 00 Yrs/99 Yrs

Quinlan, Maureen, DPM "Provider ID: 769838The Foot Institute901 12th StCayce, SC 29033(803) 796-0616

Ages Seen: 00 Yrs/99 Yrs

Um, Chansina, DPM "Provider ID: 774960Language: CambodianProvidence Foot Institute901 12th StCayce, SC 29033(803) 796-6771

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

Page 47: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY42

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PULMONARY DISEASE

Ghent, William, MD !"Provider ID: 773701Sleep RX112 Saluda Ridge Ct Ste 200West Columbia, SC 29169(803) 358-0158

Ages Seen: 00 Yrs/99 Yrs

McLain, William, MD "Provider ID: 773259Sleepmed3020 Sunset BlvdSte 103 104West Columbia, SC 29169(803) 739-2227

Ages Seen: 00 Yrs/99 Yrs

McLain, William, MD "Provider ID: 773259Sleepmed610 Columbiana DrColumbia, SC 29212(803) 749-3599

Ages Seen: 00 Yrs/99 Yrs

Sleep RX "Provider ID: 772270112 Saluda Ridge Ct Ste 200West Columbia, SC 29169(803) 358-0158

Ages Seen: 00 Yrs/99 Yrs

RHEUMATOLOGY

Bonner Jr, Walter, MD "Provider ID: 775173Palmetto Infusion Services172 McSwain DrWest Columbia, SC 29169(803) 771-7740

Ages Seen: 00 Yrs/99 Yrs

SLEEP MEDICINE

Bogan, Richard, MD "Provider ID: 773830Sleepmed320 Sunset BlvdSte 103 104West Columbia, SC 29169(803) 739-2227

Ages Seen: 00 Yrs/99 Yrs

Galphin, Robert, MD "Provider ID: 776182Sleepmed3020 Sunset BlvdWest Columbia, SC 29169(803) 739-2227

Ages Seen: 00 Yrs/99 Yrs

Galphin, Robert, MD "Provider ID: 776182Sleepmed610 Columbiana DrColumbia, SC 29212(803) 749-3599

Ages Seen: 00 Yrs/99 Yrs

Sleepmed "Provider ID: 7764323020 Sunset BlvdSte 103 104West Columbia, SC 29169(800) 739-2227

Ages Seen: 00 Yrs/99 Yrs

CARDIOLOGY

Owens, William, MD !"Provider ID: 772391Language: American Sign LanguageNewberry Co Mem Hospital2669 Kinard StNewberry, SC 29108(803) 276-2570

Ages Seen: 00 Yrs/99 Yrs

Rhinehart, Rodney, MD !"Provider ID: 776901Columbia Health2669 Kinard StNewberry, SC 29108(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Stuck, William, MD "Provider ID: 776824Columbia Medical2669 Kinard StNewberry, SC 29108(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

EAR NOSE & THROAT

Greenwood Ear Nose Throat "Provider ID: 775083Newberry ENT Center2032 Medical Park DrNewberry, SC 29108(803) 321-1110

Ages Seen: 00 Yrs/99 Yrs

Isenhower Jr, William, MD "Provider ID: 777323Newberry ENT Center2032 Medical Park DrNewberry, SC 29108(803) 321-1110

Ages Seen: 00 Yrs/99 Yrs

Rust, Kevin, MD "Provider ID: 776112Newberry ENT Center2032 Medical Park DrNewberry, SC 29108(803) 321-1110

Ages Seen: 00 Yrs/99 Yrs

Tarasidis, Gregory, MD "Provider ID: 774226Newberry ENT Center2032 Medical Park DrNewberry, SC 29108(803) 321-1110

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Emmanuel Family Clinic "Provider ID: 7682682531 Evans St Ste ANewberry, SC 29108(803) 276-7978

Ages Seen: 00 Yrs/99 Yrs

Pinner Clinic "Provider ID: 76980032 River StPeak, SC 29122(803) 945-7475

Ages Seen: 00 Yrs/99 Yrs

GENERAL SURGERY

Barrineau, Devonne, MD "Provider ID: 774425General Surgical Services of Ncmh1830 Pond Field RdNewberry, SC 29108(803) 405-7140

Ages Seen: 00 Yrs/99 Yrs

Carolina Surgical Clinic "Provider ID: 7773802541 Evans St Ste 100Newberry, SC 29108(803) 276-1866

Ages Seen: 00 Yrs/99 Yrs

Davis, Kevin, MD !"Provider ID: 771205Carolina Surgical Clinic2541 Evans St Ste 100Newberry, SC 29108(803) 276-1866

Ages Seen: 00 Yrs/99 Yrs

HEMATOLOGY & ONCOLOGY

Lambert Falls, Rosemary, MD "Provider ID: 775293Newberry Oncology Associates298 Commerce DrNewberry, SC 29108(803) 321-3232

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Bradberry, Thomas, MD "Provider ID: 774678Newberry Co Mem Hospital2669 Kinard StNewberry, SC 29108(803) 276-7570

Ages Seen: 00 Yrs/99 Yrs

Paysinger, Alan, MD !"Provider ID: 774051Newberry Co Mem Hospital2669 Kinard StNewberry, SC 29108(803) 276-7570

Ages Seen: 00 Yrs/99 Yrs

Thompson, John, MD "Provider ID: 775651Newberry Co Mem Hospital2669 Kinard StNewberry, SC 29108(803) 276-7570

Ages Seen: 00 Yrs/99 Yrs

MEDICAL ONCOLOGY

Madden, Steven, MD "Provider ID: 773801Newberry Oncology Associates298 Commerce DrNewberry, SC 29108(803) 321-3232

Ages Seen: 16 Yrs/99 Yrs

NEONATAL PERINATAL MEDICINE

Yajnik, Bhavana, MD "Provider ID: 770064Sleepmed13795 Cir Koon HwyNewberry, SC 29108(803) 296-5847

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Bernardo, Michael, MD !"Provider ID: 774304Bernardo Michael J2605 Kinard St Ste 200Newberry, SC 29108(803) 405-1900

Ages Seen: 00 Yrs/99 Yrs

Dyke, Stephen, DO "Provider ID: 773945Language: SpanishNewberry Obgyn2520 Evans StNewberry, SC 29108(803) 276-4422

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

NEWBERRY COUNTY

Page 48: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY43

OBSTETRICS/GYNECOLOGY (cont.)

Little Mountaina Family Health Center "

Provider ID: 7755652605 Kinard St Ste 200Newberry, SC 29108(803) 405-1900

Ages Seen: 00 Yrs/99 Yrs

Ncmh Womens Health Center "Provider ID: 7716211830 Pond Field Rd Ste A 1Newberry, SC 29108(803) 405-7464

Ages Seen: 00 Yrs/99 Yrs

Newberry Obgyn "Provider ID: 7701692520 Evans StNewberry, SC 29108(803) 276-4422

Ages Seen: 00 Yrs/99 Yrs

Smyth, Michael, MD !"Provider ID: 775660Ncmh Womens Health Center1830 Pond Field Rd Ste A1Newberry, SC 29108(803) 405-7464

Ages Seen: 00 Yrs/99 Yrs

OPHTHALMOLOGY

Livingston III, Robert, MD "Provider ID: 776044Livingston III Robert E2624 Main StNewberry, SC 29108(803) 276-0004

Ages Seen: 00 Yrs/99 Yrs

OPTICIAN

Wal Mart Stores East LPProvider ID: TPVWALM40-26Wal-Mart Stores East LP2812 Main StWalmart Vision Center Ste 624Newberry, SC 29108(803) 276-2806

Ages Seen: 00 Yrs/99 Yrs

OPTOMETRY

Branch, Robert, ODProvider ID: TPVBRAN11-03Branch Stafford Optometric A2737 Winnsboro RdNewberry, SC 29108(803) 276-3271

Ages Seen: 00 Yrs/99 Yrs

Dickerson, Maria, ODProvider ID: TPVDICK07-04Branch Stafford Optometric A2737 Winnsboro RdNewberry, SC 29108(803) 276-3271

Ages Seen: 00 Yrs/99 Yrs

Stafford, Timothy, ODProvider ID: TPVSTAF03-03Branch Stafford Optometric A2737 Winnsboro RdNewberry, SC 29108(803) 276-3271

Ages Seen: 00 Yrs/99 Yrs

ORTHOPAEDIC SURGERY

Hibbits, John, MD "Provider ID: 770221Newberry Co Mem Hospital2669 Kinard StNewberry, SC 29108(803) 276-2570

Ages Seen: 00 Yrs/99 Yrs

Loging, James, MD "Provider ID: 774835Newberry Co Mem Hospital2669 Kinard StNewberry, SC 29108(803) 276-7570

Ages Seen: 00 Yrs/99 Yrs

PEDIATRICS

Pediatrics of Newberry "Provider ID: 767840Ecchc2525 Kinard StNewberry, SC 29108(803) 405-0220

Ages Seen: 00 Yrs/21 Yrs

RADIATION ONCOLOGY

Ezekiel, Mark, MD !"Provider ID: 772460Newberry Oncology Associates298 Commerce DrNewberry, SC 29108(803) 321-3232

Ages Seen: 16 Yrs/99 Yrs

SLEEP MEDICINE

Sleepmed "Provider ID: 7764321333 Taylor St Ste 6BNewberry, SC 29108(803) 296-5847

Ages Seen: 00 Yrs/99 Yrs

Sleepmed "Provider ID: 77643213795 Cir Koon HwyNewberry, SC 29108(803) 296-5847

Ages Seen: 00 Yrs/99 Yrs

THORACIC SURGERY

Brown, John, MD "Provider ID: 775323General Surgical Services of Ncmh1830 Pond Field Rd Ste A1Newberry, SC 29108(803) 405-7140

Ages Seen: 00 Yrs/99 Yrs

Brown, John, MD "Provider ID: 775323Newberry City Memorial Hospital2669 Kinard StNewberry, SC 29108(803) 454-2760

Ages Seen: 00 Yrs/99 Yrs

General Surgical Services of Ncmh "

Provider ID: 7769621830 Pond Field Rd Ste A1Newberry, SC 29108(803) 405-7140

Ages Seen: 00 Yrs/99 Yrs

CARDIOLOGY

Cardiovascular Institute "Provider ID: 7766141175 Cook Rd Ste 225Orangeburg, SC 29118(803) 534-8723

Ages Seen: 00 Yrs/99 Yrs

Castro, George, MD "Provider ID: 770491Carolina Heart Center1137 Cook RdOrangeburg, SC 29118(803) 532-0970

Ages Seen: 15 Yrs/99 Yrs

Hutto, John, MD "Provider ID: 770958The Regional Medical

Center-Orangeb3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

King, Samuel, MDProvider ID: 771941Trmc3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Krzyston, Mark, MD !"Provider ID: 773617Cardiovascular Institute1175 Cook Rd Ste 225Orangeburg, SC 29118(803) 534-8723

Ages Seen: 18 Yrs/99 Yrs

Krzyston, Mark, MD !"Provider ID: 773619Trmc of Orangeburg3000 St Matthews RdOrangeburg, SC 29116(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Wells Jr, James, MD "Provider ID: 788972Trmc of Orangeburg1595 Carolina AveOrangeburg, SC 29115(803) 534-3092

Ages Seen: 18 Yrs/99 Yrs

CHIROPRACTIC

Marsch Chiropractic Clinic "Provider ID: 770133235 Elliott StOrangeburg, SC 29115(803) 536-1635

Ages Seen: 00 Yrs/99 Yrs

Shay, Dennis, DC "Provider ID: 770040Marsch Chiropractic Clinic235 Elliott StOrangeburg, SC 29115(803) 536-1635

Ages Seen: 00 Yrs/99 Yrs

DERMATOLOGY

McClerklin, Patricia, MD "Provider ID: 770954Orangeburg Skin Clinic1585 Carolina AveOrangeburg, SC 29115(803) 534-3890

Ages Seen: 00 Yrs/99 Yrs

EAR NOSE & THROAT

Ansley, John, MD "Provider ID: 775858The Regional Medical

Center-Orangeb3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Ansley, John, MD "Provider ID: 775861Carolina Ear Nose Throat Clinic832 Cook RdOrangeburg, SC 29115(803) 536-5511

Ages Seen: 00 Yrs/99 Yrs

Cassone, Rocco, MD "Provider ID: 776845Carolina Ear Nose Throat Clinic832 Cook RdOrangeburg, SC 29115(803) 536-5511

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

NEWBERRY COUNTY (cont.)

ORANGEBURG COUNTY

Page 49: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY44

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

EAR NOSE & THROAT (cont.)

Sterling Ear Nose and Throat "Provider ID: 7728312221 St Matthews RdOrangeburg, SC 29118(803) 534-3324

Ages Seen: 00 Yrs/99 Yrs

FAMILY PRACTICE

Brunson, James, MD !"Provider ID: 774987The Regional Medical

Center-Orangeb3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Coulter, Franklin, MD !"Provider ID: 775364The Regional Medical

Center-Orangeb3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Coulter Clinic "Provider ID: 768968941 Summers AveOrangeburg, SC 29115(803) 534-0437

Ages Seen: 00 Yrs/99 Yrs

Family Practice Assoc of Holly Hill "

Provider ID: 769751187 Bunch Ford RdHolly Hill, SC 29059(803) 496-3312

Ages Seen: 00 Yrs/99 Yrs

Medical Center of Santee "Provider ID: 767130500 Bass DrSantee, SC 29142(803) 854-3805

Ages Seen: 00 Yrs/99 Yrs

Nobles, Michelle, MD !"Provider ID: 777366Language: SpanishUrgent Care3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

North Family Medicine "Provider ID: 767677Edisto Regional Health Services4631 Savannah HwyNorth, SC 29112(803) 247-2428

Ages Seen: 00 Yrs/99 Yrs

Shuler, Vannbeth, MDProvider ID: 774136Trmc ECG EKG3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Singleton Health Center "Provider ID: 768767Medical Center of North119 Boltin AveNorth, SC 29112(803) 247-3900

Ages Seen: 00 Yrs/99 Yrs

Singleton Health Center "Provider ID: 7687681773 Village Park DrOrangeburg, SC 29118(803) 535-3600

Ages Seen: 00 Yrs/99 Yrs

Singleton Health Center "Provider ID: 768769Medical Center of Santee500 Bass DrSantee, SC 29142(803) 854-3805

Ages Seen: 00 Yrs/99 Yrs

GASTROENTEROLOGY

Gastroenterology Associates of Orangebur "

Provider ID: 773731Gastroenterology Associates of

Oran1131 Cook RdOrangeburg, SC 29118(803) 539-2005

Ages Seen: 00 Yrs/99 Yrs

Murali, Narayanachar, MD !"Provider ID: 774653Gastroenterology Assocs of

Orangebu1131 Cook RdOrangeburg, SC 29118(803) 539-2005

Ages Seen: 00 Yrs/99 Yrs

RMC Internal Medicine and Gastroenterolo "

Provider ID: 772430RMC Internal Medicine and

Gastroent185 Bunch Ford RdHolly Hill, SC 29059(803) 496-1055

Ages Seen: 00 Yrs/99 Yrs

RMC Internal Medicine and Gastroenterolo "

Provider ID: 772430RMC Internal Medicine and

Gastroent2850 Pelham CtOrangeburg, SC 29118(803) 395-2403

Ages Seen: 00 Yrs/99 Yrs

Yunis, Muhammad, MD "Provider ID: 770852Language: Pashtu, UrduMuhammad Yunis MD1175 Cook Rd Ste 105Orangeburg, SC 29118(803) 533-0300

Ages Seen: 00 Yrs/99 Yrs

Yunis, Muhammad, MD "Provider ID: 770854Language: Pashtu, UrduRMC Internal Med and

Gastroenterol185 Bunch Ford RdHolly Hill, SC 29059(803) 496-1055

Ages Seen: 00 Yrs/99 Yrs

Yunis, Muhammad, MD "Provider ID: 770854Language: Pashtu, UrduRMC Internal Med and

Gastroenterol2850 Pelham CtOrangeburg, SC 29118(803) 395-2403

Ages Seen: 00 Yrs/99 Yrs

GENERAL SURGERY

Babb, Julius, MD !"Provider ID: 777309Orangeburg Surgical Associates1175 Cook Rd Ste 320Orangeburg, SC 29118(803) 536-2555

Ages Seen: 00 Yrs/99 Yrs

Babb, Julius, MD !"Provider ID: 777309Orangeburg Surgical Associates3000 St Matthews RdOrangeburg, SC 29118(803) 395-2568

Ages Seen: 00 Yrs/99 Yrs

Banish, William, MD !"Provider ID: 775643Orangeburg Surgical Associates1175 Cook Rd Ste 320Orangeburg, SC 29118(803) 536-2555

Ages Seen: 00 Yrs/99 Yrs

Franga, Dion, MD !"Provider ID: 772017Orangeburg Surgical Associates1175 Cook Rd Ste 320Orangeburg, SC 29118(803) 536-2555

Ages Seen: 00 Yrs/99 Yrs

Franga, Dion, MD !"Provider ID: 772017Orangeburg Surgical Associates3000 St Matthews RdOrangeburg, SC 29118(803) 395-2568

Ages Seen: 00 Yrs/99 Yrs

Hill, Michael, MD !"Provider ID: 775800Orangeburg Surgical Associates1175 Cook Rd Ste 320Orangeburg, SC 29118(803) 536-2555

Ages Seen: 00 Yrs/99 Yrs

Hill, Michael, MD !"Provider ID: 775800Orangeburg Surgical Associates3000 St Matthews RdOrangeburg, SC 29118(803) 395-2568

Ages Seen: 00 Yrs/99 Yrs

Orangeburg Surgical Associates "

Provider ID: 7710281175 Cook Rd Ste 320Orangeburg, SC 29118(803) 536-2555

Ages Seen: 00 Yrs/99 Yrs

Orangeburg Surgical Associates "

Provider ID: 7710283000 St Matthews RdOrangeburg, SC 29118(803) 395-2568

Ages Seen: 00 Yrs/99 Yrs

Redcross, Joseph, DO "Provider ID: 776771Orangeburg Surgical Associates1175 Cook Rd Ste 320Orangeburg, SC 29118(803) 536-2555

Ages Seen: 00 Yrs/99 Yrs

Redcross, Joseph, DO "Provider ID: 776771Orangeburg Surgical Associates3000 St Matthews RdOrangeburg, SC 29118(803) 395-2568

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ORANGEBURG COUNTY (cont.)

Page 50: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY45

GENERAL SURGERY (cont.)

Ross, John, MD "Provider ID: 774137John R Ross MD795 Cook RdOrangeburg, SC 29118(803) 533-7544

Ages Seen: 00 Yrs/99 Yrs

Weathers, Everette, MD "Provider ID: 770081Orangeburg Surgical Associates1175 Cook Rd Ste 320Orangeburg, SC 29118(803) 536-2555

Ages Seen: 00 Yrs/99 Yrs

INFECTIOUS DISEASE

Abdalla, Jehad, MD !"Provider ID: 776762Language: ArabicInternal Med and Infectious Disease1175 Cook Rd Ste 115Orangeburg, SC 29118(803) 531-2677

Ages Seen: 00 Yrs/99 Yrs

Parks, Amanda, MD "Provider ID: 775921The Regional Med Center of

Orangeburg3000 St Matthew RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Samies, John, MD "Provider ID: 775941Palmetto Infectious Disease1511 Carolina AveOrangeburg, SC 29115(803) 539-0505

Ages Seen: 00 Yrs/99 Yrs

Samies, John, MD "Provider ID: 775942Trmc of Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Stone, Judy, MD !"Provider ID: 771080The Regional Med Center of

Orangeburg3000 St Matthew RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Abdalla, Jehad, MD !"Provider ID: 776763Language: ArabicTrmc Hospitalists3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Agrawal, Vishal, MD !"Provider ID: 776745Language: HindiTrmc3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Orangeburg1748 St Matthews RdOrangeburg, SC 29118(803) 536-0613

Ages Seen: 00 Yrs/99 Yrs

Amoah-Apraku, Bismarck, MD !"

Provider ID: 772638Language: SpanishUrgent Care3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Engelen, Megan, DO !"Provider ID: 770965Trmc Hospitalists3000 Saint Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Fraij, Ghassan, MD "Provider ID: 771481Regional Med Center Oran Cal Prof

Fees3000 Saint Matthews RdOrangeburg, SC 29118(803) 295-2200

Ages Seen: 00 Yrs/99 Yrs

Greene, Michael, MD "Provider ID: 777487Trmc Hospitalists111 John Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Greene, Michael, MD "Provider ID: 777487Trmc Hospitalists3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Hammer, Michael, MD !"Provider ID: 774231Trmc3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Jesion, Leo, DO !"Provider ID: 770680Trmc Hospitalists3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Johnson, Endia, MD "Provider ID: 775928Trmc Hospitalists3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Kendall, Brian, MD "Provider ID: 775286Kendall Brian3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Khokhar, Belal, MD !"Provider ID: 774087Trmc Hospitalists3000 Saint Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Kondapaneni, Usha, MD !"Provider ID: 776791Language: SpanishUrgent Care3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Lord, Lori, MD !"Provider ID: 771636Trmc Hospitalists3000 St Matthew RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Ludington, Sarah, MD "Provider ID: 775834Trmc of Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

McCarron, David, MD !"Provider ID: 777031Trmc Hospitalists3000 Saint Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Nelson, Elizabeth, MD "Provider ID: 774088Trmc3000 Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Ntukogu, Kenechukwu, MD "Provider ID: 776886Trmc3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Puher, Melissa, DO "Provider ID: 773993Trmc3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Raine Jr, Charles, MD "Provider ID: 771652Diabetes Control Center1760 Village Park DrOrangeburg, SC 29118(803) 536-6339

Ages Seen: 00 Yrs/99 Yrs

Ransom, Joel, MD "Provider ID: 775611Trmc Hospitalists3000 St Matthews RdOrangeburg, SC 29116(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Ravindran, Haran, MD "Provider ID: 773386The Regional Med Center of

Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Reaves, Alvin, MD !"Provider ID: 773168Trmc Hospitalists3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ORANGEBURG COUNTY (cont.)

Page 51: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY46

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

INTERNAL MEDICINE (cont.)

Santee Family Medical Center "Provider ID: 769720130 Plz CirSantee, SC 29142(803) 854-3940

Ages Seen: 00 Yrs/99 Yrs

Shelver, Lyle, MD "Provider ID: 771705Trmc Hospitalists3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Trmc Hospitalists "Provider ID: 769888111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Trmc Hospitalists "Provider ID: 7698883000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Wechsler, Jason, DO "Provider ID: 775484Trmc Hospitalists3000 St MatthewsOrangeburg, SC 29118(803) 531-8500

Ages Seen: 00 Yrs/99 Yrs

Youmans, Tonia, MD "Provider ID: 776893Trmc Hospitalists3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Zamcho, Anthony, MD "Provider ID: 773373Trmc3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

MEDICAL ONCOLOGY

Brunson, Chris, MD !"Provider ID: 771496Hf Mabry Center For Cancer Care

Trmc1161 Cook RdOrangeburg, SC 29118(803) 395-4600

Ages Seen: 00 Yrs/99 Yrs

NEPHROLOGY

Durham, John, MD !"Provider ID: 773973Language: ArabicPalmetto Nephrology1175 Cook Rd Ste 115Orangeburg, SC 29118(803) 531-2677

Ages Seen: 00 Yrs/99 Yrs

Hamad, Abdullah, MD !"Provider ID: 774871Language: ArabicPalmetto Nephrology1175 Cook Rd Ste 115Orangeburg, SC 29118(803) 531-2677

Ages Seen: 00 Yrs/99 Yrs

Moustafa, Moustafa, MD !"Provider ID: 772345SC Nephrology and Hypertension

Center3709 Magnolia AveOrangeburg, SC 29118(803) 531-2220

Ages Seen: 00 Yrs/99 Yrs

Moustafa, Moustafa, MD !"Provider ID: 772345SC Nephrology and Hypertension8352 Old State RdHolly Hill, SC 29059(803) 531-2220

Ages Seen: 00 Yrs/99 Yrs

Nassri, Mohammad, MD "Provider ID: 771777Language: ArabicPalmetto Nephrology1175 Cook Rd Ste 115Orangeburg, SC 29118(803) 531-2677

Ages Seen: 00 Yrs/99 Yrs

Palmetto Nephrology "Provider ID: 7771431175 Cook Rd Ste 115Orangeburg, SC 29118(803) 531-2677

Ages Seen: 00 Yrs/99 Yrs

Panse, Sagar, MD !"Provider ID: 770048South Carolina Nephology

Hypertens3709 Magnolia AveOrangeburg, SC 29118(803) 531-2220

Ages Seen: 00 Yrs/99 Yrs

SC Nephrology and Hypertension "

Provider ID: 7708133709 Magnolia AveOrangeburg, SC 29118(803) 531-2220

Ages Seen: 00 Yrs/99 Yrs

SC Nephrology and Hypertension "

Provider ID: 7708138352 Old State RdHolly Hill, SC 29059(803) 531-2220

Ages Seen: 00 Yrs/99 Yrs

NEUROLOGY

Abu Ata, Mahmoud, MD !"Provider ID: 776209Language: ArabicThe Neurology and Pain Clinic2850 Pelham CtOrangeburg, SC 29118(803) 531-8500

Ages Seen: 00 Yrs/99 Yrs

Abu Ata, Mahmoud, MD !"Provider ID: 776210Language: ArabicTrmc ECG EKG3000 Saint Matthews RdOrangeburg, SC 29118(803) 395-2007

Ages Seen: 00 Yrs/99 Yrs

Alhatou, Mohammed, MD !"Provider ID: 770714The Neurology and Pain Clinic2850 Pelham CtOrangeburg, SC 29118(803) 531-8500

Ages Seen: 00 Yrs/99 Yrs

Alhatou, Mohammed, MD !"Provider ID: 770715Trmc of Orangeburg300 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

The Neurology and Pain Clinic "Provider ID: 7707122850 Pelham CtOrangeburg, SC 29118(803) 531-8500

Ages Seen: 00 Yrs/99 Yrs

Trmc ECG EKG "Provider ID: 7724313000 Saint Matthews RdOrangeburg, SC 29118(803) 395-4497

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Connor, Susan, MD !"Provider ID: 773410Connors Health Care For Women1181 Hutto StOrangeburg, SC 29118(803) 531-1516

Ages Seen: 00 Yrs/99 Yrs

Connors Healthcare For Women "

Provider ID: 7723631181 Hutto RdOrangeburg, SC 29118(803) 531-1516

Ages Seen: 00 Yrs/99 Yrs

Drs Williamson and Gillespie "Provider ID: 7701211175 Cook Rd Ste 145Orangeburg, SC 29118(803) 531-2300

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers Obgyn "Provider ID: 77442810278 Old 6 HwyVance, SC 29163(803) 492-3031

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers Obgyn "Provider ID: 774428Edisrto Obgyn1175 Cook Rd Ste 305Orangeburg, SC 29118(803) 536-9390

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers Obgyn "Provider ID: 7744283310 Magnolia StOrangeburg, SC 29115(803) 531-6969

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers Obgyn "Provider ID: 7744287061 Norway RdNeeses, SC 29107(803) 263-4086

Ages Seen: 00 Yrs/99 Yrs

Gillespie, David, MD !"Provider ID: 777072Drs Williamson Gillespie1175 Cook Rd Ste 145Orangeburg, SC 29118(803) 531-2300

Ages Seen: 00 Yrs/99 Yrs

Jackson, Lisa, MD "Provider ID: 776793Family Health Centers Obgyn10278 Old 6 HwyVance, SC 29163(803) 492-3031

Ages Seen: 00 Yrs/99 Yrs

Jackson, Lisa, MD "Provider ID: 776793Family Health Centers Obgyn3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ORANGEBURG COUNTY (cont.)

Page 52: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY47

OBSTETRICS/GYNECOLOGY (cont.)

Jackson, Lisa, MD "Provider ID: 776793Family Health Centers Obgyn7061 Norway RdNeeses, SC 29107(803) 263-4086

Ages Seen: 00 Yrs/99 Yrs

Richardson, Richard, MD "Provider ID: 773582Dr Richard Richardson1175 Cook RdOrangeburg, SC 29118(803) 534-0033

Ages Seen: 00 Yrs/99 Yrs

Thoma, Whitney, MD !"Provider ID: 775694Connors Healthcare For Women1181 Hutto RdOrangeburg, SC 29118(803) 531-1516

Ages Seen: 00 Yrs/99 Yrs

Williamson, James, MD "Provider ID: 777142Drs Williamson Gillespie1175 Cook Rd Ste 145Orangeburg, SC 29118(803) 531-2300

Ages Seen: 00 Yrs/99 Yrs

OPHTHALMOLOGY

Charleston Neuroscience Institute "

Provider ID: 771453Charleston Neuroscience Institute L1180 Blvd StOrangeburg, SC 29115(843) 763-4466

Ages Seen: 00 Yrs/99 Yrs

Gasper, Fulton, MD "Provider ID: 770632Orangeburg Eye Center1190 Summers Ave NEOrangeburg, SC 29115(803) 534-0266

Ages Seen: 00 Yrs/99 Yrs

Jacobs, Dean, MD "Provider ID: 772927Advantage Eye Care8799 Old Hwy 6Santee, SC 29142(803) 788-2276

Ages Seen: 00 Yrs/99 Yrs

Johnson, David, MD !"Provider ID: 776010Palmetto Retina Center1170 Blvd StOrangeburg, SC 29115(803) 931-0077

Ages Seen: 00 Yrs/99 Yrs

Johnson, Jack, MD "Provider ID: 776739Orangeburg Eye Center1190 Summers Ave NEOrangeburg, SC 29115(803) 534-0266

Ages Seen: 00 Yrs/99 Yrs

Kerrison, John, MD !"Provider ID: 777101Charleston Neuroscience Institute1180 Blvd Ste DOrangeburg, SC 29115(843) 763-4466

Ages Seen: 00 Yrs/99 Yrs

McGannon, Mark, MD "Provider ID: 773821Orangeburg Eye Center1190 Summers Ave NEOrangeburg, SC 29116(803) 534-0266

Ages Seen: 00 Yrs/99 Yrs

Orangeburg Eye Center "Provider ID: 7712661190 Summers Ave NEOrangeburg, SC 29115(803) 534-0266

Ages Seen: 00 Yrs/99 Yrs

Zhang, Daoling, MD !"Provider ID: 769896Language: ChineseOrangeburg Eye Center1190 Summers Ave NEOrangeburg, SC 29115(803) 534-0266

Ages Seen: 00 Yrs/99 Yrs

OPTICIAN

Wal Mart Stores East LPProvider ID: TPVWALM40-25Wal-Mart Stores East LP2795 North RdWalmart Vision Center Ste 616Orangeburg, SC 29118(803) 533-1622

Ages Seen: 00 Yrs/99 Yrs

OPTOMETRY

Abraham, Angela, ODProvider ID: TPVABRA10-01Wright Eye Institute1697 Amelia StOrangeburg, SC 29115(803) 539-2020

Ages Seen: 00 Yrs/99 Yrs

Ahders, William, OD "Provider ID: TPVAHDE01-06Focus Eye Care Center2795 North RdOrangeburg, SC 29115(803) 928-5468

Ages Seen: 00 Yrs/99 Yrs

Bharadia, Mohamed, ODProvider ID: TPVBHAR01-10Focus Eye Care Center2795 North RdOrangeburg, SC 29118(803) 928-5468

Ages Seen: 00 Yrs/99 Yrs

Brinkley, John, OD "Provider ID: TPVBRIN07-09Focus Eye Care Center2795 North RdOrangeburg, SC 29115(803) 928-5468

Ages Seen: 00 Yrs/99 Yrs

Cress, Robert, ODProvider ID: TPVCRES01-02Robert Cress1605 Carolina AveOrangeburg Family Eye CareOrangeburg, SC 29115(803) 534-2352

Ages Seen: 00 Yrs/99 Yrs

Mitchell, Edwin, OD "Provider ID: TPVMITC17-06Focus Eye Care Center2795 North RdOrangeburg, SC 29115(803) 928-5468

Ages Seen: 00 Yrs/99 Yrs

Pockl, Jeffrey, ODProvider ID: TPVPOCK01-03Palmetto Eye Associates190 Business Park DrSantee, SC 29142(803) 854-2682

Ages Seen: 00 Yrs/99 Yrs

Powell, Stephen, ODProvider ID: TPVPOWE14-02Stephen Ross Powell1230 Amelia StOrangeburg, SC 29115(803) 531-0061

Ages Seen: 00 Yrs/99 Yrs

Shapiro, Arnold, ODProvider ID: TPVSHAP07-01Arnold Shapiro1230 Amelia StRenewed VisionOrangeburg, SC 29115(803) 531-0061

Ages Seen: 00 Yrs/99 Yrs

Shockney, Sara, OD "Provider ID: TPVSHOC01-07Focus Eye Care Center2795 North RdOrangeburg, SC 29118(803) 928-5468

Ages Seen: 00 Yrs/99 Yrs

Spittler, Shane, OD "Provider ID: TPVSPIT02-01Orangeburg Optometric1530 Chestnut BlvdOrangeburg, SC 29115(803) 535-2000

Ages Seen: 00 Yrs/99 Yrs

Thomas, Sidney, ODProvider ID: TPVTHOM26-01Sidney F Thomas OD915 John C Calhoun DrOrangeburg, SC 29115(803) 536-3755

Ages Seen: 00 Yrs/99 Yrs

Zeplin, Vincent, OD "Provider ID: TPVZEPL01-09Focus Eye Care Center2795 North RdOrangeburg, SC 29115(803) 928-5468

Ages Seen: 00 Yrs/99 Yrs

ORTHOPAEDIC SURGERY

Buckaloo, Jerrold, MD !"Provider ID: 773982SC Orthopaedic Institute1175 Cook Rd 215Orangeburg, SC 29118(803) 531-0126

Ages Seen: 00 Yrs/99 Yrs

Craig, Lucius, MD !"Provider ID: 773142SC Orthopaedic Institute1175 Cook Rd Ste 215Orangeburg, SC 29118(803) 531-0126

Ages Seen: 00 Yrs/99 Yrs

Marro, James, MD !"Provider ID: 774201South Carolina Orthopaedic Institut1175 Cook Rd Ste 215Orangeburg, SC 29118(803) 531-0126

Ages Seen: 00 Yrs/99 Yrs

South Carolina Orthopaedic Institute "

Provider ID: 776854South Carolina Orthopaedic Institut1175 Cook Rd Ste 215Orangeburg, SC 29118(803) 536-5122

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ORANGEBURG COUNTY (cont.)

Page 53: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY48

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PAIN MANAGEMENT

Gupta, Avinash, MD !"Provider ID: 776871Language: HindiLow Country Pain Center793 Cook RdOrangeburg, SC 29118(803) 531-8808

Ages Seen: 00 Yrs/99 Yrs

Low Country Pain Center "Provider ID: 777331793 Cook RdOrangeburg, SC 29118(803) 531-8808

Ages Seen: 00 Yrs/99 Yrs

PEDIATRIC CARDIOLOGY

Shuler, C, MD !"Provider ID: 775140The Regional Medical

Center-Orangeb3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/21 Yrs

PEDIATRICS

Arana, Julia, MD "Provider ID: 776157Trmc Santeee Express Care111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Arana, Julia, MD "Provider ID: 776157Trmc Hospitalists3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Blackburn, Melanie, MD !"Provider ID: 775587Trmc Santee Express Care111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Blackburn, Melanie, MD !"Provider ID: 775587Trmc Hospitalists3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Boltin, Megan, MD "Provider ID: 776741Trmc Santee Express Care111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Boltin, Megan, MD "Provider ID: 776741Trmc Hospitalists3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Demarco, Lucinda, MD "Provider ID: 771134Trmc3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

Kilgore, Charles, MD !"Provider ID: 777215Language: SpanishTrmc Santee Express Care111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Kilgore, Charles, MD !"Provider ID: 777215Language: SpanishTrmc3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Trmc Hospitalists "Provider ID: 769888111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Trmc Hospitalists "Provider ID: 7698883000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Wagner, Virginia, MD !"Provider ID: 774215Language: SpanishUrgent Care3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Wangeh, Joseph, MD "Provider ID: 776700Trmc of Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 533-2257

Ages Seen: 00 Yrs/99 Yrs

PODIATRY

Cato, Lamar, DPM "Provider ID: 770788Family Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-8977

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers "Provider ID: 7708513310 Magnolia StOrangeburg, SC 29115(803) 531-6936

Ages Seen: 00 Yrs/99 Yrs

Fisher, Dana, DPM "Provider ID: 770220Fisher Foot Clinic1729 Village Park DrOrangeburg, SC 29118(803) 536-2100

Ages Seen: 00 Yrs/99 Yrs

Fisher Foot Clinic "Provider ID: 7767501729 Village Park DrOrangeburg, SC 29118(803) 536-2100

Ages Seen: 00 Yrs/99 Yrs

Ismaili, Saima, DPM "Provider ID: 776419Language: Spanish, UrduFisher Foot Clinic1729 Village Park DrOrangeburg, SC 29118(803) 536-2100

Ages Seen: 00 Yrs/99 Yrs

Oliver, Keshia, DPM "Provider ID: 775735Total Foot Care1195 St Matthews RdOrangeburg, SC 29115(803) 708-2086

Ages Seen: 00 Yrs/99 Yrs

Ray, Kevin, DPM "Provider ID: 771225Carolina Foot Institute718 Broughton StOrangeburg, SC 29116(803) 531-2888

Ages Seen: 00 Yrs/99 Yrs

Total Foot Care "Provider ID: 7720561195 St Matthews RdOrangeburg, SC 29115(803) 708-2086

Ages Seen: 00 Yrs/99 Yrs

PREVENTIVE MEDICINE

Algood, Denise, MD !"Provider ID: 771510Language: SpanishFamily Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Williams, Teresa, MD !"Provider ID: 772894The Reg Med Center of Orangeburg111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Williams, Teresa, MD !"Provider ID: 772894The Regional Medical Center of

Orangeb3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

PSYCHIATRY

Gonzalez, Alberto, MD "Provider ID: 773430Trmc of Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

Ages Seen: 00 Yrs/99 Yrs

PSYCHOLOGY

Holmstrom, Valerie, PhD "Provider ID: 772119The Regional Med Center of

Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

PULMONARY DISEASE

Trmc Hospitalists "Provider ID: 769888111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ORANGEBURG COUNTY (cont.)

Page 54: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY49

PULMONARY DISEASE (cont.)

Trmc Hospitalists "Provider ID: 7698883000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Wooten, Sally, MD !"Provider ID: 773929Trmc Orangeburg Surgical

Associates1175 Cook RdOrangeburg, SC 29118(803) 536-2555

Ages Seen: 00 Yrs/99 Yrs

RADIATION ONCOLOGY

Merriman, Hugh, MD "Provider ID: 777021Trmc1161 Cook RdOrangeburg, SC 29116(803) 395-4600

Ages Seen: 00 Yrs/99 Yrs

SPORTS MEDICINE

Montgomery, Stefan, MD !"Provider ID: 773004Stefan L Montgomery Fam and

Sports2850 Pelham CtOrangeburg, SC 29118(803) 531-8500

Ages Seen: 00 Yrs/99 Yrs

UROLOGY

Horchak, Alex, MD "Provider ID: 770057Trmc of Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Kraebber, David, MD "Provider ID: 774754The Regional Med Center of

Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Langley, Michael, MD "Provider ID: 772480The Regional Med Center of

Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

McNamara, Erin, MD "Provider ID: 777198Trmc of Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Trmc Hospitalists "Provider ID: 769888111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Trmc Hospitalists "Provider ID: 7698883000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Veys, Joseph, MD "Provider ID: 776383Trmc of Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

ALLERGY & IMMUNOLOGY

Amrol, David, MD !"Provider ID: 771635University Spec Clinic Allergy and8 Medical Park Ste 410Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Black, Jonathan, MD "Provider ID: 774793Carolina Allergy Asthma Cons Phy1 Richland Medical Park Ste 200Columbia, SC 29203(803) 929-0240

Ages Seen: 00 Yrs/99 Yrs

Black, Jonathan, MD "Provider ID: 774793Carolina Allergy Asthma Cons Phy115 Blarney Dr Ste 113Columbia, SC 29223(803) 788-8603

Ages Seen: 00 Yrs/99 Yrs

Bykowsky, Michael, MD !"Provider ID: 771608Carolina Allergy and Asthma1 Richland Medical Park Ste 200Columbia, SC 29203(803) 765-9233

Ages Seen: 00 Yrs/99 Yrs

Bykowsky, Michael, MD !"Provider ID: 771608Carolina Allergy and Asthma3000 NE Medical ParkColumbia, SC 29203(803) 788-8603

Ages Seen: 00 Yrs/99 Yrs

Carolina Allergy and Asthma Consultants "

Provider ID: 771868Carolina Allergy and Asthma

Consult1 Richland Medical Park Ste 200Columbia, SC 29203(803) 765-9233

Ages Seen: 00 Yrs/99 Yrs

Carolina Allergy and Asthma Consultants "

Provider ID: 771868Carolina Allergy and Asthma

Consult3000 NE Medical Park Ste 113Columbia, SC 29223(803) 788-8603

Ages Seen: 00 Yrs/99 Yrs

Perrick, David, MD !"Provider ID: 772203Carolina Allergy Asthma Consultant1 Richland Medical Park Ste 200Columbia, SC 29202(803) 765-9233

Ages Seen: 00 Yrs/99 Yrs

Perrick, David, MD !"Provider ID: 772203Carolina Allergy Asthma Consultant3000 NE Medical Park Ste 113Columbia, SC 29203(803) 788-8603

Ages Seen: 00 Yrs/99 Yrs

Vande Stouwe, Robert, MD "Provider ID: 777106Carolina Allergy and Asthma1 Medical Park Ste 200Columbia, SC 29203(803) 765-9233

Ages Seen: 00 Yrs/99 Yrs

Vande Stouwe, Robert, MD "Provider ID: 777106Carolina Allergy and Asthma3000 NE Medical ParkColumbia, SC 29223(803) 788-8603

Ages Seen: 00 Yrs/99 Yrs

Weiner, Lawrence, MD "Provider ID: 772957Carolina Allergy and Asthma

Consult1 Richland Medical Park Ste 200Columbia, SC 29203(803) 929-0290

Ages Seen: 00 Yrs/99 Yrs

Weiner, Lawrence, MD "Provider ID: 772957Carolina Allergy and Asthma

Consult3000 Northeast Medical Park

Ste 113Columbia, SC 29223(803) 788-8603

Ages Seen: 00 Yrs/99 Yrs

CARDIOLOGY

Agocha, Augustine, MD !"Provider ID: 769877Usc Department of Internal

Medicine2 Medical Park Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Alexander, Milton, MD "Provider ID: 770845Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-7192

Ages Seen: 00 Yrs/99 Yrs

Alexander, Milton, MD "Provider ID: 770843Columbia Heart8 Medical ParkColumbia, SC 29202(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Beard, John, MD "Provider ID: 773005Columbia Heart Clinic8 Richland Medical Park Dr Ste 300Columbia, SC 29203(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Bell, Myron, MD "Provider ID: 773267Lexington Heart8 Medical Park Ste 100Columbia, SC 29203(803) 296-6850

Ages Seen: 00 Yrs/99 Yrs

Bouknight, Daniel, MD !"Provider ID: 772935Columbia Heart Clinic8 Richland Medical Park DrColumbia, SC 29203(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ORANGEBURG COUNTY (cont.)

RICHLAND COUNTY

Page 55: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY50

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

CARDIOLOGY (cont.)

Brown, Brandon, MD !"Provider ID: 771542Usc Department of Internal

Medicine2 Medical Park Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Cardiovascular Care Group "Provider ID: 775366114 Gateway Corporate Blvd

Ste 410Columbia, SC 29203(803) 227-3540

Ages Seen: 12 Yrs/99 Yrs

Cardiovascular Diagnostic Services "

Provider ID: 7715621201 Main St Ste 1980Columbia, SC 29201(803) 754-2600

Ages Seen: 00 Yrs/99 Yrs

Collins III, Hampton, MD "Provider ID: 775811Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 296-2548

Ages Seen: 00 Yrs/99 Yrs

Collins III, Hampton, MD "Provider ID: 775809Columbia Heart8 Medical ParkColumbia, SC 29202(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Columbia Heart Clinic "Provider ID: 7715838 Richland Medical Park Dr Ste 300Columbia, SC 29203(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Delphia Jr, Robert, MD "Provider ID: 772789Language: SpanishColumbia Heart Clinic8 Richland Medical Park DrColumbia, SC 29203(803) 343-5358

Ages Seen: 00 Yrs/99 Yrs

Edelson, Richard, MD !"Provider ID: 776706Lexington Heart8 Medical Park Ste 100Columbia, SC 29203(803) 296-6850

Ages Seen: 00 Yrs/99 Yrs

Feldman, Barry, MD "Provider ID: 774302Lexington Heart5 Medical Park DrColumbia, SC 29203(803) 434-7192

Ages Seen: 00 Yrs/99 Yrs

Graham, Stacy, MD !"Provider ID: 776761Language: SpanishColumbia Heart Clinic8 Richland Medical Park DrColumbia, SC 29203(803) 343-5358

Ages Seen: 00 Yrs/99 Yrs

Grainger, Terry, MD "Provider ID: 769872Lexington Heart8 Medical Park Ste 100Columbia, SC 29203(803) 296-6850

Ages Seen: 00 Yrs/99 Yrs

Harrison, Rodney, MD !"Provider ID: 777148Palmetto Heart8 Medical Park Ste 100Columbia, SC 29203(803) 296-6850

Ages Seen: 00 Yrs/99 Yrs

Hendricks, Charles, MD "Provider ID: 771213Columbia Heart8 Richland Medical Park Ste 300Columbia, SC 29202(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Hewett, Jonathan, MD !"Provider ID: 770342Lexington Heart5 Medical Park DrColumbia, SC 29203(803) 434-7192

Ages Seen: 00 Yrs/99 Yrs

Hollins, William, MD "Provider ID: 770992Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 296-2548

Ages Seen: 00 Yrs/99 Yrs

Hollins, William, MD "Provider ID: 770991Columbia Heart8 Medical Park Dr Ste 300Columbia, SC 29202(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Isbell, David, MD !"Provider ID: 770436Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Isbell, David, MD !"Provider ID: 770435Columbia Heart8 Richland Medical Park Dr Ste 300Columbia, SC 29203(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Jones, Benjamin, MD "Provider ID: 775706Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-4001

Ages Seen: 00 Yrs/99 Yrs

Jones, Benjamin, MD "Provider ID: 775704Columbia Heart Clinic8 Richland Medical Park Dr Ste 300Columbia, SC 29203(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Macnevin, Ryan, MD "Provider ID: 777388Palmetto Heart Columbia8 Richland Medical Park Ste 100Columbia, SC 29203(803) 434-3800

Ages Seen: 00 Yrs/99 Yrs

Mazzei Jr, Walter, MD "Provider ID: 770481Columbia Heart Clinic8 Richland Medical Park DrColumbia, SC 29203(803) 343-5358

Ages Seen: 00 Yrs/99 Yrs

Omoigui, Nowanagbe, MD !"Provider ID: 772553Cardiovascular Care Group114 Gateway Corp Blvd Ste 410Columbia, SC 29203(803) 227-3540

Ages Seen: 12 Yrs/99 Yrs

Palmetto Heart "Provider ID: 773648Lexington Heart8 Medical Park Ste 100Columbia, SC 29203(803) 296-6850

Ages Seen: 00 Yrs/99 Yrs

Phillips, James, MD !"Provider ID: 770664Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 431-4001

Ages Seen: 00 Yrs/99 Yrs

Phillips, James, MD !"Provider ID: 770662Columbia Health8 Richland Medical Park Dr Ste 300Columbia, SC 29203(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Pineda, Guillermo, MD !"Provider ID: 771335Language: SpanishPalmetto Health Richland5 Medical Park DrColumbia, SC 29203(803) 434-7192

Ages Seen: 00 Yrs/99 Yrs

Prosser, Leverne, MD !"Provider ID: 774209Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-4001

Ages Seen: 00 Yrs/99 Yrs

Prosser, Leverne, MD !"Provider ID: 774206Columbia Heart8 Medical ParkColumbia, SC 29202(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Providence EKG Physicians "Provider ID: 7755232435 Forest DrColumbia, SC 29204(803) 256-5460

Ages Seen: 00 Yrs/99 Yrs

Rhinehart, Rodney, MD !"Provider ID: 776901Columbia Health8 Richland Medical Park Dr Ste 300Columbia, SC 29203(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Schulze, Robert, MD "Provider ID: 776250Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 296-5162

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 56: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY51

CARDIOLOGY (cont.)

Schulze, Robert, MD "Provider ID: 776253Columbia Health8 Richland Medical Park Dr Ste 300Columbia, SC 29203(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Schwarz, Eugene, MD "Provider ID: 771653Cardiovascular Diagnostic Services1201 Main St Ste 1980Columbia, SC 29201(803) 754-2600

Ages Seen: 00 Yrs/99 Yrs

Seidel, Amy, MD !"Provider ID: 776665Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-7192

Ages Seen: 00 Yrs/99 Yrs

Shah, Gopi, MD !"Provider ID: 775573Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-4001

Ages Seen: 00 Yrs/99 Yrs

Shah, Gopi, MD !"Provider ID: 775571Columbia Heart8 Medical Park Dr Ste 300Columbia, SC 29202(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Stuck, William, MD "Provider ID: 776824Columbia Medical8 Richland Medical Park Dr Ste 300Columbia, SC 29203(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Thurmond, Carl, MD !"Provider ID: 772548Usc Department of Internal

Medicine2 Medical Park Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 18 Yrs/99 Yrs

University Specialty Clinics Int Med "

Provider ID: 774144The Midlands Care Consortium1 Medical Park Ste 420Columbia, SC 29203(803) 545-5350

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Int Med "

Provider ID: 774144University Specialty Clinics Int Me2 Medical Park Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Int Med "

Provider ID: 774144Intermedical HospitalTaylor At Marion StsRm 622Columbia, SC 29220(803) 296-3097

Ages Seen: 00 Yrs/99 Yrs

Vakani, Rajesh, MD !"Provider ID: 773990Language: Gujarati, HindiUsc School of Medicine Dpt of Inter2 Medical Park Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 18 Yrs/99 Yrs

Van Horn Jr, Stephen, MD !"Provider ID: 771805Providence EKG Physicians2435 Forest DrColumbia, SC 29204(803) 256-5460

Ages Seen: 00 Yrs/99 Yrs

Vismara, Vince, MD !"Provider ID: 771861Lexington Heart5 Medical Park DrColumbia, SC 29203(803) 434-7192

Ages Seen: 00 Yrs/99 Yrs

Wells, Marion, MD !"Provider ID: 770704Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-4001

Ages Seen: 00 Yrs/99 Yrs

Wells, Marion, MD !"Provider ID: 770702Columbia Heart8 Medical Park Ste 300Columbia, SC 29203(803) 256-6511

Ages Seen: 00 Yrs/99 Yrs

Wienecke, Matthew, MD !"Provider ID: 770590Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-4001

Ages Seen: 00 Yrs/99 Yrs

CHILD NEUROLOGY

Livingston, Timothy, MD !"Provider ID: 770500University Pediatrics9 Medical ParkSUITE100Columbia, SC 29203(803) 434-7961

Ages Seen: 00 Yrs/18 Yrs

Morgan, Harley, MD "Provider ID: 772131University Pediatrics9 Medical Park Ste 200AColumbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/99 Yrs

CHIROPRACTIC

Carew, Joseph, DC "Provider ID: 774728Isabella1811 Bull StColumbia, SC 29201(803) 252-0108

Ages Seen: 00 Yrs/99 Yrs

Chandler, John, DC "Provider ID: 772812St Andrews Chiropractic Clinic1655 Broad River RdColumbia, SC 29210(803) 772-8680

Ages Seen: 00 Yrs/99 Yrs

Hamvay, Steven, DC "Provider ID: 775015Language: HungarianIsabella1811 Bull StColumbia, SC 29201(803) 252-0108

Ages Seen: 00 Yrs/99 Yrs

Heyer, Gayle, DC "Provider ID: 775361Back To You Chiropractic2315 Willow Oak DrColumbia, SC 29223(803) 386-3912

Ages Seen: 00 Yrs/99 Yrs

Jokerst, Michael, DC "Provider ID: 771907Irmo Family Chiropractic1032 Kinley Rd Ste AIrmo, SC 29063(803) 732-6635

Ages Seen: 00 Yrs/99 Yrs

Jokerst, Michael, DC "Provider ID: 771907Irmo Family Chiropractic7210 D Broad River RdIrmo, SC 29063(803) 732-6635

Ages Seen: 00 Yrs/99 Yrs

Mooneyham, Richard, DC "Provider ID: 770810St Andrews Chiropractic Cl1655 Broad River RdColumbia, SC 29210(803) 772-8680

Ages Seen: 00 Yrs/99 Yrs

St Andrews Chiropractic Clinic "

Provider ID: 7715381655 Broad River RdColumbia, SC 29210(803) 772-8680

Ages Seen: 00 Yrs/99 Yrs

Wibert, Angela, DC "Provider ID: 770411Isabella1811 Bull StColumbia, SC 29201(803) 252-0108

Ages Seen: 00 Yrs/99 Yrs

COLON & RECTAL SURGERY

Alia, Richard, MD "Provider ID: 777227Carolina Colon Rectal Surgeons1730 St Julian PlColumbia, SC 29204(803) 779-2005

Ages Seen: 18 Yrs/99 Yrs

Carolina Colon Rectal Surgeons "

Provider ID: 7724501730 St Julian PlColumbia, SC 29204(803) 779-2005

Ages Seen: 00 Yrs/99 Yrs

Colorectal Associates "Provider ID: 7761311410 Blanding St Ste 102Columbia, SC 29201(803) 748-9966

Ages Seen: 00 Yrs/99 Yrs

Kim, Sylvia, MD !"Provider ID: 772202University Specialty Clinics Surger2 Medical Park Rd Ste 300Columbia, SC 29203(803) 545-5800

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 57: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY52

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

COLON & RECTAL SURGERY (cont.)

Moore, Leslie, MD !"Provider ID: 772994Colorectal Associates1410 Blanding St Ste 102Columbia, SC 29201(803) 748-9966

Ages Seen: 00 Yrs/99 Yrs

Moore, Leslie, MD !"Provider ID: 772994Columbia Gastrointestinal

Endoscopy2739 Laurel StColumbia, SC 29204(803) 254-9588

Ages Seen: 00 Yrs/99 Yrs

Morrison III, Sidney, MD "Provider ID: 776979Colorectal Associates1410 Blanding St Ste 102Columbia, SC 29201(803) 748-9966

Ages Seen: 00 Yrs/99 Yrs

Morrison III, Sidney, MD "Provider ID: 776979Columbia Gatroinstestinal

Endoscopy2739 Laurel St Ste 1 BColumbia, SC 29204(803) 254-9588

Ages Seen: 00 Yrs/99 Yrs

DERMATOLOGY

Carson, Lee, MD !"Provider ID: 774662Northeast Dermatology220 Graces WayColumbia, SC 29229(803) 736-4560

Ages Seen: 00 Yrs/17 Yrs

Lynn, Annette, MD !"Provider ID: 771254University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7945

Ages Seen: 00 Yrs/18 Yrs

McClerklin, Patricia, MD "Provider ID: 770954Patricia A McClerklin MD112 Doctors CirColumbia, SC 29203(803) 771-9163

Ages Seen: 00 Yrs/99 Yrs

Northeast Dermatology "Provider ID: 770952220 Graces WayColumbia, SC 29229(803) 736-4560

Ages Seen: 00 Yrs/17 Yrs

Okeefe, Raymond, MD "Provider ID: 771474Okeefe Raymond E2241 Bush River RdColumbia, SC 29210(803) 731-9600

Ages Seen: 00 Yrs/99 Yrs

Zhang, Jing, MD "Provider ID: 771087Carolinas Dermatology Group1706 Saint Julians PlColumbia, SC 29204(803) 771-7506

Ages Seen: 00 Yrs/99 Yrs

EAR NOSE & THROAT

Battiata, Andrew, MD !"Provider ID: 774603SC ENT Allergy and Sleep Medicine710 Rabon Rd Ste 202Columbia, SC 29203(803) 736-3277

Ages Seen: 00 Yrs/99 Yrs

Gunnlaugsson, Chad, MD !"Provider ID: 771228Southeastern ENT Allergy and

Sleep114 Gateway Corporate Blvd

Ste 120Columbia, SC 29203(803) 509-7200

Ages Seen: 00 Yrs/99 Yrs

Simmons, Oliver, MD !"Provider ID: 777354SC ENT Allergy and Sleep Medicine710 Rabon Rd Ste 202Columbia, SC 29203(803) 736-3277

Ages Seen: 00 Yrs/99 Yrs

South Carolina ENT Allergy and Sleep Med "

Provider ID: 770789South Carolina ENT Allergy and

Slee710 Rabon Rd Ste 202Columbia, SC 29203(803) 736-3277

Ages Seen: 00 Yrs/99 Yrs

Southeastern ENT Allergy and Sleep Disor "

Provider ID: 775737Southeastern ENT Allergy and

Sleep114 Gateway Corporate Blvd

Ste 120Columbia, SC 29203(803) 509-7200

Ages Seen: 00 Yrs/99 Yrs

ENDOCRINOLOGY DIABETES METABOLISM

Johnson, Ronald, MD "Provider ID: 773281Johnson Ronald L4100 North Main St Ste 201Columbia, SC 29203(803) 786-0980

Ages Seen: 00 Yrs/99 Yrs

Lin, Tu, MD "Provider ID: 771420Language: ChineseUniversity Specialty Clinics - Endo2 Medical Park Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 18 Yrs/99 Yrs

Munoz, Andres, MD "Provider ID: 771116Language: SpanishUniversity Specialty Clinics15 Medical Park Rd Ste 300Columbia, SC 29203(803) 255-3417

Ages Seen: 00 Yrs/99 Yrs

Munoz, Andres, MD "Provider ID: 771116Language: SpanishUniversity Specialty Clinics2 Medical Park Rd Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Osterman, Juraj, MD "Provider ID: 774742Language: Croatian, RussianUniversity Specialty Clinics - Endo2 Medical ParkSuites 502-506Columbia, SC 29203(803) 540-1000

Ages Seen: 18 Yrs/99 Yrs

Rao, Ambika, MD !"Provider ID: 777174Department of Internal Medicine2 Medical Park Rd Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Rizvi, Ali, MD !"Provider ID: 770076Language: Hindi, PunjabiUniversity Specialty Clinics - Endo2 Medical ParkSUITE306Columbia, SC 29203(803) 540-1000

Ages Seen: 06 Yrs/99 Yrs

Rizvi, Ali, MD !"Provider ID: 770077Language: Hindi, PunjabiPalmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-4001

Ages Seen: 00 Yrs/99 Yrs

Sirinvaravong, Sirinart, MD "Provider ID: 776656Department of Internal Medicine15 Medical Park Rd 300Columbia, SC 29203(803) 255-3417

Ages Seen: 00 Yrs/99 Yrs

Sirinvaravong, Sirinart, MD "Provider ID: 776656Department of Internal Medicine2 Medical Park Rd Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics-Endocrinolo "

Provider ID: 774143Department of Medicine15 Medical Park Rd Ste 300Columbia, SC 29203(803) 255-3417

Ages Seen: 06 Yrs/99 Yrs

University Specialty Clinics-Endocrinolo "

Provider ID: 774143Department of Medicine2 Medical Park Rd Ste 502Columbia, SC 29203(803) 540-1000

Ages Seen: 06 Yrs/99 Yrs

ENDODONTICS

Berkeley Endoscopy Center "Provider ID: 7762631072 Wildewood Centre DrColumbia, SC 29229(803) 788-1120

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 58: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY53

FAMILY PRACTICE

Associates IN Internal Medicine "

Provider ID: 767095Providence Internal Medicine

Downto2601 Laurel St Ste 230Columbia, SC 29204(803) 254-4056

Ages Seen: 00 Yrs/99 Yrs

Associates IN Internal Medicine "

Provider ID: 7670962701 Middleburg DrColumbia, SC 29204(803) 254-2786

Ages Seen: 00 Yrs/99 Yrs

Berdecia, Mila, MD !"Provider ID: 777225Palmetto Health Richland14 Medical Park Dr Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Blythewood Covenience Care "Provider ID: 775018Palmetto Health738 University Village DrBlythewood, SC 29016(803) 461-0270

Ages Seen: 00 Yrs/99 Yrs

Boone, Tasha, MD !"Provider ID: 775053Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-4001

Ages Seen: 00 Yrs/99 Yrs

Crutcher, Samuel, MD !"Provider ID: 770754Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Harman, William, MD !"Provider ID: 776320Blythewood Covenience Care738 University Village DrBlythewood, SC 29016(803) 461-0270

Ages Seen: 00 Yrs/99 Yrs

Hicks Jr, James, MD !"Provider ID: 774679Medical Endoscopy Professionals1753 Taylor StColumbia, SC 29201(803) 254-8449

Ages Seen: 00 Yrs/99 Yrs

Jones, Conigliaro, MD !"Provider ID: 776037Medical Endoscopy Professionals1735 Taylor StColumbia, SC 29201(803) 254-8449

Ages Seen: 00 Yrs/99 Yrs

Lance, Billy, MD "Provider ID: 776144Medical Endoscopy1735 Taylor StColumbia, SC 29201(803) 254-8449

Ages Seen: 00 Yrs/99 Yrs

Longcreek Family Practice "#Provider ID: 7685231606 Horseshoe DrColumbia, SC 29223(803) 462-6733

Ages Seen: 00 Yrs/99 Yrs

Medical Endoscopy Professionals "

Provider ID: 7727661735 Taylor StColumbia, SC 29202(803) 254-8449

Ages Seen: 00 Yrs/99 Yrs

Millwood III, Charles, MD !"Provider ID: 771702Forest Drive Physicians3304 Forest DrColumbia, SC 29204(803) 787-3901

Ages Seen: 00 Yrs/99 Yrs

Pathak, Nirav, MD !"Provider ID: 775894Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Petit, Charles, MD !"Provider ID: 771291dba Palliative Care1400 Pickens StThird Fl Columbia, SC 29201(803) 296-2726

Ages Seen: 00 Yrs/99 Yrs

Petit, Charles, MD !"Provider ID: 771291Ph Senior Primary Care Practice3010 Farrow Rd Ste 300Columbia, SC 29203(803) 434-1210

Ages Seen: 00 Yrs/99 Yrs

Pinner, Benjamin, MD !"Provider ID: 773537Medical Endoscopy Professionals1735 Taylor StColumbia, SC 29201(803) 254-8449

Ages Seen: 00 Yrs/99 Yrs

Providence Northeast Family Care At Lake "

Provider ID: 769133Providence Northeast Family Care

At114 Gateway Corporate Blvd

Ste 230Columbia, SC 29203(803) 788-2277

Ages Seen: 00 Yrs/99 Yrs

Soto, Carlos, MD !"Provider ID: 775070Medical Endoscopy1735 Taylor StColumbia, SC 29201(803) 254-8449

Ages Seen: 00 Yrs/99 Yrs

Usc Department of Family and Preventive "

Provider ID: 767468Usc Dept of Family Preventive Med3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Wingo, Timothy, MD "Provider ID: 773181Forest Drive Physicians3304 Forest DrColumbia, SC 29204(803) 787-3901

Ages Seen: 00 Yrs/99 Yrs

GASTROENTEROLOGY

Associates IN Gastroenterology "

Provider ID: 7764901070 Wildewood Centre DrColumbia, SC 29229(803) 788-1100

Ages Seen: 00 Yrs/99 Yrs

Carolina Digestive Disease "Provider ID: 7718961520 Taylor St Ste 200Columbia, SC 29201(803) 788-5916

Ages Seen: 00 Yrs/99 Yrs

Chockalingam, Siva, MD "Provider ID: 772291Associates IN Gastroenterology1070 Willdwood Centre DrColumbia, SC 29229(803) 788-1100

Ages Seen: 00 Yrs/99 Yrs

Gallman, Burnett, MD "Provider ID: 772181Midlands Gastroenterology

Associate4100 North Main St Ste 201Columbia, SC 29203(803) 786-0980

Ages Seen: 00 Yrs/99 Yrs

Iseman, Daniel, MD !"Provider ID: 770517Columbia Gastroenterology Assoc2739 Laurel St Ste 1AColumbia, SC 29204(803) 799-4800

Ages Seen: 00 Yrs/99 Yrs

Jenkins, George, MD "Provider ID: 776926Carolina Digestive Disease1520 Taylor StColumbia, SC 29201(803) 788-5916

Ages Seen: 00 Yrs/99 Yrs

Jenkins, Spencer, MD "Provider ID: 776148Carolina Digestive Disease1520 Taylor St Ste 200Columbia, SC 29201(803) 509-5710

Ages Seen: 00 Yrs/99 Yrs

Kimbrough, Edward, MD "Provider ID: 775062Columbia Gastroenterology

Associate2739 Laurel St Ste 1AColumbia, SC 29204(803) 799-4800

Ages Seen: 00 Yrs/99 Yrs

Lowman, Anthony, MD "Provider ID: 770428Columbia Gastro Associates114 Gatway Corp Blvd Ste 150Columbia, SC 29203(803) 799-4800

Ages Seen: 00 Yrs/99 Yrs

Lowman, Anthony, MD "Provider ID: 770428Columbia Gastro Associates2739 Laurel St Ste 1AColumbia, SC 29204(803) 799-4800

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 59: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY54

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

GASTROENTEROLOGY (cont.)

Medical Endoscopy Professionals "

Provider ID: 7727661735 Taylor StColumbia, SC 29202(803) 254-8449

Ages Seen: 00 Yrs/99 Yrs

Midlands Gastroenterology Associates "

Provider ID: 776187Midlands Gastroenterology

Associate4100 North Main St Ste 201Columbia, SC 29203(803) 786-0980

Ages Seen: 00 Yrs/99 Yrs

Postic, Georges, MD "Provider ID: 773075Columbia Gastroenterology Assoc2739 Laurel St Ste 1AColumbia, SC 29204(803) 799-4800

Ages Seen: 00 Yrs/99 Yrs

Suber, Dealva, MD !"Provider ID: 771075Midlands Gastroenterology

Associate4100 North Main St Ste 201Columbia, SC 29203(803) 786-0980

Ages Seen: 00 Yrs/99 Yrs

GENERAL SURGERY

Bell, Richard, MD !"Provider ID: 774648University Spec Clinics Dept of Sur2 Medical Park Ste 306Columbia, SC 29203(803) 545-5800

Ages Seen: 00 Yrs/99 Yrs

Bunch, Robert, MD !"Provider ID: 774200Surgical Associates of South Caroli1850 Laurel StColumbia, SC 29201(803) 256-3400

Ages Seen: 00 Yrs/99 Yrs

Bynoe, Raymond, MD !"Provider ID: 771328University Specialty Clinic Dept of2 Medical Park Ste 306Columbia, SC 29203(803) 545-5800

Ages Seen: 00 Yrs/99 Yrs

Cooler, Arthur, MD !"Provider ID: 772117Palmetto Health Surg Special9 Richland Medical Park Ste 450Columbia, SC 29203(803) 434-8800

Ages Seen: 00 Yrs/99 Yrs

Craft, Roland, MD !"Provider ID: 772959Surgical Associates of South Caroli1850 Laurel StColumbia, SC 29201(803) 256-3400

Ages Seen: 00 Yrs/99 Yrs

Craft, Roland, MD !"Provider ID: 772959Surgical Associates of South Caroli190 Parkridge Dr Ste 200Columbia, SC 29210(803) 744-0888

Ages Seen: 00 Yrs/99 Yrs

Fann, Stephen, MD !"Provider ID: 772382Usc Department of Surgery2 Medical Park Ste 306Columbia, SC 29203(803) 545-5800

Ages Seen: 00 Yrs/99 Yrs

Franga, Dion, MD !"Provider ID: 772018Palmetto Health Surgical Specialist9 Richland Medical Park Ste 450Columbia, SC 29203(803) 434-8800

Ages Seen: 00 Yrs/99 Yrs

Gifford, Robert, MD "Provider ID: 773322University Specialty Clinic Dept of2 Medical Park Ste 306Columbia, SC 29203(803) 545-5800

Ages Seen: 00 Yrs/99 Yrs

Jones, Mark, MD "Provider ID: 771945Palmetto Health Surgical Specialist9 Richland Medical Park Ste 450Columbia, SC 29203(803) 434-8800

Ages Seen: 00 Yrs/99 Yrs

Kim, Sylvia, MD !"Provider ID: 772202University Specialty Clinics Surger2 Medical Park Rd Ste 300Columbia, SC 29203(803) 545-5800

Ages Seen: 00 Yrs/99 Yrs

Metropol, Stephen, MD !"Provider ID: 773369Palmetto Surgical Associates1333 Taylor St Ste 3AColumbia, SC 29201(803) 254-4707

Ages Seen: 00 Yrs/99 Yrs

Mirra, Martin, MD !"Provider ID: 777248Palmetto Surgical Associates1333 Taylor StColumbia, SC 29201(803) 254-4707

Ages Seen: 00 Yrs/99 Yrs

Mirra, Martin, MD !"Provider ID: 777249Palmetto Surgical Associates1333 Taylor St Ste 3AColumbia, SC 29201(803) 254-4707

Ages Seen: 00 Yrs/99 Yrs

Nottingham, James, MD !"Provider ID: 772606University Specialty Clinic Dept of2 Medical Park Ste 306Columbia, SC 29203(803) 545-5800

Ages Seen: 00 Yrs/99 Yrs

Palmetto Surgical Associates "Provider ID: 7712701333 Taylor St Ste 3AColumbia, SC 29201(803) 254-4707

Ages Seen: 00 Yrs/99 Yrs

Parker, Harris, MD !"Provider ID: 776170Surgical Associates of South Caroli1850 Laurel StColumbia, SC 29201(803) 256-3400

Ages Seen: 00 Yrs/99 Yrs

Reeves, Jeremy, MD "Provider ID: 774333Palmetto Health Surg Special9 Richland Medical Park Ste 450Columbia, SC 29203(803) 434-8800

Ages Seen: 00 Yrs/99 Yrs

Renza-Stingone, Elizabeth, MD !"

Provider ID: 773031Palmetto Health Surgical Specialist9 Richland Park Ste 450Columbia, SC 29203(803) 434-8800

Ages Seen: 00 Yrs/99 Yrs

Rubin, Chad, MD !"Provider ID: 776629Surgical Associates of South Caroli190 Parkridge Dr Ste 200Columbia, SC 29210(803) 740-8887

Ages Seen: 00 Yrs/99 Yrs

Surgical Associates of South Carolina "

Provider ID: 776045Surgical Associates of South Caroli1850 Laurel StColumbia, SC 29201(803) 256-6400

Ages Seen: 00 Yrs/99 Yrs

Surgical Associates of South Carolina "

Provider ID: 770897Surgical Associates of South Caroli1850 Laurel St Ste 1-AColumbia, SC 29201(803) 376-5982

Ages Seen: 00 Yrs/99 Yrs

Sweatman, Carl, MD "Provider ID: 771841Baptist Vascular LabTaylor At Marion StColumbia, SC 29220(803) 296-5162

Ages Seen: 00 Yrs/99 Yrs

Taber, Scott, MD !"Provider ID: 772074Surgical Associates of South Caroli190 Parkridge Dr Ste 200Columbia, SC 29210(803) 744-0888

Ages Seen: 00 Yrs/99 Yrs

Tribble, David, MD "Provider ID: 773073Surgical Associates of South Caroli1850 Laurel StColumbia, SC 29201(803) 256-3400

Ages Seen: 00 Yrs/99 Yrs

Tribble, David, MD "Provider ID: 773073Surgical Associates of South Caroli190 Parkridge Ste 200Columbia, SC 29210(803) 744-0888

Ages Seen: 00 Yrs/99 Yrs

Tribble, James, MD !"Provider ID: 771572Baptist Vascular LabTaylor At Marion StColumbia, SC 29220(803) 296-5162

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 60: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY55

GENERAL SURGERY (cont.)

University Specialty Clinics Dept of Sur "

Provider ID: 773618University Specialty Clinics Dept O2 Medical Park Rd Ste 306Columbia, SC 29203(803) 545-5800

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Dept of Sur "

Provider ID: 773618University Specialty Clinics Dept O3 Medical Park Ste 310Columbia, SC 29203(803) 434-8283

Ages Seen: 00 Yrs/99 Yrs

Watson, Christopher, MD !"Provider ID: 777255Palmetto Health Surgical Specialist9 Richland Medical Park Ste 450Columbia, SC 29203(803) 434-8800

Ages Seen: 00 Yrs/99 Yrs

Weircox, Kaylene, MD !"Provider ID: 772616Premier Surgical Group3019 Farrow RdColumbia, SC 29203(803) 779-3222

Ages Seen: 00 Yrs/99 Yrs

Willcox III, Hugh, MD "Provider ID: 771111Surgical Associates of South Caroli1850 Laurel StColumbia, SC 29201(803) 256-3400

Ages Seen: 00 Yrs/99 Yrs

Williams, Alana, MD "Provider ID: 774114Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 296-2548

Ages Seen: 00 Yrs/99 Yrs

GYNECOLOGICAL ONCOLOGY

Merritt, William, MD "Provider ID: 774353SC Oncology Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 00 Yrs/99 Yrs

Smith, Sidney, MD "Provider ID: 771692South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

Williams Jr, James, MD !"Provider ID: 773714South Carolina Oncology

Associates166 Stonebridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

HEMATOLOGY & ONCOLOGY

Babcock, Williams, MD "Provider ID: 773775South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

Baldwin, Phillip, MD "Provider ID: 771383South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

Butler, William, MD "Provider ID: 777027South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

El Geneidy, Mohamed, MD !"Provider ID: 773121South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 00 Yrs/99 Yrs

Gonzalez, M, MD "Provider ID: 770376Language: Italian, SpanishM Franciso Gonzalez MD3 Richland Medical Park Rd Ste 270Columbia, SC 29203(803) 779-6610

Ages Seen: 00 Yrs/99 Yrs

Hutchison, Ann, MD "Provider ID: 772822South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 00 Yrs/99 Yrs

Jones, George, MD "Provider ID: 775060South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

McElveen, Leland, MD "Provider ID: 771132South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

Mendiratta, Prateek, MD !"Provider ID: 770620SC Oncology Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 00 Yrs/99 Yrs

Mushtaq, Chaudhry, MD !"Provider ID: 777025South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

Sommers, Scott, MD "Provider ID: 776949South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

Wise, Rudolph, MD "Provider ID: 772100South Carolina Oncology

Associates166 Stonebridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

INFECTIOUS DISEASE

Ahuja, Divya, MD !"Provider ID: 770775Language: Hindi, PunjabiUniversity Specialty Clinic- Int Me1 Medical ParkSte 420 The Midlands Care

ConsortiumColumbia, SC 29203(803) 545-5350

Ages Seen: 00 Yrs/99 Yrs

Ahuja, Divya, MD !"Provider ID: 770776Language: Hindi, PunjabiRichland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Ahuja, Divya, MD !"Provider ID: 770775Language: Hindi, PunjabiUniversity Specialty Clinics-Int Me2 Medical Park Ste 502Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Ahuja, Divya, MD !"Provider ID: 770775Language: Hindi, PunjabiIntermedical HospitalTaylor At Marion StRm 622Columbia, SC 29220(803) 296-3097

Ages Seen: 00 Yrs/99 Yrs

Albrecht, Helmut, MD !"Provider ID: 775757Language: GermanUniversity Specialty Clinics1 Medical Park Ste 420Columbia, SC 29203(803) 545-5351

Ages Seen: 00 Yrs/99 Yrs

Albrecht, Helmut, MD !"Provider ID: 775757Language: GermanUniversity Specialty Clinics Int Me2 Medical Park Ste 506Columbia, SC 29203(803) 252-2135

Ages Seen: 00 Yrs/99 Yrs

Albrecht, Helmut, MD !"Provider ID: 775757Language: GermanIntermedical HospitalTaylor At Marion StRm 622Columbia, SC 29220(803) 296-3097

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 61: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY56

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

INFECTIOUS DISEASE (cont.)

Arroyo, Julio, MD "Provider ID: 770301Language: SpanishPalmetto Health Infectious Disease1333 Taylor St Ste 4GColumbia, SC 29201(803) 296-3273

Ages Seen: 00 Yrs/99 Yrs

Bryan, Charles, MD "Provider ID: 773667Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 788-9426

Ages Seen: 00 Yrs/99 Yrs

Dash, Sangita, MD !"Provider ID: 771468University Specialty Clinics Int Me1 Richland Medical ParkSte 420 The Midlands Care

ConsortiumColumbia, SC 29203(803) 545-5350

Ages Seen: 00 Yrs/99 Yrs

Dash, Sangita, MD !"Provider ID: 771468University Specialty Clinics Int Me2 Medical Park Rd Ste 502Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Duffus, Wayne, MD !"Provider ID: 771093Univ Specialty Clinics - Inf Dis2 Medical Park Ste 502Columbia, SC 29203(803) 540-1000

Ages Seen: 16 Yrs/99 Yrs

Horvath, Joseph, MD !"Provider ID: 772542The Midlands Care Consortium1 Medical Park Ste 240Columbia, SC 29203(803) 545-5350

Ages Seen: 16 Yrs/99 Yrs

Horvath, Joseph, MD !"Provider ID: 772542University Specialty Clinics Int Me2 Medical Park Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 16 Yrs/99 Yrs

Palmetto Health Infectious Disease "

Provider ID: 7765231333 Taylor St Ste 4GColumbia, SC 29201(803) 296-3273

Ages Seen: 00 Yrs/99 Yrs

Weissman, Sharon, MD !"Provider ID: 769981Usc Department of Internal

Medicine2 Medical Park Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Yeon, Philip, MD !"Provider ID: 772390Palmetto Health Infectious Disease1333 Taylor St Ste 4 GColumbia, SC 29201(803) 296-3273

Ages Seen: 00 Yrs/99 Yrs

Yeon, Philip, MD !"Provider ID: 772390Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Abdel-Ghani, Saaid, MD "Provider ID: 774337Dept of Internal Medicine2 Medical Park Rd Ste 502Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Adebajo, Adelero, MD !"Provider ID: 769922Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-4001

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Northeast10040 Two Notch RdColumbia, SC 29223(803) 788-1153

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Ridgeview4214 Hardscrabble RdColumbia, SC 29223(803) 736-8955

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Forest Acres4500 Forest DrColumbia, SC 29206(803) 738-9522

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctor Care Beltline511 Beltline BlvdColumbia, SC 29205(803) 782-4051

Ages Seen: 00 Yrs/99 Yrs

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Columbia East7653 Garners Ferry RdColumbia, SC 29209(803) 783-2661

Ages Seen: 00 Yrs/99 Yrs

Ansani, Monica, MD !"Provider ID: 773703Providence Inpatient Medicine

Assoc2435 Forrest DrColumbia, SC 29204(803) 788-9426

Ages Seen: 00 Yrs/99 Yrs

Associates IN Internal Medicine "

Provider ID: 767095Providence Internal Medicine

Downto2601 Laurel St Ste 230Columbia, SC 29204(803) 254-4056

Ages Seen: 00 Yrs/99 Yrs

Associates IN Internal Medicine "

Provider ID: 7670962701 Middleburg DrColumbia, SC 29204(803) 254-2786

Ages Seen: 00 Yrs/99 Yrs

Atrium Ridge Internal Medicine "

Provider ID: 76971711 Atrium Ridge CtColumbia, SC 29223(803) 699-9992

Ages Seen: 00 Yrs/99 Yrs

Atrium Ridge Internal Medicine Speciali "

Provider ID: 776964Palmetto Health11 Atrium Ridge CtColumbia, SC 29223(803) 699-9992

Ages Seen: 00 Yrs/99 Yrs

Augustine Health Group "Provider ID: 7683621655 Bernardin Ave Ste 110Columbia, SC 29204(803) 254-4056

Ages Seen: 00 Yrs/99 Yrs

Augustine Health Group "Provider ID: 7683642601 Laurel St Ste 230Columbia, SC 29204(803) 865-4780

Ages Seen: 00 Yrs/99 Yrs

Bair, Curtis, MD "Provider ID: 772030Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Ballou, Christopher, MD "Provider ID: 774768Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Barber, Jason, MD "Provider ID: 774334Palmetto Health dba Internal Medici3 Medical Park Ste 510Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Barber, Jason, MD "Provider ID: 774334University Family Medicine4311 Hard Scrabble RdColumbia, SC 29229(803) 419-6334

Ages Seen: 00 Yrs/99 Yrs

Barber, Jason, MD "Provider ID: 774334Blythewood Convenience Care738 University Village DrBlythewood, SC 29016(803) 461-0270

Ages Seen: 00 Yrs/99 Yrs

Bell, Gary, MD "Provider ID: 774986Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 788-9426

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 62: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY57

INTERNAL MEDICINE (cont.)

Brett, Allan, MD "Provider ID: 775280Usc Specialty Clinics Internal Medi2 Medical ParkSte 502-506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Chillag, Shawn, MD "Provider ID: 776088Usc Specialty Clinics Internal Medi2 Medical ParkSte 502-506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Dipette, Donald, MD "Provider ID: 771252Dept of Internal Medicine2 Medical Park Rd Ste 502Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Edgar-Zarate, Courtney, MD "Provider ID: 775524Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Edwards, Thomas, MD "Provider ID: 772068Palmetto Health Baptist1330 Taylor StColumbia, SC 29220(803) 296-5579

Ages Seen: 00 Yrs/99 Yrs

Emmer, Michael, MD !"Provider ID: 771600Baptist Inpatient Medical AssociateTaylor At Marion StColumbia, SC 29220(803) 296-5579

Ages Seen: 00 Yrs/99 Yrs

Fields, James, MD !"Provider ID: 770001Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

First Care "#Provider ID: 767530Palmetto Health dba First Care2406 Decker BlvdColumbia, SC 29206(803) 736-2530

Ages Seen: 00 Yrs/99 Yrs

Gamage, Anoma, MD !"Provider ID: 772137Language: FrenchBlythewood Convenience Care738 University Village DrBlythewood, SC 29016(803) 461-0270

Ages Seen: 00 Yrs/99 Yrs

George, Charmaine, MD "Provider ID: 777162Medical Endoscopy1735 Taylor StColumbia, SC 29201(803) 254-8449

Ages Seen: 00 Yrs/99 Yrs

Goins, Amanda, MD "Provider ID: 770168Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Grace Medical Group "Provider ID: 7678543025 Farrow RdColumbia, SC 29203(803) 993-0588

Ages Seen: 16 Yrs/99 Yrs

Harden, Oliver, MD "Provider ID: 771010Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 788-9426

Ages Seen: 00 Yrs/99 Yrs

Harrell, Rhona, MD !"Provider ID: 771255Baptist Inpatient Medical AssociateTaylor At Marion StColumbia, SC 29220(803) 296-5576

Ages Seen: 00 Yrs/99 Yrs

Hawn, Leigh, MD !"Provider ID: 770944Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Henderson, Nathan, MD "Provider ID: 774838Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Hendrix, John, MD "Provider ID: 773826Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Hess, Daniel, MD "Provider ID: 773459Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Huffman, Leroy, MD "Provider ID: 776572Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 788-9426

Ages Seen: 00 Yrs/99 Yrs

Hurley, Brian, MD !"Provider ID: 772233Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Jack H Gottlieb MD "Provider ID: 7691972601 Laurel St"" 120""Columbia, SC 29204(803) 254-7889

Ages Seen: 00 Yrs/99 Yrs

Lally, Davinder, MD "Provider ID: 775047Usc Specialty Clinics Internal Medi2 Medical ParkSte 502-506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Lamba, Jaydeep, MD !"Provider ID: 774845Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Lindsey, William, MD !"Provider ID: 774799Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Lindsey, William, MD !"Provider ID: 774799Palmetto Health dba Hos Int Med3 Medical Park Ste 510Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Lloyd, Stephen, MD "Provider ID: 776866Language: French, SpanishMedical Endoscopy Professionals1735 Taylor StColumbia, SC 29201(803) 254-8449

Ages Seen: 00 Yrs/99 Yrs

Lord, Lori, MD !"Provider ID: 771637Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 18 Yrs/99 Yrs

Love Jr, Joseph, MD !"Provider ID: 776477Palmetto Pulmonary1333 Taylor St Ste 6FColumbia, SC 29201(803) 296-3273

Ages Seen: 00 Yrs/99 Yrs

Lowman, Philip, MD "Provider ID: 770884University Specialty Clinics Intern1801 Sunset BlvdColumbia, SC 29203(800) 343-4410

Ages Seen: 18 Yrs/99 Yrs

Lowman, Philip, MD "Provider ID: 770884University Specialty Clinics Intern2 Medical Park Ste 501Columbia, SC 29203(803) 540-1000

Ages Seen: 18 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 63: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY58

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

INTERNAL MEDICINE (cont.)

Marshall, Amber, MD "Provider ID: 772165Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Marshall II, Ted, MD "Provider ID: 774456Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Marshall II, Ted, MD "Provider ID: 774456Palmetto Health Richland5 Richland Med ParkColumbia, SC 29205(803) 434-4001

Ages Seen: 00 Yrs/99 Yrs

McCallum, Brown, MD !"Provider ID: 770735Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Midlands Internal Medicine "Provider ID: 767279Palmetto Health3000 NE Medical Park Ste 108Columbia, SC 29223(803) 462-9200

Ages Seen: 16 Yrs/99 Yrs

Midlands Internal Medicine "Provider ID: 7710743000 NE Medical Park Ste 108Columbia, SC 29223(803) 462-9200

Ages Seen: 00 Yrs/99 Yrs

Milatz, Laurie, DO !"Provider ID: 775857Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 788-9426

Ages Seen: 00 Yrs/99 Yrs

Moore-Bowens, Stacie, MD "Provider ID: 771459Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 788-9426

Ages Seen: 00 Yrs/99 Yrs

Mouratev, Gueorgui, MD "Provider ID: 776692Palmetto Health Baptist6439 Garners Ferry RdColumbia, SC 29209(803) 296-5579

Ages Seen: 00 Yrs/99 Yrs

Nairn, Dana, MD !"Provider ID: 775937Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 788-9426

Ages Seen: 00 Yrs/99 Yrs

Neal, Green, MD "Provider ID: 774459Medical Endoscopy1735 Taylor StColumbia, SC 29201(803) 254-8449

Ages Seen: 00 Yrs/99 Yrs

Negash, Yohannes, MD "Provider ID: 771598Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 788-9426

Ages Seen: 00 Yrs/99 Yrs

Oladipo, Tiamiyu, MD "Provider ID: 773009Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Oladipo, Tiamiyu, MD "Provider ID: 773009Palmetto Health dba Hospital Int

Med3 Medical Park Ste 510Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Oladipo, Tiamiyu, MD "Provider ID: 773009Palmetto Health Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-7000

Ages Seen: 00 Yrs/99 Yrs

Patel, Nitin, MD "Provider ID: 776467Atrium Ridge Internal Medicine Spe11 Atrium Ridge CtColumbia, SC 29223(803) 699-9992

Ages Seen: 00 Yrs/99 Yrs

Patel, Nitin, MD "Provider ID: 776467Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Patel, Nitin, MD "Provider ID: 776467Midlands Internal Medicine3000 NE Medical Park Ste 108Columbia, SC 29223(803) 462-9200

Ages Seen: 00 Yrs/99 Yrs

Patel, Nitin, MD "Provider ID: 776467Blythewood Convenience Care738 University Village DrBlythewood, SC 29016(803) 461-0270

Ages Seen: 00 Yrs/99 Yrs

Poston, Mary, MD !"Provider ID: 773496Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Poston, Mary, MD !"Provider ID: 773495Usc Specialty Clinics Internal Medi2 Medical ParkSte 502-506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Powell, Caroline, MD !"Provider ID: 772583Usc Specialty Clinics Internal Medi2 Medical ParkSte 502-506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Powers, Heather, MD "Provider ID: 770688Palmetto Health dba Baptist InpatieTaylor At Marion StColumbia, SC 29220(803) 296-5579

Ages Seen: 00 Yrs/99 Yrs

Providence Internal Medicine Northeast "

Provider ID: 767206Providence Internal Medicine

Northe114 Gateway Corporate Blvd

Ste 300Columbia, SC 29203(803) 865-4514

Ages Seen: 18 Yrs/99 Yrs

Puher, Melissa, DO "Provider ID: 773994Palmetto Health Richland14 Medical Park Dr Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Pye, Wesley, MD "Provider ID: 772737Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Radwan, Mohamed, MD "Provider ID: 770346Richland Hospital Internal Medicine14 Medical Park Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Ramasamy, Poornema, MD !"Provider ID: 776740Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Rao, Promila, MD !"Provider ID: 773669Language: Hindi, PunjabiRichland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 18 Yrs/99 Yrs

Ray, Donna, MD !"Provider ID: 774280Usc Specialty Clinics Internal Medi2 Medical ParkSte 502-506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 64: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY59

INTERNAL MEDICINE (cont.)

Richeson, Nancy, MD "Provider ID: 774036Usc Specialty Clinics Internal Medi2 Medical ParkSte 502-506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Richland Hospital Internal Medicine "

Provider ID: 77479814 Richland Medical Park DrColumbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Rivers, Cedric, MD !"Provider ID: 774590Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Rivers, Cedric, MD !"Provider ID: 774590Blythewood Convenience Care738 University Village DrBlythewood, SC 29016(803) 461-0270

Ages Seen: 00 Yrs/99 Yrs

Rouse, Kelle, MD !"Provider ID: 774516Blythewood Convenience Care738 University Village DrBlythewood, SC 29016(803) 461-0270

Ages Seen: 00 Yrs/99 Yrs

Safdar, Mohammad, MD "Provider ID: 771271Richland Hospital Internal Medicine14 Richland Medical Park DrColumbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Sampson, Donald, MD !"Provider ID: 768966Eau Claire Internal Medicine4605 Monticello RdBldg A - Ste 3Columbia, SC 29203(803) 754-0151

Ages Seen: 00 Yrs/99 Yrs

Sheldon, Martin, MD !"Provider ID: 770607Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 302Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Sides, Andrew, MD !"Provider ID: 775338University Specialty Clinics Intern1801 Sunset DrColumbia, SC 29203(803) 434-4138

Ages Seen: 00 Yrs/99 Yrs

Sides, Andrew, MD !"Provider ID: 775338University Specialty Clinics Intern2 Medical Park Ste 501Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Srikantiah, Saraswati, MD "Provider ID: 774738Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Srikantiah, Saraswati, MD "Provider ID: 774738Palmetto Health dba First Care2406 Decker BlvdColumbia, SC 29206(803) 736-2530

Ages Seen: 00 Yrs/99 Yrs

Srikantiah, Saraswati, MD "Provider ID: 774738University Family Medicine4311 Hard Scrabble RdColumbia, SC 29229(803) 419-6334

Ages Seen: 00 Yrs/99 Yrs

Srikantiah, Saraswati, MD "Provider ID: 774738Blythewood Convenience Care738 University Village DrBlythewood, SC 29016(803) 461-0270

Ages Seen: 00 Yrs/99 Yrs

Stinson, Michael, MD !"Provider ID: 771691University Specialty Clinics - Int2 Medical Park Rd Ste 501Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Talente, Gregg, MD !"Provider ID: 775879Teaching Clinics1801 Sunset DrColumbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Talente, Gregg, MD !"Provider ID: 775879Usc Specialty Clinics Internal Medi2 Medical Park Ste 501Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Tarekegne, Mulugeta, MD "Provider ID: 772164Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 788-9426

Ages Seen: 00 Yrs/99 Yrs

Three Rivers Medical Associates "

Provider ID: 7672751301 Taylor St Ste 8-AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Three Rivers Medical Associates "

Provider ID: 7672767430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

University Family Medicine "Provider ID: 7703434311 Hard Scrabble RdColumbia, SC 29229(803) 419-6334

Ages Seen: 00 Yrs/99 Yrs

Usmani, Abdul, MD !"Provider ID: 774541Carolina Kidney Specialists1655 Bernadin Ave Ste 200Columbia, SC 29204(803) 256-1137

Ages Seen: 00 Yrs/99 Yrs

Usmani, Abdul, MD !"Provider ID: 774541Carolina Kidney Specialists9 Harvest LnColumbia, SC 29203(803) 397-2698

Ages Seen: 00 Yrs/99 Yrs

Vidal, Rachel, MD !"Provider ID: 777159Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 788-9426

Ages Seen: 00 Yrs/99 Yrs

Wisdom, Matthew, MD "Provider ID: 770119Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Yoon, Chung, MD "Provider ID: 771560Department of Internal Medicine2 Medical Park Rd Ste 501Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

MATERNAL FETAL MEDICINE

Browne, Paul, MD !"Provider ID: 772420Usc Dept of Obgyn2 Medical Park Ste 208Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Browne, Paul, MD !"Provider ID: 772421Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-7192

Ages Seen: 00 Yrs/99 Yrs

Goetzl, Laura, MD !"Provider ID: 773372University Specialty Clinics Obgyn15 Medical Park Rd 300Columbia, SC 29203(803) 255-3417

Ages Seen: 00 Yrs/99 Yrs

Goetzl, Laura, MD !"Provider ID: 773372University Specialty Clinics Obgyn2 Medical Park Rd Ste 106Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Johnson, Donna, MD !"Provider ID: 776179Usc Dept of Obgyn15 Medical Park Rd Ste 300Columbia, SC 29203(803) 255-3417

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 65: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY60

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

MATERNAL FETAL MEDICINE (cont.)

Johnson, Donna, MD !"Provider ID: 776179Usc Dept of Obgyn2 Medical Park Rd Ste 208Columbia, SC 29203(803) 545-5712

Ages Seen: 00 Yrs/99 Yrs

Sullivan, Scott, MD !"Provider ID: 772360Usc Obstetrics Gynecology2 Medical Park Ste 208Columbia, SC 29203(803) 779-4928

Ages Seen: 00 Yrs/99 Yrs

MEDICAL ONCOLOGY

Ackerman, Mary, MD !"Provider ID: 776819South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

Kudrik, Fred, MD !"Provider ID: 770577South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

Roberts, Carla, MD !"Provider ID: 777023Pediatric Oncology5 Richland Medical ParkColumbia, SC 29203(803) 434-3533

Ages Seen: 00 Yrs/18 Yrs

Roberts, Carla, MD !"Provider ID: 777023Pediatric Oncology7 Medical Park Ste 203Columbia, SC 29203(803) 434-3533

Ages Seen: 00 Yrs/18 Yrs

Smith Jr, Robert, MD "Provider ID: 772308South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

South Carolina Oncology Associates "

Provider ID: 773244166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 00 Yrs/99 Yrs

NEONATAL PERINATAL MEDICINE

Amarnath, UMA, MD "Provider ID: 775533Pediatrix Medical Grp of South Caro5 Richland Medical Park DrColumbia, SC 29203(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Bartley, John, MD !"Provider ID: 771873Pediatrix Medical Grp of South Caro5 Richland Medical Park DrColumbia, SC 29203(803) 434-3886

Ages Seen: 00 Yrs/99 Yrs

Bass, James, MD !"Provider ID: 770679Pediatrix Medical Group of SC5 Richland Medical Park DrColumbia, SC 29203(803) 434-4306

Ages Seen: 00 Yrs/99 Yrs

Bendeck, John, MD "Provider ID: 771522Pediatrix Medical Grp of South Caro1330 Taylor StColumbia, SC 29220(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

Chang, Eugene, MD !"Provider ID: 772205Usc Obstetrics Gynecology2 Medical Park Ste 106Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Coates, Eric, MD !"Provider ID: 770212Pediatrix Medical Group of SC1330 Taylor StColumbia, SC 29220(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

Coates, Eric, MD !"Provider ID: 770212Pediatrix Medical Group of SC5 Richland Medical ParkColumbia, SC 29203(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Edelson, Mary, MD !"Provider ID: 775946Pediatrix Medical Grp of South Caro1330 Taylor StColumbia, SC 29220(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

Ellis, Sharon, MD "Provider ID: 773406Pediatrix Medical Grp of South Caro1330 Taylor StColumbia, SC 29220(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

Gamble, Yvette, MD !"Provider ID: 773033Pediatrix Medical Grp of South Caro5 Richalnd Medical ParkColumbia, SC 29203(803) 434-3886

Ages Seen: 00 Yrs/99 Yrs

Gamble, Yvette, MD !"Provider ID: 773033Pediatrix Medical Grp of South CaroTaylor At Marion StColumbia, SC 29220(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

Iskersky, Victor, MD !"Provider ID: 771568Pediatrix Medical Grp of South Caro120 Gateway Corporate BlvdColumbia, SC 29203(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

Lall, Ritu, MD !"Provider ID: 770448Pediatrix Medical Grp of South Caro120 Gateway Corporate BlvdColumbia, SC 29203(803) 254-2706

Ages Seen: 00 Yrs/01 Yrs

Lall, Ritu, MD !"Provider ID: 770448Pediatrix Medical Grp of South Caro5 Richland Medical Park DrColumbia, SC 29203(803) 434-4306

Ages Seen: 00 Yrs/01 Yrs

Marsh, Thomas, MD "Provider ID: 772537Pediatrix Medical Grp of South Caro5 Richland Medical Park DrColumbia, SC 29203(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro120 Gateway Corporate BlvdColumbia, SC 29203(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro1330 Taylor StColumbia, SC 29220(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro3 Richland Medical Park DrColumbia, SC 29203(803) 434-4306

Ages Seen: 00 Yrs/99 Yrs

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro5 Richland Medical Park DrColumbia, SC 29203(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Rao, Raviprasad, MD !"Provider ID: 774033Pediatrix Medical Group of SC120 Gateway Corporate BlvdColumbia, SC 29203(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

Rao, Raviprasad, MD !"Provider ID: 774033Pediatrix Medical Group of SC5 Richland Medical Park DrColumbia, SC 29203(803) 434-4306

Ages Seen: 00 Yrs/99 Yrs

Watson, Stephen, MD !"Provider ID: 770240Pediatrix Medical Group of SC5 Richland Medical Park DrColumbia, SC 29203(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Yajnik, Bhavana, MD "Provider ID: 770063Pediatrix Medical Grp of South Caro1330 Taylor StColumbia, SC 29220(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 66: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY61

NEONATAL PERINATAL MEDICINE (cont.)

Yajnik, Bhavana, MD "Provider ID: 770064Sleepmed1333 Taylor St Ste 6B 5BColumbia, SC 29201(803) 296-5847

Ages Seen: 00 Yrs/99 Yrs

Yajnik, Bhavana, MD "Provider ID: 770064Sleepmed700 Gervas St Ste 200Columbia, SC 29201(800) 373-7326

Ages Seen: 00 Yrs/99 Yrs

NEPHROLOGY

Abraham, Koshy, MD !"Provider ID: 775796Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Bailey, Asha, DO "Provider ID: 774423Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 00 Yrs/99 Yrs

Brannigan Jr, Joseph, MD !"Provider ID: 772862Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Buerkert, John, MD "Provider ID: 776155Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Carolina Kidney Specialists "Provider ID: 7771101655 Bernadin Ave Ste 200Columbia, SC 29204(803) 256-1137

Ages Seen: 00 Yrs/99 Yrs

Carolina Kidney Specialists "Provider ID: 7771109 Harvest LnColumbia, SC 29203(803) 397-2698

Ages Seen: 00 Yrs/99 Yrs

Columbia Nephrology Associates "

Provider ID: 772762121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Cook, Michael, MD !"Provider ID: 774659Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Ellis, Renee, MD !"Provider ID: 770827Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Hines Jr, Marcono, MD "Provider ID: 776967Columbia Nephrology Assoc121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 00 Yrs/99 Yrs

Keane, William, MD "Provider ID: 776035Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Lifland, Howard, MD !"Provider ID: 775185Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

McLaughlin, Niall, MD !"Provider ID: 773163Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Mutinga, Nzisa, MD !"Provider ID: 770606Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Patel, Sejan, MD !"Provider ID: 772834Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 17 Yrs/99 Yrs

Powell, Thomas, MD !"Provider ID: 772084Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Prabhu, Prakash, MD !"Provider ID: 770457Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Shealy, Carl, MD !"Provider ID: 776386Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Shenoy, Rajeev, MD !"Provider ID: 773279Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Shure, David, MD !"Provider ID: 775107Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Smith, Gregory, MD !"Provider ID: 773218Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 16 Yrs/99 Yrs

Usmani, Abdul, MD !"Provider ID: 774541Carolina Kidney Specialists1655 Bernadin Ave Ste 200Columbia, SC 29204(803) 256-1137

Ages Seen: 00 Yrs/99 Yrs

Usmani, Abdul, MD !"Provider ID: 774541Carolina Kidney Specialists9 Harvest LnColumbia, SC 29203(803) 397-2698

Ages Seen: 00 Yrs/99 Yrs

Wheeler, Thomas, MD !"Provider ID: 770966Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 17 Yrs/99 Yrs

NEURODEVELOPMENTAL DISABILITIES

Johnson, Graeme, MD !"Provider ID: 772184University Pediatrics8301 Farrow RdColumbia, SC 29203(803) 935-5604

Ages Seen: 00 Yrs/18 Yrs

NEUROLOGY

Carnes, James, MD "Provider ID: 775490South Carolina Neurological Clinica1333 Taylor St Ste 1 CColumbia, SC 29201(803) 254-6391

Ages Seen: 00 Yrs/99 Yrs

Cuturic, Miroslav, MD !"Provider ID: 770515Dept of Neuropsychiatry Behavioral3390 Medical Park DrSte 420 8 Medical ParkColumbia, SC 29203(803) 545-6050

Ages Seen: 18 Yrs/99 Yrs

Cuturic, Miroslav, MD !"Provider ID: 770514University Specialty Clinics Neurol8 Medical Park Dr Ste 420Columbia, SC 29203(803) 565-6050

Ages Seen: 00 Yrs/99 Yrs

Dial, Burke, MD "Provider ID: 773480Language: FrenchPalmetto Neurosurgery and Spine5 Medical ParkColumbia, SC 29203(803) 434-8323

Ages Seen: 00 Yrs/99 Yrs

Faber, Theodore, MD "Provider ID: 773965University Specialty Clinics Neurol8 Medical Park Dr Ste 420Columbia, SC 29203(803) 565-6050

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 67: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY62

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

NEUROLOGY (cont.)

Hwang, Te, MD "Provider ID: 770872Language: Mandarin, TaiwaneseDept of Neuropsychiatry Behavioral3390 Medical Park DrSte 420 8 Medical ParkColumbia, SC 29203(803) 545-6050

Ages Seen: 21 Yrs/99 Yrs

Hwang, Te, MD "Provider ID: 770870Language: Mandarin, TaiwaneseUniversity Specialty Clinics Neurol8 Medical Park Dr Ste 420Columbia, SC 29203(803) 565-6050

Ages Seen: 00 Yrs/99 Yrs

Mareska, Michael, MD !"Provider ID: 773772South Carolina Neurological Clinica1333 Taylor St Ste 1 CColumbia, SC 29201(803) 254-6391

Ages Seen: 00 Yrs/99 Yrs

Midlands Neurology Pain Associates "

Provider ID: 7745124801 North Main StColumbia, SC 29203(803) 788-0038

Ages Seen: 00 Yrs/99 Yrs

Mrelashvili, Davit, MD !"Provider ID: 775659Language: RussianUscneuropsychiatry Behavioral

Scie3390 Medical Park DrSte 420 8 Medical ParkColumbia, SC 29203(803) 545-6050

Ages Seen: 00 Yrs/99 Yrs

Mrelashvili, Davit, MD !"Provider ID: 775658Language: RussianUniversity Specialty Clinics Neurol8 Medical Park Dr Ste 420Columbia, SC 29203(803) 565-6050

Ages Seen: 00 Yrs/99 Yrs

Ogburu-Ogbonnaya, Eleanya, MD "

Provider ID: 770555Midlands Neurology Pain

Associates4801 N Main StColumbia, SC 29203(803) 788-0038

Ages Seen: 00 Yrs/99 Yrs

Selph, James, MD !"Provider ID: 774601University Specialty Clinics Neurol8 Medical Park Dr Ste 420Columbia, SC 29203(803) 565-6050

Ages Seen: 00 Yrs/99 Yrs

Sen, Souvik, MD !"Provider ID: 777183Usc Neuropsychiatry Behavioral Sci8 Medical Park Ste 420Columbia, SC 29203(803) 545-6050

Ages Seen: 00 Yrs/99 Yrs

South Carolina Neurological Clinical "

Provider ID: 776053South Carolina Neurological Clinica1333 Taylor St Ste 1 CColumbia, SC 29201(803) 254-6391

Ages Seen: 00 Yrs/99 Yrs

Stuck, Craig, MD !"Provider ID: 772536Dept of Neuropsych Behavioral Scie15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Neurology "

Provider ID: 773229University Specialty Clinics Neurol8 Medical Park Dr Ste 420Columbia, SC 29203(803) 565-6050

Ages Seen: 00 Yrs/99 Yrs

NEUROSURGERY

Dial, Burke, MD "Provider ID: 773481Language: FrenchUniversity Specialty Clinic Neurosu3 Richland Medical Park Dr Ste 310Columbia, SC 29203(803) 434-8283

Ages Seen: 00 Yrs/99 Yrs

Maryanov, Timothy, MD "Provider ID: 774544University Specialty Clinics Neuro3 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-8323

Ages Seen: 00 Yrs/99 Yrs

Smith Jr, Lenwood, MD "Provider ID: 775551University Specialty Clinic Neurosu3 Richland Medical Park Dr Ste 310Columbia, SC 29203(803) 434-8283

Ages Seen: 00 Yrs/99 Yrs

Sweet, Raymond, MD "Provider ID: 777019University Specialty Clinic Neurosu3 Richland Medical Park Dr Ste 310Columbia, SC 29203(803) 434-8283

Ages Seen: 00 Yrs/99 Yrs

Toussaint, Charles, MD "Provider ID: 775452University Specialty Clinics-Neuros3 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-8323

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Neurosurger "

Provider ID: 775515University Specialty Clinics Neuros3 Richland Medical Park Dr Ste 310Columbia, SC 29203(803) 434-8323

Ages Seen: 00 Yrs/99 Yrs

Webb, Sharon, MD "Provider ID: 775354University Specialty Clinics Neuros3 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-8323

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS

Baxley, Elizabeth, MD !"Provider ID: 775278Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Moore, Kathryn, MD !"Provider ID: 776443Columbia Womens Healthcare1301 Taylor St Ste 6JColumbia, SC 29201(803) 254-3230

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Alanis, Mark, MD "Provider ID: 775081University Specialty Clinics Obgyn2 Medical Park Rd Ste 106Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Bradshaw-Graham, Electra, MD "

Provider ID: 771824Palmetto Obgyn Associates1333 Taylor St Ste 5 FColumbia, SC 29201(803) 733-9598

Ages Seen: 00 Yrs/99 Yrs

Burgis, Judith, MD !"Provider ID: 771654University Specialty Clinics2 Medical ParkSte 208 Dept of ObgynColumbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Capital City OB GYN "Provider ID: 7733741301 Taylor St Ste 2 HColumbia, SC 29201(803) 254-7004

Ages Seen: 00 Yrs/99 Yrs

Carzoli, Thomas, MD "Provider ID: 773706Carzoli Thomas J1301 Taylor St Ste 5KColumbia, SC 29201(803) 765-2090

Ages Seen: 00 Yrs/99 Yrs

Coleman, Janice, MD "Provider ID: 776287Women Physicians Associates

Obgyn9 Richland Medical Park Ste 620Columbia, SC 29203(803) 779-6776

Ages Seen: 00 Yrs/99 Yrs

Columbia Womens Healthcare "Provider ID: 7734481301 Taylor St Ste 6JColumbia, SC 29201(803) 254-3230

Ages Seen: 00 Yrs/99 Yrs

Davis, Deborah, MD !"Provider ID: 774291Waverly Womens Health Care1228 Harden StColumbia, SC 29204(803) 744-0540

Ages Seen: 00 Yrs/99 Yrs

Davis, Myles, MD !"Provider ID: 770795Columbia Womens Healthcare1301 Taylor St Ste 6JColumbia, SC 29201(803) 254-3230

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 68: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY63

OBSTETRICS/GYNECOLOGY (cont.)

Eau Claire Cooperative Health Center Obg "

Provider ID: 772261Waverly Womens Health Care1228 Harden StColumbia, SC 29204(803) 744-0540

Ages Seen: 00 Yrs/99 Yrs

Eau Claire Cooperative Health Center Obg "

Provider ID: 772261Ecchc2117 Gervais StColumbia, SC 29204(803) 748-1181

Ages Seen: 00 Yrs/99 Yrs

Eau Claire Cooperative Health Center Obg "

Provider ID: 772261Ecchc4801 Monticello RdColumbia, SC 29203(803) 754-0151

Ages Seen: 00 Yrs/99 Yrs

Eden, Sharon, MD !"Provider ID: 774988Women Physicians Associates

Obgyn9 Richland Medical Park Ste 620Columbia, SC 29203(803) 779-6776

Ages Seen: 00 Yrs/99 Yrs

Ferguson, James, MD !"Provider ID: 771326Three Rivers Obgyn Associates1301 Taylor St Ste 7BColumbia, SC 29201(803) 254-9461

Ages Seen: 00 Yrs/99 Yrs

Filler, Lilly, MD !"Provider ID: 776810Women Physicians Associates

Obgyn9 Richland Medical Park Ste 620Columbia, SC 29203(803) 779-6776

Ages Seen: 00 Yrs/99 Yrs

Fogelson, Nicholas, MD !"Provider ID: 771203Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-7192

Ages Seen: 00 Yrs/99 Yrs

Franks, Sherri, MD !"Provider ID: 777044Palmetto Obgyn Associates1333 Taylor St Ste 5FColumbia, SC 29201(803) 733-9598

Ages Seen: 00 Yrs/99 Yrs

Giddings, Allison, MD "Provider ID: 771278University Specialty Clinics Obgyn2 Richland Medical Park Ste 208Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Goode, Kimberlee, MD !"Provider ID: 772469Women Physicians Associates

Obgyn9 Richland Medical Park Ste 620Columbia, SC 29203(803) 779-6776

Ages Seen: 00 Yrs/99 Yrs

Greater Columbia Obgyn "Provider ID: 7709061301 Taylor St Ste 3LColumbia, SC 29201(803) 252-0470

Ages Seen: 00 Yrs/99 Yrs

Greene, Jennifer, MD !"Provider ID: 773626Usc Dept of Obgyn2 Medical ParkColumbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Greene, Jennifer, MD !"Provider ID: 773626Usc Dept of Obgyn4311 Hardscrabble RdColumbia, SC 29229(803) 779-4928

Ages Seen: 00 Yrs/99 Yrs

Hartshorne, Wendy, MD !"Provider ID: 770759Usc Dept of Obgyn2 Medical Park Ste 208Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Hepfer, Thomas, MD "Provider ID: 776027Language: American Sign Language, SpanishPalmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 296-2548

Ages Seen: 00 Yrs/99 Yrs

Herbert, John, MD "Provider ID: 7771662 Richland Medical ParkColumbia, SC 29203(803) 255-3422

Ages Seen: 00 Yrs/99 YrsPalmetto Health Richland

Herbert, John, MDProvider ID: 7771652 Richland Medical Park Ste 208Columbia, SC 29203(803) 779-4928

Ages Seen: 00 Yrs/99 Yrs

Hutchinson, Christopher, MD !"

Provider ID: 770444Three Rivers Obgyn Associates1301 Taylor St Ste 7BColumbia, SC 29201(803) 254-9461

Ages Seen: 00 Yrs/99 Yrs

Hutchinson, Manly, MD "Provider ID: 775269Three Rivers Obgyn Associates1301 Taylor St Ste 7BColumbia, SC 29201(803) 254-9461

Ages Seen: 00 Yrs/99 Yrs

Johnson, James, MD "Provider ID: 775681Three Rivers Obgyn Associates1301 Taylor St Ste 7BColumbia, SC 29201(801) 325-4946

Ages Seen: 00 Yrs/99 Yrs

Keeshan, Susan, MD !"Provider ID: 773535Greater Columbia Obgyn1301 Taylor St Ste 3LColumbia, SC 29201(803) 252-0470

Ages Seen: 00 Yrs/99 Yrs

Keeshan, Susan, MD !"Provider ID: 773536Medical Endoscopy1735 Taylor StColumbia, SC 29201(803) 254-8449

Ages Seen: 00 Yrs/99 Yrs

Linfert, Jennifer, MD !"Provider ID: 771140Language: American Sign LanguageWomen Physicians Associates

Obgyn9 Richland Medical Park Ste 620Columbia, SC 29203(803) 779-6776

Ages Seen: 00 Yrs/99 Yrs

Mattox, Thomas, MD !"Provider ID: 772992Univ Spec Clinics2 Richland Medical ParkDept of ObgynColumbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Mauldin, Jill, MD !"Provider ID: 776497University Specialty Clinics Obgyn2 Medical Park Rd Ste 106Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Menon, Seema, MD !"Provider ID: 772936Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(115) 437-3843

Ages Seen: 00 Yrs/99 Yrs

Moore, John, MD !"Provider ID: 776291Columbia Womens Health Care1301 Taylor St Ste 6JColumbia, SC 29201(803) 254-3230

Ages Seen: 00 Yrs/99 Yrs

Mostafa, Mahmoud, MD "Provider ID: 771878Language: ArabicGreater Columbia Obgyn1301 Taylor St Ste 3LColumbia, SC 29201(803) 252-0470

Ages Seen: 14 Yrs/99 Yrs

Mullins, Julie, DO "Provider ID: 774915Palmetto Obgyn Associates1333 Taylor St Ste 5FColumbia, SC 29201(803) 733-9598

Ages Seen: 00 Yrs/99 Yrs

Neuffer, Mary, MD !"Provider ID: 771007Columbia Womens Healthcare1301 Taylor StSuiet 6JColumbia, SC 29201(803) 254-3230

Ages Seen: 00 Yrs/99 Yrs

Nwanagu, Jonathan, MD !"Provider ID: 770002Language: Ibo/IgboSandhills Obgyn Associates1301 Taylor St Ste 2 -IColumbia, SC 29201(803) 960-6133

Ages Seen: 13 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 69: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY64

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

OBSTETRICS/GYNECOLOGY (cont.)

Odom, Albert, MD !"Provider ID: 775859Columbia Womens Healthcare1301 Taylor St Ste 6JColumbia, SC 29201(803) 254-3230

Ages Seen: 00 Yrs/99 Yrs

Ogunleye, Oluseyi, MD "Provider ID: 771758Waverly Womens Health Center1228 Harden StColumbia, SC 29204(803) 744-0540

Ages Seen: 00 Yrs/99 Yrs

Painter, Lauren, MD !"Provider ID: 773258Women Physicians Associates

Obgyn9 Richland Medical Park Ste 620Columbia, SC 29203(803) 779-6776

Ages Seen: 00 Yrs/99 Yrs

Palmetto Obgyn Associates "Provider ID: 7709181333 Taylor St Ste 5FColumbia, SC 29201(803) 733-9598

Ages Seen: 00 Yrs/99 Yrs

Planned Parenthood Health Systems "

Provider ID: 776330Planned Parenthood Health

Systems I2712 Middleburg DrSuit 107Columbia, SC 29204(803) 256-2600

Ages Seen: 00 Yrs/99 Yrs

Pridgen, Cynthia, MD !"Provider ID: 773411Three Rivers Obgyn Associates1301 Taylor St Ste 7BColumbia, SC 29201(803) 254-9461

Ages Seen: 00 Yrs/99 Yrs

Providence, Kathryn, MD "Provider ID: 772968Waverty Womens Health Center1228 Harden StColumbia, SC 29204(803) 744-0540

Ages Seen: 00 Yrs/99 Yrs

Ravenell, Dianna, MD !"Provider ID: 776635Waverly Womens Health Care1228 Harden StColumbia, SC 29204(803) 744-0540

Ages Seen: 00 Yrs/99 Yrs

Ravenell, Orson, MD !"Provider ID: 774763Greater Columbia Obgyn1301 Taylor St Ste 3LColumbia, SC 29201(803) 252-0470

Ages Seen: 00 Yrs/99 Yrs

Ray, Maggie, MD "Provider ID: 775886Usc Dept of Obgyn2 Richland Medical Park Ste 208Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Reed, Julie, MD !"Provider ID: 772073Palmetto Obgyn Associates1333 Taylor St Ste 5 FColumbia, SC 29201(803) 733-9598

Ages Seen: 12 Yrs/99 Yrs

Reed, Julie, MD !"Provider ID: 772073Palmetto Obgyn Associates190 Parkridge Dr Ste 220Columbia, SC 29209(803) 733-9598

Ages Seen: 12 Yrs/99 Yrs

Richland Community Health Care "

Provider ID: 7739391520 Laurel StColumbia, SC 29201(803) 799-8407

Ages Seen: 00 Yrs/99 Yrs

Risinger, Jennifer, MD !"Provider ID: 771421Women Physicians Associates

Obgyn9 Richland Medical Park Ste 620Columbia, SC 29203(803) 779-6776

Ages Seen: 00 Yrs/99 Yrs

Rittenberg, Charles, MD !"Provider ID: 772515Usc Obstetrics Gynecology2 Medical Park Rd Ste 106Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Roland, Evelyn, DO "Provider ID: 776514Women Physicians Associates2 Medical Park Rd Ste 620Columbia, SC 29203(803) 779-6776

Ages Seen: 00 Yrs/99 Yrs

Sandhills Obgyn Associates "Provider ID: 7730491301 Taylor St Ste 2 IColumbia, SC 29201(803) 960-6133

Ages Seen: 00 Yrs/99 Yrs

Scheuer-Smith, Abigail, MD !"Provider ID: 771287Palmetto Obgyn Associates1333 Taylor St Ste 5FColumbia, SC 29201(803) 733-9598

Ages Seen: 00 Yrs/99 Yrs

Sims, Kerry, MD !"Provider ID: 773198Usc Dept of Obgyn2 Medical Park Ste 208Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Smith, Marie, MD !"Provider ID: 770583Waverly Womens Health Care1228 Harden StColumbia, SC 29204(803) 744-0540

Ages Seen: 00 Yrs/99 Yrs

Smith, Sarah, MD !"Provider ID: 770294University Specialty Clinics2 Medical Park RdSte 208 Dept of ObgynColumbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Smythe II, Alexander, MD "Provider ID: 772852Columbia Womens Healthcare1301 Taylor St Ste 6JColumbia, SC 29201(803) 988-1425

Ages Seen: 00 Yrs/99 Yrs

Smythe II, Alexander, MD "Provider ID: 772851University Specialty Clinics Obgyn1801 Sunset DrColumbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Sonek, Mojmir, MD !"Provider ID: 771095Language: Czech, PolishCapital City OB GYN1301 Taylor St Ste 2 HColumbia, SC 29201(803) 254-7004

Ages Seen: 00 Yrs/99 Yrs

Spiryda, Lisa, MD !"Provider ID: 776600Usc Dept of Obgyn2 Medical ParkColumbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Spiryda, Lisa, MD !"Provider ID: 776602Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 779-4928

Ages Seen: 00 Yrs/99 Yrs

Thapa, Nita, MD "Provider ID: 775440Language: Hindi, NepaliWaverty Womens Health Center1228 Harden StColumbia, SC 29204(803) 744-0540

Ages Seen: 00 Yrs/99 Yrs

Three Rivers Obgyn Associates "

Provider ID: 7742981301 Taylor St Ste 7BColumbia, SC 29201(803) 254-9461

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Obgyn "

Provider ID: 77199915 Medical Park Rd Ste 300Columbia, SC 29203(803) 255-3417

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Obgyn "

Provider ID: 7719992 Medical Park Rd Ste 106Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Obgyn "

Provider ID: 7719994311 Hardscrabble RdColumbia, SC 29229(803) 779-4928

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 70: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY65

OBSTETRICS/GYNECOLOGY (cont.)

Valpey, Jack, MD "Provider ID: 776189Planned Parenthood Health

Systems I2712 Middleburg Dr Ste 107Columbia, SC 29204(803) 256-2600

Ages Seen: 00 Yrs/99 Yrs

Vandorsten, James, MD "Provider ID: 774849University Specialty Clinics Obgyn2 Medical Park Rd Ste 107Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Westcott, Allison, MD "Provider ID: 770892Usc Dept of Obgyn2 Richland Medical Park Ste 208Columbia, SC 29203(803) 545-5700

Ages Seen: 00 Yrs/99 Yrs

Wild, Mark, MD !"Provider ID: 776623Three Rivers Obgyn Associates1301 Taylor St Ste 7BColumbia, SC 29201(803) 254-9461

Ages Seen: 00 Yrs/99 Yrs

Women Physicians Associates Obgyn "

Provider ID: 7705709 Richland Medical Park Ste 620Columbia, SC 29203(803) 779-6776

Ages Seen: 00 Yrs/99 Yrs

OCCUPATIONAL MEDICINE

Ewing, Gary, MD !"Provider ID: 776372Department of Clinical Affairs15 Medical Park Ste 300Columbia, SC 29203(803) 225-3400

Ages Seen: 00 Yrs/99 Yrs

OPHTHALMOLOGY

Barker, Derek, MD !"Provider ID: 777300Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Barker, Derek, MD !"Provider ID: 777300Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Boyd, Willie, MD "Provider ID: 775692Boyd Willie L2719 Middleburg Dr 203Columbia, SC 29204(803) 771-6277

Ages Seen: 00 Yrs/99 Yrs

Bradley, Anika, MD !"Provider ID: 771852University Specialty Clinics Ophtha4 Medical Park Rd Ste 100Columbia, SC 29203(803) 434-6836

Ages Seen: 00 Yrs/99 Yrs

Cain Jr, William, MD "Provider ID: 776726Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Cain Jr, William, MD "Provider ID: 776726Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Cheeseman, Edward, MD !"Provider ID: 775190Univ Specialty Clinics - Ophthalmol4 Medical Park Ste 300Columbia, SC 29203(803) 434-6836

Ages Seen: 00 Yrs/99 Yrs

Clark, William, MD !"Provider ID: 773722Palmetto Retina Center2750 Laurel St Ste 101Columbia, SC 29204(803) 931-0077

Ages Seen: 00 Yrs/99 Yrs

Columbia Eye Clinic "Provider ID: 775313100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Columbia Eye Clinic "Provider ID: 7753131920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Crosswell, William, MD "Provider ID: 773131Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Crosswell, William, MD "Provider ID: 773131Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Crosswell III, Hal, MD !"Provider ID: 774570Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Crosswell III, Hal, MD !"Provider ID: 774570Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Crosswell Jr, Hal, MD "Provider ID: 776852Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 256-8881

Ages Seen: 07 Yrs/99 Yrs

Crosswell Jr, Hal, MD "Provider ID: 776852Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 771-7739

Ages Seen: 07 Yrs/99 Yrs

Eye Physicians and Surgeons of Columbia "

Provider ID: 775001Eye Physicians and Surgeons of

Colu2601 Laurel St Ste 110Columbia, SC 29204(803) 256-7494

Ages Seen: 00 Yrs/99 Yrs

Finley, Charles, MD !"Provider ID: 775311Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Finley, Charles, MD !"Provider ID: 775311Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Fyffe, Deborah, MD "Provider ID: 772986Eye Physicians and Surgeons of

Colu2601 Laural St Ste 110Columbia, SC 29204(803) 256-7494

Ages Seen: 00 Yrs/99 Yrs

Gibbs, Caroline, MD "Provider ID: 771236Eye Physicians and Surgeons2601 Laurel St Ste 110Columbia, SC 29204(803) 256-7494

Ages Seen: 00 Yrs/99 Yrs

Harder-Smith, Donna, DO !"Provider ID: 772339Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Harder-Smith, Donna, DO !"Provider ID: 772339Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Hicks-Snoddy, Lynn, MD "Provider ID: 771865Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Hicks-Snoddy, Lynn, MD "Provider ID: 771865Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Jacobs, Dean, MD "Provider ID: 772927Advantage Eye Care115 Atrium Way Ste 120Columbia, SC 29223(803) 788-2276

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 71: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY66

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

OPHTHALMOLOGY (cont.)

Johnson, William, MD !"Provider ID: 772467Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Johnson, William, MD !"Provider ID: 772467Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Johnson Sr, William, MD "Provider ID: 770519Columbia Eye Clinic100 Summit CenterColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Johnson Sr, William, MD "Provider ID: 770519Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Kan, Leo, DO !"Provider ID: 773110Language: Chinese, MandarinColumbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 255-8566

Ages Seen: 07 Yrs/99 Yrs

Kan, Leo, DO !"Provider ID: 773110Language: Chinese, MandarinColumbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Mardesich, Patrick, MD !"Provider ID: 777184Language: Spanish4 Medical Park Rd Ste 100Columbia, SC 29203(803) 255-3417

Ages Seen: 00 Yrs/99 YrsPalmetto Health Richland

Markowitz, Bethany, MD "Provider ID: 776177University Specialty Clinics Ophtha4 Medical Park Rd Ste 100Columbia, SC 29203(803) 434-6836

Ages Seen: 00 Yrs/99 Yrs

Mintz, Edward, MD !"Provider ID: 774496Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Mintz, Edward, MD !"Provider ID: 774496Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Mitchell, Kenneth, MD "Provider ID: 773067Language: SpanishPalmetto Richland5 Medical ParkColumbia, SC 29203(803) 434-4001

Ages Seen: 00 Yrs/99 Yrs

Neff, Kristiana, MD !"Provider ID: 771118Language: SpanishUniversity Specialty Clinics Ophtha4 Medical Park Rd Ste 100Columbia, SC 29203(803) 434-6836

Ages Seen: 00 Yrs/99 Yrs

Newman, Rudolph, MD !"Provider ID: 775951Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Newman, Rudolph, MD !"Provider ID: 775951Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

Pakalnis, Vytautas, MD "Provider ID: 770681Univ Specialty Clinics

Ophthalomolo4 Medical Park Ste 300Columbia, SC 29203(803) 434-6836

Ages Seen: 00 Yrs/99 Yrs

Snell, Cynthia, MD !"Provider ID: 775777Eye Physicians and Surgeons2601 Laurel St Ste 110Columbia, SC 29204(803) 256-7494

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Ophthalmolo "

Provider ID: 771774University Specialty Clinics Ophtha4 Medical Park Ste 100Columbia, SC 29203(803) 434-1560

Ages Seen: 00 Yrs/99 Yrs

Wells III, John, MD "Provider ID: 776249Palmetto Retina Center2750 Laurel St Ste 101Columbia, SC 29204(803) 799-0585

Ages Seen: 00 Yrs/99 Yrs

Wells III, John, MD "Provider ID: 776246University Specialty Clinic Opthalm4 Medical Park Rd Ste 100Columbia, SC 29203(803) 434-1560

Ages Seen: 00 Yrs/99 Yrs

Whiteside, Daniela, MD !"Provider ID: 770824University Specialty Clinic Opthalm4 Medical Park Rd Ste 100Columbia, SC 29203(803) 434-1560

Ages Seen: 00 Yrs/99 Yrs

Wild, Garner, MD !"Provider ID: 776722Columbia Eye Clinic100 Summit Centre DrColumbia, SC 29229(803) 252-8566

Ages Seen: 07 Yrs/99 Yrs

Wild, Garner, MD !"Provider ID: 776722Columbia Eye Clinic1920 Pickens StColumbia, SC 29201(803) 779-3070

Ages Seen: 07 Yrs/99 Yrs

OPTICIAN

East Coast OptometricProvider ID: TPVHRUB01-02130 Forum Dr Ste 12Columbia, SC 29229(803) 788-8204

Ages Seen: 00 Yrs/99 Yrs

East Coast OptometricProvider ID: TPVHRUB01-064699 Forest DrColumbia, SC 29206(803) 787-3080

Ages Seen: 00 Yrs/99 Yrs

East Coast OptometricProvider ID: TPVHRUB01-017539 Garners Ferry RdColumbia, SC 29209(803) 776-5275

Ages Seen: 00 Yrs/99 Yrs

East Coast OptometricProvider ID: TPVHRUB01-05901 Bush River RdColumbia, SC 29210(803) 798-2290

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-01Wal-Mart Stores East LP10060 Two Notch RdWalmart Vision Center Ste 1339Columbia, SC 29223(803) 419-6240

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-10Wal-Mart Stores East LP1326 Bush River RdWalmart Vision Center Ste 4379Columbia, SC 29210(803) 750-3267

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-39Wal-Mart Stores East LP5420 Forest DrWalmart Vision Center Ste 2214Columbia, SC 29206(803) 782-4761

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-45Wal-Mart Stores East LP7520 Garners Ferry RdWalmart Vision Center Ste 1286Columbia, SC 29209(803) 783-8348

Ages Seen: 00 Yrs/99 Yrs

OPTOMETRY

Ahders, William, OD "Provider ID: TPVAHDE01-02Focus Eye Care Center5420 Forest DrFocus Eye Care Center Inside

WalmartColumbia, SC 29206(803) 790-4600

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 72: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY67

OPTOMETRY (cont.)

Ahders, William, OD "Provider ID: TPVAHDE01-03Focus Eye Care Center7520 Garners Ferry RdFocus Eye Care CenterColumbia, SC 29209(803) 776-5363

Ages Seen: 00 Yrs/99 Yrs

Bharadia, Mohamed, ODProvider ID: TPVBHAR01-08Focus Eye Care Center1513 Gregg StColumbia, SC 29201(803) 254-4951

Ages Seen: 00 Yrs/99 Yrs

Bharadia, Mohamed, ODProvider ID: TPVBHAR01-06Focus Eye Care Center5420 Forest DrColumbia, SC 29206(803) 790-4600

Ages Seen: 00 Yrs/99 Yrs

Bharadia, Mohamed, ODProvider ID: TPVBHAR01-03Focus Eye Care Center7520 Garners Ferry RdColumbia, SC 29209(803) 776-5363

Ages Seen: 00 Yrs/99 Yrs

Bharadia, Mohamed, ODProvider ID: TPVBHAR01-07Focus Eye Care Center7833 Broad River RdIrmo, SC 29063(803) 732-4099

Ages Seen: 00 Yrs/99 Yrs

Branch, Robert, ODProvider ID: TPVBRAN11-02Branch Stafford Optometric A7229 St Andrews RdIrmo, SC 29063(803) 781-2212

Ages Seen: 00 Yrs/99 Yrs

Brinkley, John, ODProvider ID: TPVBRIN07-11Focus Eye Care Center1513 Gregg StColumbia, SC 29201(803) 254-4951

Ages Seen: 00 Yrs/99 Yrs

Brinkley, John, OD "Provider ID: TPVBRIN07-03Focus Eye Care Center5420 Forest DrWalmart Vision Center Ste 2214Columbia, SC 29206(803) 790-4600

Ages Seen: 00 Yrs/99 Yrs

Brinkley, John, OD "Provider ID: TPVBRIN07-06Focus Eye Care Center7520 Garners Ferry RdFocus Eye Care CenterColumbia, SC 29209(803) 776-5363

Ages Seen: 00 Yrs/99 Yrs

Brinkley, John, OD "Provider ID: TPVBRIN07-08Focus Eye Care Center7833 Broad River RdFocus Eye Care CenterIrmo, SC 29063(803) 732-4099

Ages Seen: 00 Yrs/99 Yrs

Champion-Martin, Jean, ODProvider ID: TPVCHAM03-01Look332 Long Pointe LaneColumbia, SC 29229(803) 419-8907

Ages Seen: 00 Yrs/99 Yrs

Dickerson, Maria, ODProvider ID: TPVDICK07-02Branch Stafford Optometric A7229 St Andrews RdIrmo, SC 29063(803) 781-2212

Ages Seen: 00 Yrs/99 Yrs

Flynn, Philip, ODProvider ID: TPVFLYN03-01RS Miller and Flynn Optometri2757 Laurel StDrs Miller and Flynn

Optometrists LLCColumbia, SC 29204(803) 799-7358

Ages Seen: 00 Yrs/99 Yrs

Gary, Bettina, ODProvider ID: TPVGARY01-01East Coast Optometric7539 Garners Ferry RdColumbia, SC 29209(803) 776-5275

Ages Seen: 00 Yrs/99 Yrs

Gopani, Tu-Anh, ODProvider ID: TPVGOPA01-01Eye Concepts331 Killian Rd Ste B2Columbia, SC 29203(803) 754-8370

Ages Seen: 00 Yrs/99 Yrs

Loftis, Clarence, ODProvider ID: TPVLOFT02-01Focus Eye Care Center5420 Forest DrFocus Eye Care Center Inside

WalmartColumbia, SC 29206(803) 790-4600

Ages Seen: 00 Yrs/99 Yrs

Loftis, Clarence, ODProvider ID: TPVLOFT02-02Focus Eye Care Center7520 Garners Ferry RdColumbia, SC 29209(803) 776-5363

Ages Seen: 00 Yrs/99 Yrs

Magun, Jeffrey, ODProvider ID: TPVMAGU03-01Vapec6941 North Trenholm Rd Ste O-204Columbia, SC 29206(803) 276-6959

Ages Seen: 00 Yrs/99 Yrs

Mason, John, ODProvider ID: TPVMASO01-01Mason Family Vision141 Wildewood Park DrMason Family VisionColumbia, SC 29223(803) 865-5520

Ages Seen: 00 Yrs/99 Yrs

Mason, Katherine, ODProvider ID: TPVMASO02-01Mason Family Vision141 Wildewood Park DrMason Family VisionColumbia, SC 29223(803) 865-5520

Ages Seen: 00 Yrs/99 Yrs

Meredith, Phillip, ODProvider ID: TPVMERE01-01East Coast Optometric130 Forum Dr Ste 12East Coast Optometric IncColumbia, SC 29229(803) 788-8204

Ages Seen: 00 Yrs/99 Yrs

Meredith, Phillip, ODProvider ID: TPVMERE01-07East Coast Optometric4699 Forest DrColumbia, SC 29206(803) 787-3080

Ages Seen: 00 Yrs/99 Yrs

Meredith, Phillip, ODProvider ID: TPVMERE01-05East Coast Optometric7539 Garners Ferry RdH Rubin Vision CenterColumbia, SC 29209(803) 776-5275

Ages Seen: 00 Yrs/99 Yrs

Meredith, Phillip, ODProvider ID: TPVMERE01-06East Coast Optometric901 Bush River RdEast Coast Optometric IncColumbia, SC 29210(803) 798-2290

Ages Seen: 00 Yrs/99 Yrs

Miller, Henry, ODProvider ID: TPVMILL39-01RS Miller and Flynn Optometri2757 Laurel StDrs Miller and Flynn

Optometrists LLCColumbia, SC 29204(803) 799-7358

Ages Seen: 00 Yrs/99 Yrs

Mitchell, Edwin, OD "Provider ID: TPVMITC17-05Focus Eye Care Center5420 Forest DrColumbia, SC 29206(803) 790-4600

Ages Seen: 00 Yrs/99 Yrs

Mitchell, Edwin, OD "Provider ID: TPVMITC17-01Focus Eye Care Center7520 Garners Ferry RdColumbia, SC 29209(803) 776-5363

Ages Seen: 00 Yrs/99 Yrs

Plaxico, Brent, ODProvider ID: TPVPLAX01-01Plaxico Eye Care135 Blythewood Rd Ste IBlythewood, SC 29016(803) 714-1116

Ages Seen: 00 Yrs/99 Yrs

Seibert, Jennifer, ODProvider ID: TPVSEIB02-06Focus Eye Care Center5420 Forest DrColumbia, SC 29206(803) 790-4600

Ages Seen: 00 Yrs/99 Yrs

Shockney, Sara, OD "Provider ID: TPVSHOC01-04Focus Eye Care Center5420 Forest DrColumbia, SC 29206(803) 790-4600

Ages Seen: 00 Yrs/99 Yrs

Shockney, Sara, OD "Provider ID: TPVSHOC01-05Focus Eye Care Center7520 Garners Ferry RdColumbia, SC 29209(803) 776-5363

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 73: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY68

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

OPTOMETRY (cont.)

Shockney, Sara, OD "Provider ID: TPVSHOC01-08Focus Eye Care Center7833 Broad River RdIrmo, SC 29063(803) 732-4099

Ages Seen: 00 Yrs/99 Yrs

Spittler, Michelle, ODProvider ID: TPVSPIT05-04Focus Eye Care Center5420 Forest DrFocus Eye Care Center Inside

WalmartColumbia, SC 29206(803) 790-4600

Ages Seen: 00 Yrs/99 Yrs

Stafford, Timothy, ODProvider ID: TPVSTAF03-01Branch Stafford Optometric A7229 St Andrews RdIrmo, SC 29063(803) 781-2212

Ages Seen: 00 Yrs/99 Yrs

Vastis, Brook, ODProvider ID: TPVARRO03-01East Coast Optometric130 Forum Dr Ste 12Columbia, SC 29229(803) 788-8204

Ages Seen: 00 Yrs/99 Yrs

Wilson, Lorna, ODProvider ID: TPVWILS14-01East Coast Optometric4699 Forest Dr Ste CColumbia, SC 29206(803) 787-3080

Ages Seen: 00 Yrs/99 Yrs

Wilson, Lorna, OD "Provider ID: TPVWILS14-02East Coast Optometric7539 Garners Ferry RdColumbia, SC 29209(803) 776-5275

Ages Seen: 00 Yrs/99 Yrs

Witt, Darrell, ODProvider ID: TPVWITT03-02East Coast Optometric7539 Garners Ferry RdColumbia, SC 29209(803) 776-5275

Ages Seen: 00 Yrs/99 Yrs

Zeplin, Vincent, OD "Provider ID: TPVZEPL01-03Focus Eye Care Center5420 Forest DrWalmart Vision CenterColumbia, SC 29206(803) 790-4600

Ages Seen: 00 Yrs/99 Yrs

Zeplin, Vincent, OD "Provider ID: TPVZEPL01-05Focus Eye Care Center7520 Garners Ferry RdColumbia, SC 29209(803) 776-5363

Ages Seen: 00 Yrs/99 Yrs

ORTHOPAEDIC SURGERY

Abell, Brian, DO "Provider ID: 771365Palmetto Health Specialist Ortho Tr3 Richland Medical Park Ste 330Columbia, SC 29203(803) 434-6958

Ages Seen: 00 Yrs/99 Yrs

Baptist Pain and Orthopaedic Care "

Provider ID: 770219Palmetto Health223 Stoneridge DrColumbia, SC 29210(803) 296-7246

Ages Seen: 00 Yrs/99 Yrs

Campbell, Robert, MD !"Provider ID: 777185Premier Orthopedic Specialists3 Richland Medical Park Ste 330Columbia, SC 29203(803) 434-6958

Ages Seen: 00 Yrs/99 Yrs

Devine, John, MD !"Provider ID: 775172Palmetto Health Specialist Ortho Tr3 Richland Medical Park Ste 330Columbia, SC 29203(803) 296-2281

Ages Seen: 00 Yrs/99 Yrs

Ekman, Evan, MD !"Provider ID: 773235Southern Ortho Sports Med1718 St Julian PlColumbia, SC 29204(803) 376-8880

Ages Seen: 00 Yrs/99 Yrs

Fowble, Coleman, MD !"#Provider ID: 773081Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Fowble, Coleman, MD !"#Provider ID: 773081Midlands Orthopaedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Grabowski, Gregory, MD "Provider ID: 773461University Specialty Clinics2 Medical Park Rd Ste 404Columbia, SC 29203(803) 434-6812

Ages Seen: 00 Yrs/99 Yrs

Guy, Jefferey, MD !"Provider ID: 773065Department of Orthopaedic Surgery2 Medical Park Ste 404Columbia, SC 29203(803) 434-6812

Ages Seen: 00 Yrs/99 Yrs

Iaquinto, John, MD !"Provider ID: 775303Premier Orthopedic Specialty3 Richland Medical Park Ste 330Columbia, SC 29203(803) 434-6958

Ages Seen: 00 Yrs/99 Yrs

James III, William, MD !"#Provider ID: 776247Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

James III, William, MD !"#Provider ID: 776247Midlands Orthopedic1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Jones, Thomas, MD "Provider ID: 772568Premier Orthopaedic Specialists3 Medical Park Rd Ste 330Columbia, SC 29203(803) 434-6958

Ages Seen: 00 Yrs/99 Yrs

Kirkley, William, MD "Provider ID: 771569Carolina Orthopaedic Sports Medici10040 Two Notch RdColumbia, SC 29223(803) 788-8318

Ages Seen: 00 Yrs/99 Yrs

Kirkley, William, MD "Provider ID: 771569Carolina Orthopaedic Sports Medici4214 Hardscrabble RdColumbia, SC 29223(803) 788-3959

Ages Seen: 00 Yrs/99 Yrs

Kirol, Bernard, MD !"#Provider ID: 776458Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Kirol, Bernard, MD !"#Provider ID: 776458Midlands Orthopaedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Koon, David, MD !"Provider ID: 770372Univ Specialty Clinics Orthopaedics2 Medical Park Ste 404Columbia, SC 29203(803) 434-6812

Ages Seen: 00 Yrs/99 Yrs

Lamotta, Ivan, MD "#Provider ID: 774318Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Lamotta, Ivan, MD "#Provider ID: 774318Midlands Orthopaedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Lee, David, MD !"Provider ID: 776461Carolina Orthopaedic Sports Medici4214 Hardscrabble RdColumbia, SC 29223(803) 788-3959

Ages Seen: 00 Yrs/99 Yrs

Locke, Mark, MD !"Provider ID: 777170Moore Orthopaedic Clinic14 Medical Park Ste 200Columbia, SC 29203(803) 227-8000

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 74: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY69

ORTHOPAEDIC SURGERY (cont.)

Lynch, Ross, MD "Provider ID: 773082Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Lynch, Ross, MD "Provider ID: 773082Midlands Orthopaedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Lynch, Ross, MD "Provider ID: 773083Baptist Pain Orthopaedic Care223 Stoneridge DrColumbia, SC 29210(803) 296-7246

Ages Seen: 00 Yrs/99 Yrs

McBryde Jr, Angus, MD "Provider ID: 776090Dept of Orthopaedic Surgery2 Medical Park RdColumbia, SC 29203(803) 434-6812

Ages Seen: 00 Yrs/99 Yrs

Oliver, Barry, MD !"Provider ID: 770080Barry D Oliver MD1416 Calhoun StColumbia, SC 29201(803) 252-5791

Ages Seen: 00 Yrs/99 Yrs

Orthopaedic and Spine Surgeons of SC "

Provider ID: 776521Palmetto Health1333 Taylor St Ste 3 JColumbia, SC 29201(803) 296-7350

Ages Seen: 00 Yrs/99 Yrs

Palmetto Health Specialist Ortho Trauma "

Provider ID: 771576Palmetto Health Specialist Ortho Tr3 Richland Medical Park Ste 330Columbia, SC 29203(803) 434-6958

Ages Seen: 00 Yrs/99 Yrs

Parrott, John, MD !"Provider ID: 770350Orthopaedic and Spine Surgeons of

S1333 Taylor St Ste 3 JColumbia, SC 29201(803) 296-7305

Ages Seen: 00 Yrs/99 Yrs

Patel, Subhash, MD "Provider ID: 776628Carolina Orthopedic Sports Medicin4214 Hardscrabble RdColumbia, SC 29223(803) 788-3959

Ages Seen: 00 Yrs/99 Yrs

Piehl, Frederick, MD !"#Provider ID: 772399Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Piehl, Frederick, MD !"#Provider ID: 772399Midlands Orthopaedics1910 Blading StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Tucker, Michael, MD !"Provider ID: 771348Premier Orthopedic Specialists3 Medical Park Ste 330Columbia, SC 29203(803) 434-6958

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Orthopaedic "

Provider ID: 771394University Specialty Clinics Orthop2 Medical Park Rd Ste 104Columbia, SC 29203(803) 434-7121

Ages Seen: 00 Yrs/99 Yrs

Voss, Frank, MD !"Provider ID: 774573Univ Specialty Clinics Orthopaedics2 Medical Park Ste 404Columbia, SC 29203(803) 434-6812

Ages Seen: 00 Yrs/99 Yrs

Walsh IV, John, MD !"Provider ID: 772904Univ Specialty Clinics Orthopaedics2 Medical Park Ste 404Columbia, SC 29203(803) 434-6812

Ages Seen: 18 Yrs/99 Yrs

Wetzel, Ryan, MD !"Provider ID: 775114Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Wetzel, Ryan, MD !"Provider ID: 775114Midlands Orthopaedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

PAIN MANAGEMENT

Girault, Gisele, MD !"Provider ID: 773080The Pain Center of First Choice

Health115 Blarney Dr Ste 111Columbia, SC 29223(803) 419-9091

Ages Seen: 00 Yrs/99 Yrs

The Pain Center of First Choice Healthca "

Provider ID: 776756The Pain Center of First Choice Hea115 Blarney Dr Ste 111Columbia, SC 29223(803) 419-9091

Ages Seen: 00 Yrs/99 Yrs

PEDIATRIC ALLERGY & IMMUNOLOGY

Black, Jonathan, MD "Provider ID: 774793Carolina Allergy Asthma Cons Phy1 Richland Medical Park Ste 200Columbia, SC 29203(803) 929-0240

Ages Seen: 00 Yrs/99 Yrs

Black, Jonathan, MD "Provider ID: 774793Carolina Allergy Asthma Cons Phy115 Blarney Dr Ste 113Columbia, SC 29223(803) 788-8603

Ages Seen: 00 Yrs/99 Yrs

PEDIATRIC CARDIOLOGY

Kaminer, Sharon, MD "Provider ID: 772187University Pediatrics9 Medical Park Ste 200AColumbia, SC 29203(803) 434-7940

Ages Seen: 00 Yrs/18 Yrs

Shuler, C, MD !"Provider ID: 775139University Pediatrics9 Medical Park Ste 200AColumbia, SC 29203(803) 434-7940

Ages Seen: 00 Yrs/18 Yrs

Wienecke, Matthew, MD !"Provider ID: 770589University Pediatrics9 Medical Park Ste 110Columbia, SC 29203(803) 434-7940

Ages Seen: 00 Yrs/18 Yrs

Williams III, Luther, MD "Provider ID: 771776Palmetto Richaland5 Richland Medical ParkColumbia, SC 29203(803) 434-4001

Ages Seen: 00 Yrs/21 Yrs

Williams III, Luther, MD "Provider ID: 771775University Pediatrics9 Medical Park Ste 200AColumbia, SC 29203(803) 434-7940

Ages Seen: 00 Yrs/18 Yrs

PEDIATRIC ENDOCRINOLOGY

Brown, Whitney, MD !"Provider ID: 777258University Pediatrics9 Medical Park Ste 230Columbia, SC 29203(803) 434-7990

Ages Seen: 00 Yrs/21 Yrs

Knight, Lisa, MD !"Provider ID: 771534University Pediatrics9 Medical Park Ste 230Columbia, SC 29203(803) 434-7990

Ages Seen: 00 Yrs/21 Yrs

PEDIATRIC GASTROENTEROLOGY

Amarnath, Rathna, MD "Provider ID: 770933Palmetto Ped Gastroenterology

Nutri2113 Adams Grove Ste 200Columbia, SC 29203(803) 254-1006

Ages Seen: 00 Yrs/21 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 75: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY70

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PEDIATRIC GASTROENTEROLOGY

(cont.)

Patel, Nirav, MD !"Provider ID: 774618Palmetto Pediatric

Gastroenterology2113 Adams Grove Ste 200Columbia, SC 29203(803) 217-0179

Ages Seen: 00 Yrs/21 Yrs

PEDIATRIC HEMATOLOGY/ONCOLOGY

McRedmond, Kevin, MD !"Provider ID: 773409Palliative Care1400 Pickens StretThird Fl Columbia, SC 29201(803) 296-2726

Ages Seen: 00 Yrs/18 Yrs

McRedmond, Kevin, MD !"Provider ID: 773409Pediatric Oncology5 Richland Medical ParkColumbia, SC 29203(803) 434-3533

Ages Seen: 00 Yrs/18 Yrs

McRedmond, Kevin, MD !"Provider ID: 773409Pediatric Oncology7 Medical Park Ste 203Columbia, SC 29203(803) 434-3533

Ages Seen: 00 Yrs/18 Yrs

Neuberg, Ronnie, MD "Provider ID: 773165Pediatric Oncology7 Medical Park Ste 203Columbia, SC 29203(803) 434-3533

Ages Seen: 00 Yrs/18 Yrs

Palliative Care "Provider ID: 776661Palmetto Health1400 Pickens StThird Fl Columbia, SC 29201(803) 296-2726

Ages Seen: 00 Yrs/21 Yrs

Pediatric Oncology "Provider ID: 7761355 Richland Medical ParkColumbia, SC 29203(803) 434-3533

Ages Seen: 00 Yrs/18 Yrs

Pediatric Oncology "Provider ID: 7761357 Medical Park Ste 203Columbia, SC 29203(803) 434-3533

Ages Seen: 00 Yrs/18 Yrs

Pirich, Laura, MD !"Provider ID: 770878Pediatric Oncology5 Richland Medical ParkColumbia, SC 29203(803) 434-3533

Ages Seen: 00 Yrs/18 Yrs

Pirich, Laura, MD !"Provider ID: 770878Pediatric Oncology7 Medical Park Ste 203Columbia, SC 29203(803) 434-3533

Ages Seen: 00 Yrs/18 Yrs

PEDIATRIC INFECTIOUS DISEASE

Kotchmar, George, MD "Provider ID: 771234University Pediatrics9 Medical Park Ste 210Columbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/18 Yrs

Rye, Anna, MD !"Provider ID: 772370University Pediatrics9 Medical Park Ste 210Columbia, SC 29203(803) 434-7995

Ages Seen: 00 Yrs/21 Yrs

PEDIATRIC OPHTHALMOLOGY

North Jr, Robert, DO !"Provider ID: 773785University Specialty Clinics Ophtha4 Medical Park Rd Ste 100Columbia, SC 29203(803) 434-6836

Ages Seen: 00 Yrs/21 Yrs

PEDIATRIC PSYCHIATRY

Ramsey, Bonnie, MD "Provider ID: 775945Dept of Neuropsychiatry Behavioral15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

Welsh, Robin, MD !"Provider ID: 775755University Pediatrics14 Medical Park Ste 400Columbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/18 Yrs

Williams, Eric, MD !"Provider ID: 769965Dept of Neuropsych Behavioral Scie15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/21 Yrs

PEDIATRIC RHEUMATOLOGY

Passo, Murray, MD "Provider ID: 775254University Pediatrics1 Medical Park Ste 410Columbia, SC 29203(803) 434-5989

Ages Seen: 00 Yrs/21 Yrs

Ruth, Natasha, MD !"Provider ID: 773092University Pediatrics1 Medical Park Ste 410Columbia, SC 29203(803) 434-5989

Ages Seen: 00 Yrs/18 Yrs

PEDIATRIC SURGERY

Adkins, Elijah, MD !"Provider ID: 774190Pediatric Surgery9 Richland Medical Park Ste 500Columbia, SC 29203(803) 434-4555

Ages Seen: 00 Yrs/18 Yrs

Camps, Juan, MD !"Provider ID: 775480Language: SpanishPediatric Surgery9 Richland Medical Park Ste 230Columbia, SC 29203(803) 434-4555

Ages Seen: 00 Yrs/21 Yrs

Glasser, James, MD !"Provider ID: 774028Pediatric Surgery9 Richland Medical Park Ste 500Columbia, SC 29203(803) 434-4555

Ages Seen: 00 Yrs/18 Yrs

Pediatric Surgery "Provider ID: 7698689 Richalnd Medical Park Dr Ste 500Columbia, SC 29203(803) 434-4555

Ages Seen: 00 Yrs/21 Yrs

Reddy, Pingle, MD !"Provider ID: 774822Pediatric Surgery1 Medical Park Ste 230Columbia, SC 29203(803) 434-4555

Ages Seen: 00 Yrs/18 Yrs

Reddy, Pingle, MD !"Provider ID: 774822Pediatric Surgery9 Richland Medical Park Ste 500Columbia, SC 29203(803) 434-4555

Ages Seen: 00 Yrs/18 Yrs

PEDIATRIC UROLOGY

Ehreth, Jeffrey, MD !"Provider ID: 777139Palmetto Childrens Urology9 Richland Medical Park Ste 420Columbia, SC 29203(803) 434-2833

Ages Seen: 00 Yrs/17 Yrs

PEDIATRICS

Ballentine Pediatrics "Provider ID: 76870011134 Broad River Rd Ste DIrmo, SC 29063(803) 732-0920

Ages Seen: 00 Yrs/99 Yrs

Bannister, Thomas, MD !"Provider ID: 770819Childrens Hospital Intensivists9 Medical Park Ste 530Columbia, SC 29203(803) 434-4603

Ages Seen: 00 Yrs/25 Yrs

Carroll, John, MD !"Provider ID: 774821Childrens Choice Pediatrics6108 Garners Ferry RdColumbia, SC 29209(803) 647-1265

Ages Seen: 00 Yrs/99 Yrs

Eau Claire Coop Health Ct "Provider ID: 767832Waverly Family Practice2117 Gervais StColumbia, SC 29204(803) 748-1181

Ages Seen: 00 Yrs/18 Yrs

Eau Claire Coop Health Ct "Provider ID: 767835Sterling Sharpe Pediatric Center4605 Monticello RdColumbia, SC 29203(803) 252-7001

Ages Seen: 00 Yrs/18 Yrs

Holleman, Robert, MD !"Provider ID: 774550University Pediatrics9 Medical Park Ste 270Columbia, SC 29203(803) 434-3572

Ages Seen: 00 Yrs/18 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 76: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY71

PEDIATRICS (cont.)

Jackson, Malaka, MD !"Provider ID: 774364University Pediatrics9 Medical Park Dr Ste 230Columbia, SC 29203(803) 434-7990

Ages Seen: 00 Yrs/18 Yrs

Kapp, Lloyd, MD !"Provider ID: 770163Pediatric After Hours Care114 Gateway Corporate Blvd

Ste 150Columbia, SC 29203(803) 865-4900

Ages Seen: 00 Yrs/18 Yrs

Luberoff, Susan, MD !"Provider ID: 773886Wilson Building2100 Bull StColumbia, SC 29201(803) 898-1470

Ages Seen: 00 Yrs/20 Yrs

Medical Park Pediatrics and Adolescence "

Provider ID: 767803Medical Park Pediatrics and

Adolesc120 Highland Center Dr Ste 100Columbia, SC 29203(803) 788-0577

Ages Seen: 00 Yrs/18 Yrs

Midlands Pediatrics "Provider ID: 7678862712 Middleburg DrColumbia, SC 29204(803) 254-4257

Ages Seen: 00 Yrs/18 Yrs

Mubarak, Philip, MD !"Provider ID: 772087Language: ArabicPediatric After Hours Care114 Gateway Corporate Blvd

Ste 150Columbia, SC 29203(803) 865-4900

Ages Seen: 00 Yrs/18 Yrs

Palmetto Health Childrens Hospital Spec Care "

Provider ID: 768498Palmetto Health Childrens Hospital

Spec14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/21 Yrs

Palmetto Pediatric Adolescent Clinic "

Provider ID: 768148Palmetto Pediatric Adolescent Clin300 Rice Meadow WayColumbia, SC 29229(803) 788-6360

Ages Seen: 00 Yrs/21 Yrs

Palmetto Pediatric Adolescent Clinic "

Provider ID: 768149Palmetto Pediatric Adolescent Clin3250 Harden St ExtColumbia, SC 29203(803) 779-4001

Ages Seen: 00 Yrs/21 Yrs

Palmetto Pediatric Adolescent Clinic "

Provider ID: 768150Palmetto Pediatric Adolescent Clin74 Polo RdColumbia, SC 29223(803) 788-4886

Ages Seen: 00 Yrs/21 Yrs

Pediatric After Hours Care "Provider ID: 777318114 Gateway Blvd Ste 150Columbia, SC 29203(803) 865-4900

Ages Seen: 00 Yrs/99 Yrs

Pediatric Associates "Provider ID: 76762314 Richland Medical Park DrColumbia, SC 29203(803) 799-9044

Ages Seen: 00 Yrs/21 Yrs

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro120 Gateway Corporate BlvdColumbia, SC 29203(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro1330 Taylor StColumbia, SC 29220(803) 254-2706

Ages Seen: 00 Yrs/99 Yrs

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro3 Richland Medical Park DrColumbia, SC 29203(803) 434-4306

Ages Seen: 00 Yrs/99 Yrs

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro5 Richland Medical Park DrColumbia, SC 29203(803) 434-4369

Ages Seen: 00 Yrs/99 Yrs

Risinger, Patricia, MD !"Provider ID: 772260Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-7192

Ages Seen: 00 Yrs/99 Yrs

Rosa, Olga, MD !"Provider ID: 774737University Pediatrics9 Medical Park Ste 200Columbia, SC 29201(803) 434-3822

Ages Seen: 00 Yrs/18 Yrs

Russo, Tanya, DO !"Provider ID: 769935Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-7192

Ages Seen: 00 Yrs/99 Yrs

Sandhills Pediatrics "Provider ID: 769060110 Summit Centre DrColumbia, SC 29229(803) 744-9000

Ages Seen: 00 Yrs/99 Yrs

Sandhills Pediatrics "Provider ID: 7690611749 Marshall StColumbia, SC 29203(803) 252-1801

Ages Seen: 00 Yrs/99 Yrs

Sandhills Pediatrics "Provider ID: 7690637941 Broad River RdIrmo, SC 29063(803) 407-0704

Ages Seen: 00 Yrs/99 Yrs

Shrouds, Richard, MD !"Provider ID: 772512Pediatric After Hours Care114 Gateway Corporate Blvd

Ste 150Columbia, SC 29203(803) 865-4900

Ages Seen: 00 Yrs/18 Yrs

Siegel, Lawrence, MD "Provider ID: 772895University Pediatrics8301 Farrow RdColumbia, SC 29203(803) 935-5604

Ages Seen: 00 Yrs/18 Yrs

Tildon, Toni, MD !"Provider ID: 773588Language: SpanishPediatrix Medical Grp of South Caro5 Richland Medical Park DrColumbia, SC 29203(803) 434-3886

Ages Seen: 00 Yrs/01 Yrs

University Pediatrics "Provider ID: 76703614 Medical Park Ste 400Columbia, SC 29203(803) 434-6155

Ages Seen: 00 Yrs/21 Yrs

University Pediatrics "Provider ID: 7670379 Medical Park Rd Ste 200AColumbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/21 Yrs

University Primary Care "Provider ID: 7685412 Medical Park Ste 203Columbia, SC 29203(803) 545-5600

Ages Seen: 00 Yrs/21 Yrs

Wessinger, Kevin, MD !"Provider ID: 776479Pediatric After Hours Care114 Gateway Corporate Blvd

Ste 150Columbia, SC 29203(803) 865-4900

Ages Seen: 00 Yrs/18 Yrs

Willard IV, William, MD !"Provider ID: 774580Pediatric After Hours Care114 Gateway Corporate Blvd

Ste 150Columbia, SC 29203(803) 865-4900

Ages Seen: 00 Yrs/18 Yrs

PLASTIC & RECONSTRUCTIVE

SURGERY

Chen, Elliott, MD !"Provider ID: 770391University Specialty Clinics Dept O2 Medical Park Ste 306Columbia, SC 29203(803) 545-5800

Ages Seen: 00 Yrs/99 Yrs

Friedman, Harold, MD "Provider ID: 774379University of SC School of MedicineTwo Medical Park Ste 306Columbia, SC 29203(803) 545-5800

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 77: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY72

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PLASTIC & RECONSTRUCTIVE

SURGERY (cont.)

McIntyre, Benjamin, MD "Provider ID: 772739University Specialty Clinic Surgery2 Medical Park Rd Ste 102Columbia, SC 29203(803) 545-5800

Ages Seen: 00 Yrs/99 Yrs

PODIATRY

Altman, Renee, DPM "Provider ID: 771040Providence Foot Institute1655 Bernardin Ave Ste 210Columbia, SC 29204(803) 256-6776

Ages Seen: 00 Yrs/99 Yrs

Arabi, Arash, DPM "Provider ID: 773070The Foot Institute1655 Bernardin Ave Ste 210Columbia, SC 29204(803) 256-6776

Ages Seen: 00 Yrs/99 Yrs

Columbia Foot Clinic "Provider ID: 7748521516 Calhoun StColumbia, SC 29201(803) 254-6114

Ages Seen: 00 Yrs/99 Yrs

Davis, Gregory, DPM "Provider ID: 777191Columbia Foot Clinic1516 Calhoun StColumbia, SC 29201(803) 254-6114

Ages Seen: 00 Yrs/99 Yrs

Elgin Podiatry Institute "Provider ID: 7698493 Richland Medical Park Dr Ste 110Columbia, SC 29203(803) 807-9388

Ages Seen: 00 Yrs/99 Yrs

Lee, Misty, DPM "Provider ID: 771668Providence Foot Institute1655 Bernardin Ave Ste 210Columbia, SC 29204(083) 256-6776

Ages Seen: 00 Yrs/99 Yrs

Moran, Joseph, DPM !"Provider ID: 777091Palmetto Podiatry Associates1730 Henderson St Ste BColumbia, SC 29201(803) 376-1717

Ages Seen: 00 Yrs/99 Yrs

Palmetto Podiatry Associates "Provider ID: 7719331730 Henderson StColumbia, SC 29201(803) 376-1717

Ages Seen: 00 Yrs/99 Yrs

Payne, Ralph, DPM "Provider ID: 773815Language: RussianColumbia Foot Clinic1516 Calhoun StColumbia, SC 29201(803) 254-6114

Ages Seen: 00 Yrs/99 Yrs

Pietrobono, Tara, DPM "Provider ID: 776270Columbia Foot Clinic1516 Calhoun StColumbia, SC 29201(803) 254-6114

Ages Seen: 00 Yrs/99 Yrs

Prioleau, Trenten, DPM "Provider ID: 770569Five Points Walk-IN Care1228 Harden StColumbia, SC 29204(803) 748-7002

Ages Seen: 00 Yrs/99 Yrs

Providence Foot Institute "Provider ID: 7712771655 Bernardin Ave Ste 210Columbia, SC 29204(803) 256-6776

Ages Seen: 00 Yrs/99 Yrs

Quinlan, Maureen, DPM "Provider ID: 769838The Foot Institute1655 Bernadine AveColumbia, SC 29204(803) 256-6776

Ages Seen: 00 Yrs/99 Yrs

Ray, Kevin, DPM "Provider ID: 771226Providence Foot Institute1655 Bernardin Ave Ste 210Columbia, SC 29204(803) 256-6776

Ages Seen: 00 Yrs/99 Yrs

Suber, James, DPM "Provider ID: 770017Columbia Foot Clinic1516 Calhoun StColumbia, SC 29201(803) 254-6114

Ages Seen: 00 Yrs/99 Yrs

Torian, Cruddie, MD "Provider ID: 772295Northeast Family Podiatry131 Wildwood ParkColumbia, SC 29223(803) 462-7040

Ages Seen: 00 Yrs/99 Yrs

Um, Chansina, DPM "Provider ID: 774960Language: CambodianProvidence Foot Institute1655 Bernardin Ave Ste 210Columbia, SC 29204(803) 256-6776

Ages Seen: 00 Yrs/99 Yrs

Um, Chansina, DPM "Provider ID: 774959Language: CambodianElgin Podiatry Institute3 Richland Medical ParkColumbia, SC 29203(803) 807-9388

Ages Seen: 00 Yrs/99 Yrs

PREVENTIVE MEDICINE

Bertollo, Suzanne, MD "Provider ID: 769466Family and Preventive Medicine3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Mann, Joshua, MD !"Provider ID: 769542Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Waddell, Lisa, MD "Provider ID: 775582SC Dept of Health Enviormental

Con1751 Calhoun StColumbia, SC 29201(803) 898-0800

Ages Seen: 00 Yrs/99 Yrs

PSYCHIATRY

Augustine Health Group "Provider ID: 7746202435 Forest DrColumbia, SC 29204(803) 865-4780

Ages Seen: 00 Yrs/99 Yrs

Bouknight, James, MD "Provider ID: 771088The Midlands Care Consortium

Clinic1 Richland Medical Park Ste 420Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Clayton, Bradley, MD !"Provider ID: 774772Augustine Health Group2435 Forest DrColumbia, SC 29204(803) 400-5011

Ages Seen: 00 Yrs/99 Yrs

Getz, Alexander, MD "Provider ID: 774248Dept of Neuropsych Behavioral Scie15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

Harding, Richard, MD "Provider ID: 772296Dept of Neuropsych Behavioral Scie15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

Harding, Richard, MD "Provider ID: 772297Palmetto HealthTaylor At Marion StColumbia, SC 29220(803) 296-5579

Ages Seen: 00 Yrs/99 Yrs

Heath, Jennifer, MD !"Provider ID: 774531Palmetto Health15 Medical Park Ste 103Columbia, SC 29203(803) 296-5579

Ages Seen: 00 Yrs/99 Yrs

Houchins, Rachel, MD "Provider ID: 773740Dept of Neuropsych Behavioral Scie15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

Jones, Ashley, MD "Provider ID: 772829Dept of Neuropsych Behavioral Scie15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 78: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY73

PSYCHIATRY (cont.)

Krebs, Kevin, MD "Provider ID: 775402Kevin W Krebs MD115 Atrium Way Ste 127Columbia, SC 29223(803) 699-4899

Ages Seen: 00 Yrs/99 Yrs

Palmetto Health Psychiatry "Provider ID: 7705751333 Taylor St Ste 2AColumbia, SC 29201(803) 296-3429

Ages Seen: 00 Yrs/99 Yrs

Pollock, Ralph, MD !"Provider ID: 771362Usc School of Medicine Dpt of Inter1 Richland Medical ParkSte 420 Midlands Care ConsortiumColumbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Prier, Ronald, MD "Provider ID: 776719Palmetto Health Psychiatry1333 Taylor St Ste 2 AColumbia, SC 29201(803) 296-3429

Ages Seen: 00 Yrs/99 Yrs

Prier, Ronald, MD "Provider ID: 776719Palmetto HealthTaylor At Marion StColumbia, SC 29220(803) 296-5579

Ages Seen: 00 Yrs/99 Yrs

Ramsey, Bonnie, MD "Provider ID: 775945Dept of Neuropsychiatry Behavioral15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

Raynor, Jeffrey, MD "Provider ID: 776265Palmetto HealthTaylor At Marion StColumbia, SC 29220(803) 296-5579

Ages Seen: 00 Yrs/99 Yrs

Schwartz-Watts, Donna, MD !"Provider ID: 770869Dept of Neuropsych Behavioral Scie15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

Srinivasan, Shilpa, MD !"Provider ID: 774549Language: Hindi, HungarianDept of Neuropsych Behavioral Scie15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

Usc School of Medicine Dpt of Internal M "

Provider ID: 770857Usc School of Medicine Dpt of Inter1 Richland Medical Park Ste 420Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

PSYCHOLOGY

Bernard, Maria, PhD "Provider ID: 776681Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Harrison, Kimberly, PhD "Provider ID: 770974Usc Department of Neuropsychiatry15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

Michels, Philip, PhD "Provider ID: 773341Usc Department of Family and

Preven3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Palmetto Health Childrens Hospital Spec Care "

Provider ID: 773978Palmetto Health Childrens Hospital

Spec14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Posey, William, PhD "Provider ID: 773829University Pediatrics8301 Farrow RdColumbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/99 Yrs

Solnick, Mark, PhD "Provider ID: 773984University Pediatrics8301 Farrow RdColumbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/99 Yrs

University Pediatrics "Provider ID: 7704388301 Farrow RdColumbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/99 Yrs

Warren, Mary, PhD "Provider ID: 776733Dept of Neuropsychiatry Behavioral15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

PULMONARY DISEASE

Brown, Daniel, MD !"Provider ID: 772746University Pediatrics Pulmonary Div9 Medical Park Ste 505Columbia, SC 29201(803) 434-2505

Ages Seen: 00 Yrs/99 Yrs

Brown III, David, MD !"Provider ID: 774869University Pediatrics Pulmonary Div9 Medical Park Ste 505Columbia, SC 29201(803) 434-7950

Ages Seen: 00 Yrs/18 Yrs

Gripaldo, Ria, MD !"Provider ID: 771128University Specialty Clinics Int Me1 Richland Medical Park Ste 300Columbia, SC 29203(803) 799-5022

Ages Seen: 00 Yrs/99 Yrs

Hucks, Jennifer, MD !"Provider ID: 775112Usc School of Medicine Dept of Inte1 Richland Medical Park Ste 300Columbia, SC 29203(803) 799-5022

Ages Seen: 00 Yrs/99 Yrs

Iftikhar, Imran, MD "Provider ID: 771965Univ Spec Clinics Pulmonary8 Medical Park Rd Ste 410Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Lal, Chitra, MD !"Provider ID: 773026Language: Hindi, PunjabiUsc School of Medicine Dept of Inte8 Medical Park Ste 410Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Mayson, Mark, MD !"Provider ID: 777175Palmetto Pulmonary1333 Taylor St Ste 6FColumbia, SC 29201(803) 296-3273

Ages Seen: 00 Yrs/99 Yrs

McGuire, Franklin, MD !"Provider ID: 773257University Spec Clinic Int Med1 Richland Medical Park Ste 300Columbia, SC 29203(803) 799-5022

Ages Seen: 00 Yrs/99 Yrs

McLain, William, MD "Provider ID: 773259Taylor At Marion1330 Taylor StColumbia, SC 29201(803) 296-5847

Ages Seen: 00 Yrs/99 Yrs

McLain, William, MD "Provider ID: 773259Sleepmed1333 Taylor St Ste 6BColumbia, SC 29201(803) 296-5847

Ages Seen: 00 Yrs/99 Yrs

McLain, William, MD "Provider ID: 773259Sleepmed700 Gervais St Ste 200Columbia, SC 29201(800) 373-7326

Ages Seen: 00 Yrs/99 Yrs

Morales, Juan, MD !"Provider ID: 775167Language: SpanishUniversity Speciality Clinics1 Richland Medical Park Ste 300Columbia, SC 29203(803) 799-5022

Ages Seen: 00 Yrs/99 Yrs

Newsome, Brandi, MD !"Provider ID: 776724Usc Specialty Clinics Internal Medi1 Richland Medical Park Ste 300Columbia, SC 29203(803) 799-5022

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 79: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY74

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PULMONARY DISEASE (cont.)

Palmetto Pulmonary "Provider ID: 7704071333 Taylor St Ste 6FColumbia, SC 29201(803) 296-3273

Ages Seen: 00 Yrs/99 Yrs

Perkins, Linda, MD !"Provider ID: 774354University Spec Clinic Int Med1 Richland Medical Park Ste 300Columbia, SC 29203(803) 799-5022

Ages Seen: 00 Yrs/99 Yrs

Rusher, Robert, MD "Provider ID: 774163University Spec Clinic Int Med1 Richland Medical Park Ste 300Columbia, SC 29203(803) 799-5022

Ages Seen: 00 Yrs/99 Yrs

Smith, Brian, MD !"Provider ID: 770945Palmetto Pulmonary1333 Taylor St Ste 6FColumbia, SC 29201(803) 296-3273

Ages Seen: 00 Yrs/99 Yrs

Spiers, Jason, MD "Provider ID: 771648University Specialty Clinics Int Me1 Richland Medical Park Ste 300Columbia, SC 29203(803) 799-5022

Ages Seen: 00 Yrs/99 Yrs

Williams, Antoinette, MD !"Provider ID: 775494University Spec Clinic Int Med1 Richland Medical Park Ste 300Columbia, SC 29203(803) 799-5022

Ages Seen: 00 Yrs/99 Yrs

Williams III, Eddie, MD "Provider ID: 776938Palmetto Pulmonary1333 Taylor St Ste 6FColumbia, SC 29201(803) 296-3273

Ages Seen: 00 Yrs/99 Yrs

Williams III, Eddie, MD "Provider ID: 776938Palmetto Health dba Baptist InpatieTaylor At Marion StColumbia, SC 29220(803) 296-5579

Ages Seen: 00 Yrs/99 Yrs

RADIATION ONCOLOGY

Ezekiel, Mark, MD !"Provider ID: 772462South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 00 Yrs/99 Yrs

Neglia, William, MD "Provider ID: 776161South Carolina Oncology

Assocaites166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

Truesdale, Diane, MD "Provider ID: 769891South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

Witherspoon, Bartlett, MD "Provider ID: 771914South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

RADIATION THERAPY

Boulware, Raleigh, MD "Provider ID: 770304South Carolina Oncology

Associates7 Medical Park Ste 104Columbia, SC 29223(803) 461-3452

Ages Seen: 18 Yrs/99 Yrs

Wright Jr, Ben, MD "Provider ID: 776240South Carolina Oncology

Associates166 Stoneridge DrColumbia, SC 29210(803) 461-3000

Ages Seen: 18 Yrs/99 Yrs

RHEUMATOLOGY

Fant, James, MD !"Provider ID: 775048University Spec Clinic Int Med2 Medical Park Rd Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Hoppmann, Richard, MD "#Provider ID: 770947Pbha Clinic1801 Sunset BlvdColumbia, SC 29203(803) 434-4100

Ages Seen: 18 Yrs/99 Yrs

Hoppmann, Richard, MD "Provider ID: 770946University of SC School of Medicine2 Medical Park Ste 506Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

SLEEP MEDICINE

Bogan, Richard, MD "Provider ID: 773830Sleepmed1333 Taylor St Ste 6BColumbia, SC 29201(803) 395-5847

Ages Seen: 00 Yrs/99 Yrs

Bogan, Richard, MD "Provider ID: 773830Sleepmed610 Columbiana DrColumbia, SC 29210(803) 749-3599

Ages Seen: 00 Yrs/99 Yrs

Galphin, Robert, MD "Provider ID: 776182Sleepmed1333 Taylor St Ste 6BColumbia, SC 29201(803) 296-8847

Ages Seen: 00 Yrs/99 Yrs

Sleepmed "Provider ID: 776432610 Columbiana DrColumbia, SC 29210(803) 749-3599

Ages Seen: 00 Yrs/99 Yrs

SPORTS MEDICINE

Armsey II, Thomas, MD !"#Provider ID: 776809Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Armsey II, Thomas, MD !"#Provider ID: 776809Midlands Orthopaedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Dasilva, Robert, MD !"#Provider ID: 775709Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Dasilva, Robert, MD !"#Provider ID: 775709Midlands Orothopaedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Green, Michael, MD !"#Provider ID: 775890Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Green, Michael, MD !"#Provider ID: 775890Midlands Orthopaedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Keisler, Brian, MD !"Provider ID: 775561University Specialty Clinics Orthop2 Medical Park Ste 404Columbia, SC 29203(803) 434-6812

Ages Seen: 00 Yrs/99 Yrs

Mazoue, Christopher, MD !"Provider ID: 772380Univ Specialty Clinics Orthopaedics2 Medical Park Ste 404Columbia, SC 29203(803) 434-6812

Ages Seen: 00 Yrs/99 Yrs

O Leary, James, MD !"#Provider ID: 772255Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

O Leary, James, MD !"#Provider ID: 772255Midlands Orthopaedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 80: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY75

SPORTS MEDICINE (cont.)

O Leary, James, MD !"Provider ID: 772256Palmetto Health BaptistTaylor At Marion StColumbia, SC 29220(803) 296-5010

Ages Seen: 00 Yrs/99 Yrs

Peele, Robert, MD "#Provider ID: 773960Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Peele, Robert, MD "#Provider ID: 773960Midlands Orthopaedics1910 Blading StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Stacy, Jason, MD !"Provider ID: 776153Univ Specialty Clinics Orthopaedics2 Medical Park Ste 404Columbia, SC 29203(803) 434-6812

Ages Seen: 00 Yrs/99 Yrs

Stacy, Jason, MD !"Provider ID: 776154Univ Spec Clinic Family Preventive3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Ugino, Michael, MD "#Provider ID: 771138Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Ugino, Michael, MD "#Provider ID: 771138Midlands Orthopaedics1910 Blading StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Ylanan, Ramon, MD !"Provider ID: 773532Language: SpanishUniversity Specialty Clinics Orthop2 Medical Park Ste 404Columbia, SC 29203(803) 434-6812

Ages Seen: 00 Yrs/99 Yrs

THORACIC & CARDIOVASCULAR

SURGERY

Petit, Scott, MD !"Provider ID: 776928Carolina Cardiac Surgery8 Richland Medical Park Ste 400Columbia, SC 29203(803) 765-0871

Ages Seen: 00 Yrs/99 Yrs

Tribble, Reid, MD !"Provider ID: 774819Carolina Cardiac Surgery8 Richland Medical Park Ste 400Columbia, SC 29203(803) 765-0871

Ages Seen: 00 Yrs/99 Yrs

THORACIC SURGERY

Burke, James, MD !"Provider ID: 771364Carolina Cardiac Surgery8 Richland Medical Park Ste 400Columbia, SC 29203(803) 765-0871

Ages Seen: 00 Yrs/99 Yrs

Carolina Cardiac Surgery "Provider ID: 7748848 Richland Medical Park Ste 400Columbia, SC 29203(803) 765-0871

Ages Seen: 00 Yrs/99 Yrs

Yousufuddin, Mohammed, MD "Provider ID: 774846Palmetto Surgical Associates1333 Taylor St Ste 3AColumbia, SC 29201(803) 254-4707

Ages Seen: 00 Yrs/99 Yrs

UROLOGY

Greenberg, Stanley, MD "Provider ID: 777372South Carolina Urological

Consultan9 Richland Medical Park Ste 410Columbia, SC 29203(803) 254-0670

Ages Seen: 00 Yrs/99 Yrs

South Carolina Urological Consultants "

Provider ID: 769956South Carolina Urological

Consultan9 Richland Medical Park Ste 410Columbia, SC 29203(803) 254-0670

Ages Seen: 00 Yrs/99 Yrs

VASCULAR SURGERY

Gatti, David, MD "Provider ID: 775169Palmetto Health BaptistTaylor At Marion StsColumbia, SC 29220(803) 296-7306

Ages Seen: 00 Yrs/99 Yrs

Martin, Jeffrey, MD !"Provider ID: 774121Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 434-7192

Ages Seen: 00 Yrs/99 Yrs

Martin, Jeffrey, MD !"Provider ID: 774121Carolina Cardiac Surgery Associate8 Richland Medical Park Ste 400Columbia, SC 29203(803) 765-0871

Ages Seen: 00 Yrs/99 Yrs

Midlands Surgical Associates "Provider ID: 7747051701 St Julian Pl Ste 100Columbia, SC 29204(803) 254-0814

Ages Seen: 00 Yrs/99 Yrs

Wilson, Dennis, MD "Provider ID: 772244Midlands Surgical Associates1701 St Julian Pl Ste 100Columbia, SC 29204(803) 254-0814

Ages Seen: 00 Yrs/99 Yrs

Wilson, Gerald, MD "Provider ID: 770858Midlands Surgical Associates1701 St Julian Pl Ste 100Columbia, SC 29204(803) 254-0814

Ages Seen: 12 Yrs/99 Yrs

ALLERGY & IMMUNOLOGY

Allergy Asthma and Sinus Center "

Provider ID: 775199115 North Sumter St Ste 315Sumter, SC 29150(803) 934-1488

Ages Seen: 00 Yrs/99 Yrs

Atkison, James, MD !"Provider ID: 772180Sumter Asthma and Allergy Center208 W Hampton AveSumter, SC 29150(803) 775-2421

Ages Seen: 00 Yrs/99 Yrs

Crouch, Timothy, MD !"Provider ID: 775082Allergy Asthma and Sinus Center115 North Sumter St Ste 315Sumter, SC 29150(803) 934-1488

Ages Seen: 00 Yrs/99 Yrs

CARDIOLOGY

Brandt, Philip, MD "Provider ID: 773417Tuomey Healthcare Systems129 N Washington StSumter, SC 29150(803) 774-5296

Ages Seen: 00 Yrs/99 Yrs

Cannon Jr, Jimmie, MD !"Provider ID: 770068McLeod Cardiology Associates

Sumter115 North Washington St Ste 410Sumter, SC 29150(803) 883-5171

Ages Seen: 00 Yrs/99 Yrs

Cannon Jr, Jimmie, MD !"Provider ID: 770070Sumter Medical Consultants540 Physicians LnSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

Hawkey, Thomas, DO "Provider ID: 770156Tuomey Healthcare Systems129 N Washington StSumter, SC 29150(803) 774-5296

Ages Seen: 00 Yrs/99 Yrs

Jacocks, Mitchell, MD "Provider ID: 776560Tuomey Healthcare Systems129 N Washington StSumter, SC 29150(803) 778-9000

Ages Seen: 00 Yrs/99 Yrs

Jacocks, Mitchell, MD !"Provider ID: 776561Sumter Medical Consultants540 Physicians LnSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

Jacocks IV, Charles, MD !"Provider ID: 775320Sumter Medical Consultants540 Physicians LnSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

SUMTER COUNTY

Page 81: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY76

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

CARDIOLOGY (cont.)

McCollough, Wilmot, MD "Provider ID: 773610Tuomey Healthcare Systems129 N Washington StSumter, SC 29150(803) 774-5296

Ages Seen: 00 Yrs/99 Yrs

McLeod Cardiology Associates II "

Provider ID: 774173115 North Washington St Ste 410Sumter, SC 29150(803) 883-5171

Ages Seen: 00 Yrs/99 Yrs

Stavrou, William, MD "Provider ID: 773709Tuomey Healthcare Systems129 N Washington StSumter, SC 29150(803) 774-5296

Ages Seen: 00 Yrs/99 Yrs

Stavrou, William, MD "Provider ID: 773710Sumter Medical Consultants540 Physicians LnSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

Thomas, Derek, MD "Provider ID: 776491Tuomey Healthcare Systems129 North Washington StSumter, SC 29150(803) 778-9000

Ages Seen: 00 Yrs/99 Yrs

Wienecke, Matthew, MD !"Provider ID: 770588Tuomey Healthcare Systems129 North Washington StSumter, SC 29150(803) 778-9000

Ages Seen: 00 Yrs/99 Yrs

CHIROPRACTIC

Harkey, Jason, DC "Provider ID: 775576Harkey Jason T429 North Main StSumter, SC 29150(877) 708-1680

Ages Seen: 00 Yrs/99 Yrs

DERMATOLOGY

Bradford, Linwood, MD "Provider ID: 771847Bradford Linwood G738 B W Liberty St Ste BSumter, SC 29150(803) 773-4111

Ages Seen: 00 Yrs/99 Yrs

EAR NOSE & THROAT

Evangelisti, Paul, MD "Provider ID: 777284Sumter ENT Facial Plastic Surgery100 North Sumter St Ste 400Sumter, SC 29150(803) 778-5970

Ages Seen: 00 Yrs/99 Yrs

Lovice, David, MD "Provider ID: 773336Sumter ENT Facial Plastic Surgery100 North Sumter St Ste 400Sumter, SC 29150(803) 778-5970

Ages Seen: 00 Yrs/99 Yrs

ENDOCRINOLOGY DIABETES METABOLISM

Lilavivat, Usah, MD "Provider ID: 773030Sumter Medical Specialists635 W Wesmark BlvdSumter, SC 29150(803) 469-7500

Ages Seen: 15 Yrs/99 Yrs

FAMILY PRACTICE

Mahr, Christopher, MD !"Provider ID: 775958Tuomey Healthcare Systems129 North Washington StSumter, SC 29150(803) 774-5296

Ages Seen: 00 Yrs/99 Yrs

Sumter Family Medicine "Provider ID: 769575738 A W Liberty StSumter, SC 29150(803) 775-6374

Ages Seen: 00 Yrs/99 Yrs

GASTROENTEROLOGY

Angus, Floyd, MD !"Provider ID: 770737Tuomey Gastroenterology Services129 North Washington StSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

Angus, Floyd, MD !"Provider ID: 770738Sumter Gastroenterology540 Physicians LnSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

Cunningham, Kent, MD !"Provider ID: 773594Tuomey Gastroenterology Services129 North Washington StSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

Cunningham, Kent, MD !"Provider ID: 773595Sumter Gastroenterology540 Physicians LnSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

McDuffie, Scott, MD !"Provider ID: 777306Tuomey Gastroenterology Services129 North Washington StSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

McDuffie, Scott, MD !"Provider ID: 777307Sumter Gastroenterology540 Physicians LnSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

Tuomey Gastroenterology Services "

Provider ID: 776599Tuomey Gastroenterology Services

LL129 North Washington StSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

Williams III, Theophilus, MD "Provider ID: 770610Tuomey Gastroenterology Services129 North Washington StSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

Williams III, Theophilus, MD "Provider ID: 770611Sumter Gastroenterology540 Physicians LnSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

Williams III, Theophilus, MD "Provider ID: 770612Sumter Medical Consultants540 Physicians LnSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

GENERAL SURGERY

Crabbe, Mark, MD !"Provider ID: 774447Sumter Surgical115 North Sumter St Ste 300Sumter, SC 29150(803) 775-1550

Ages Seen: 00 Yrs/99 Yrs

Dickerson, Gene, MD !"Provider ID: 772576Sumter Surgical115 North Sumter St Ste 300Sumter, SC 29150(803) 775-1550

Ages Seen: 00 Yrs/99 Yrs

Dickerson, Gene, MD !"Provider ID: 772575Tuomey Healthcare Systems129 North Washington StSumter, SC 29150(803) 775-1550

Ages Seen: 00 Yrs/99 Yrs

Ellett, James, MD !"Provider ID: 774560Sumter Surgical115 North Sumter St Ste 300Sumter, SC 29150(803) 775-1550

Ages Seen: 00 Yrs/99 Yrs

Jones, Robert, MD "Provider ID: 775964Sumter Surgical115 North Sumter St Ste 300Sumter, SC 29150(803) 775-1550

Ages Seen: 00 Yrs/99 Yrs

Lauzon, Steven, MD !Provider ID: 776231Sumter Surgical Associates115 North Sumter St Ste 300Sumter, SC 29150(803) 775-1550

Ages Seen: 00 Yrs/99 Yrs

Lauzon, Steven, MD !"Provider ID: 776232Sumter Surgical115 North Sumter St Ste 300Sumter, SC 29150(803) 775-1550

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

SUMTER COUNTY (cont.)

Page 82: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY77

GENERAL SURGERY (cont.)

Moses, Henry, MD !"Provider ID: 772336Sumter Surgical115 North Sumter St Ste 300Sumter, SC 29150(803) 775-1550

Ages Seen: 00 Yrs/99 Yrs

Sumter Surgical "Provider ID: 770719115 North Sumter St Ste 300Sumter, SC 29150(803) 775-1550

Ages Seen: 00 Yrs/99 Yrs

HEMATOLOGY & ONCOLOGY

Gonzalez, M, MD "Provider ID: 770376Language: Italian, SpanishM Franciso Gonzalez MD115 North Sumter St Ste 305Sumter, SC 29150(803) 934-8348

Ages Seen: 00 Yrs/99 Yrs

INFECTIOUS DISEASE

Myat, Win, MD !"Provider ID: 775243Sumter Family Health Center1278 N Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Myat, Win, MD !"Provider ID: 775242Palmetto Infectious Diseases129 North Washington StSumter, SC 29150(803) 778-9000

Ages Seen: 00 Yrs/99 Yrs

Olatosi, Akinwale, MD !"Provider ID: 775460Sandhills Medical Foundation6 Bernette DrSumter, SC 29150(803) 778-2442

Ages Seen: 00 Yrs/99 Yrs

Sandhills Medical Foundation "Provider ID: 773442425 North Salem StSumter, SC 29150(803) 778-2442

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Ahmadani, Ikramullah, MD !"Provider ID: 773489Doctors Care Sumter2475 Broad StSumter, SC 29150(803) 778-6555

Ages Seen: 00 Yrs/99 Yrs

Li, Yongxin, MD !"Provider ID: 775089Sumter Medical Specialists635 W Wesmark BlvdSumter, SC 29150(803) 469-7500

Ages Seen: 15 Yrs/99 Yrs

Sumter Internal Medical Associates "

Provider ID: 76720112 Barnett DrSumter, SC 29150(803) 773-5442

Ages Seen: 18 Yrs/99 Yrs

NEPHROLOGY

Cain, James, MD "Provider ID: 771109Sumter Medical Specialists635 W Wesmark BlvdSumter, SC 29150(803) 469-7500

Ages Seen: 15 Yrs/99 Yrs

Gupta, Monika, MD "Provider ID: 775415Tuomey Healthcare Systems129 North Washington StSumter, SC 29150(803) 778-9000

Ages Seen: 00 Yrs/99 Yrs

Smith II, Jeffrey, MD "Provider ID: 772500Sumter Medical Specialists635 W Wmark BlvdSumter, SC 29150(803) 469-7500

Ages Seen: 15 Yrs/99 Yrs

Suchinda, Pusadee, MD "Provider ID: 771264Language: ThaiSumter Medical Specialists635 W Wesmark BlvdSumter, SC 29150(803) 469-7500

Ages Seen: 00 Yrs/99 Yrs

NEUROLOGY

Hodge, Michael, MD "Provider ID: 773897Carolina Sleep Diagnostics219 N Washington StSumter, SC 29150(803) 775-1350

Ages Seen: 00 Yrs/99 Yrs

Ulrich, Robert, DO !"Provider ID: 771402Tuomey Healthcare Systems129 North Washington StSumter, SC 29150(803) 778-9000

Ages Seen: 00 Yrs/99 Yrs

OBSTETRICS/GYNECOLOGY

Alan, Carol, MD !"Provider ID: 776908Language: SpanishSumter Family Health Center1278 North Lafayette DrSumter, SC 29154(803) 774-4541

Ages Seen: 13 Yrs/99 Yrs

Alan, Carol, MD !"Provider ID: 776908Language: SpanishPinewood Health Center25 E Clark StPinewood, SC 29125(803) 774-4541

Ages Seen: 13 Yrs/99 Yrs

Britton, John, MD "Provider ID: 775952Language: American Sign Language, SpanishSumter Obgyn115 North Sumter St Ste 200Sumter, SC 29150(803) 775-8351

Ages Seen: 00 Yrs/99 Yrs

Britton, John, MD "Provider ID: 775953Language: American Sign Language, SpanishSumter Family Health Center1278 North Lafayette DrSumter, SC 29154(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Chandler, Giselle, MD "Provider ID: 774517Sumter Family Health Center1278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 12 Yrs/99 Yrs

Collins III, Arvie, MD "Provider ID: 771998Obgyn Associates of Sumter115 N Sumter St Ste 110Sumter, SC 29150(803) 774-9650

Ages Seen: 00 Yrs/99 Yrs

Collins III, Arvie, MD "Provider ID: 771998Sumter Obgyn115 North Sumter St Ste 110Sumter, SC 29150(803) 774-9650

Ages Seen: 00 Yrs/99 Yrs

Dennis, Ronnie, MD !"Provider ID: 775867Womens Healthcare of Sumter319 North Main StSumter, SC 29150(803) 934-1300

Ages Seen: 10 Yrs/99 Yrs

Hepfer, Thomas, MD "Provider ID: 776026Language: American Sign Language, SpanishObgyn Associates of Sumter115 N Sumter St Ste 110Sumter, SC 29150(803) 774-9650

Ages Seen: 00 Yrs/99 Yrs

Hepfer, Thomas, MD "Provider ID: 776026Language: American Sign Language, SpanishSumter Obgyn115 North Sumter St Ste 110Sumter, SC 29150(803) 774-9650

Ages Seen: 00 Yrs/99 Yrs

Hepfer, Thomas, MD "Provider ID: 776025Language: American Sign Language, SpanishTuomey Obgyn Services129 North Washington StSumter, SC 29150(803) 775-8351

Ages Seen: 00 Yrs/99 Yrs

Kincade, Tessa, MD !"Provider ID: 772619Language: American Sign Language, SpanishTuomey Healthcare Systems129 North Washington StSumter, SC 29150(803) 778-9000

Ages Seen: 00 Yrs/99 Yrs

Latham, Helen, MD !"Provider ID: 776160Language: American Sign Language, SpanishObgyn Associates of Sumter115 N Sumter St Ste 110Sumter, SC 29150(803) 774-9650

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

SUMTER COUNTY (cont.)

Page 83: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY78

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

OBSTETRICS/GYNECOLOGY (cont.)

Latham, Helen, MD !"Provider ID: 776160Language: American Sign Language, SpanishSumter Obgyn115 North Sumter St Ste 110Sumter, SC 29150(803) 774-9650

Ages Seen: 00 Yrs/99 Yrs

Latham, Helen, MD !"Provider ID: 776158Language: American Sign Language, SpanishTuomey Obgyn Services129 North Washington StSumter, SC 29150(803) 775-8351

Ages Seen: 00 Yrs/99 Yrs

Latham, Helen, MD !"Provider ID: 776159Language: American Sign Language, SpanishTuomey Healthcare Systems129 North Washington StSumter, SC 29150(803) 774-5296

Ages Seen: 00 Yrs/99 Yrs

Obgyn Associates of Sumter "Provider ID: 774342115 North Sumter St Ste 110Sumter, SC 29150(803) 774-9650

Ages Seen: 00 Yrs/99 Yrs

Riddle, Samuel, MD "Provider ID: 770801Tuomey Obgyn Services129 N Washington StSumter, SC 29150(803) 775-8351

Ages Seen: 00 Yrs/99 Yrs

Riddle III, Samuel, MD "Provider ID: 770802Language: American Sign Language, SpanishObgyn Associates of Sumter115 N Sumter St Ste 110Sumter, SC 29150(803) 774-9650

Ages Seen: 00 Yrs/99 Yrs

Riddle III, Samuel, MD "Provider ID: 770802Language: American Sign Language, SpanishSumter Obgyn115 North Sumter St Ste 200Sumter, SC 29150(803) 775-8351

Ages Seen: 00 Yrs/99 Yrs

Smith, George, MD "Provider ID: 770231Language: American Sign LanguageSumter Obgyn115 North Sumter St Ste 110Sumter, SC 29150(803) 774-9650

Ages Seen: 00 Yrs/99 Yrs

Smith, Triz, MD !"Provider ID: 777187Obgyn of Sumter115 North Sumter St Ste 110Sumter, SC 29150(803) 774-9650

Ages Seen: 00 Yrs/99 Yrs

Smith, Triz, MD !"Provider ID: 777186Tuomey Obgyn Services129 North Washington StSumter, SC 29150(803) 778-3851

Ages Seen: 00 Yrs/99 Yrs

Sumter Obgyn "Provider ID: 773713115 North Sumter St Ste 200Sumter, SC 29150(803) 775-8351

Ages Seen: 00 Yrs/99 Yrs

Tuomey Obgyn Services "Provider ID: 773668129 North Washington StSumter, SC 29150(803) 775-8351

Ages Seen: 00 Yrs/99 Yrs

Williams Jr, Barney, MD "Provider ID: 773870Language: American Sign Language, SpanishSumter Family Health Center1278 North Lafayette DrSumter, SC 29154(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Williams Jr, Barney, MD "Provider ID: 773869Language: American Sign Language, SpanishTuomey Obgyn Services129 North Washington StSumter, SC 29150(803) 775-8351

Ages Seen: 00 Yrs/99 Yrs

OPHTHALMOLOGY

Jacobs, Dean, MD "Provider ID: 772927Advantage Eye Care214 Broad StSumter, SC 29150(803) 788-2276

Ages Seen: 00 Yrs/99 Yrs

OPTICIAN

Wal Mart Stores East LPProvider ID: TPVWALM40-49Wal-Mart Stores East LP1283 Broad StWalmart Vision Center Ste 511Sumter, SC 29150(803) 905-5525

Ages Seen: 00 Yrs/99 Yrs

OPTOMETRY

Buck, Stephen, OD "Provider ID: TPVBUCK05-03Doctors Eye Center1283 Broad StSumter, SC 29150(803) 905-8063

Ages Seen: 00 Yrs/99 Yrs

Dean, Steven, ODProvider ID: TPVDEAN06-01Manter Optometric1057 Broad StSumter MallSumter, SC 29150(803) 775-7877

Ages Seen: 00 Yrs/99 Yrs

Scheele, Larry, ODProvider ID: TPVSCHE10-01Larry M Scheele OD127 Broad StSumter, SC 29150(803) 773-4313

Ages Seen: 00 Yrs/99 Yrs

ORTHOPAEDIC SURGERY

Cuce, Frank, MD !"Provider ID: 773725Sumter Orthopaedic Associates100 North Sumter St Ste 200Sumter, SC 29150(803) 774-7621

Ages Seen: 00 Yrs/99 Yrs

Cuce, Frank, MD !"Provider ID: 773726Tuomey Healthcare Systems129 North Washington StSumter, SC 29150(803) 778-9000

Ages Seen: 00 Yrs/99 Yrs

Deholl, Paul, MD !"Provider ID: 770707Sumter Ortopaedic Assoicates100 North Sumter St Ste 200Sumter, SC 29150(803) 774-7621

Ages Seen: 00 Yrs/99 Yrs

Deholl, Paul, MD !"Provider ID: 770708Tuomey Healthcare Systems129 North Washington StSumter, SC 29150(803) 774-5296

Ages Seen: 00 Yrs/99 Yrs

Drakeford, Michael, MD !"Provider ID: 777005Palmetto Orthopaedic Sports Med595 W Wesmark BlvdSumter, SC 29150(803) 469-4028

Ages Seen: 00 Yrs/99 Yrs

Fites, Brandon, MD !"Provider ID: 772941Sumter Orthopaedic Associates100 North Sumter St Ste 200Sumter, SC 29150(803) 774-7621

Ages Seen: 00 Yrs/99 Yrs

Ford, Danny, MD !"Provider ID: 774794Sumter Orthopedic Associates100 North Sumter St Ste 200Sumter, SC 29150(803) 744-7621

Ages Seen: 00 Yrs/99 Yrs

Palmetto Orthopaedic and Sports Medicine "

Provider ID: 776525Palmetto Ortho Sports Medicine

Center595 W Wesmark BlvdSumter, SC 29150(803) 469-4028

Ages Seen: 00 Yrs/99 Yrs

Stroebel, Kurt, MD !"Provider ID: 774312Sumter Orthopaedic Associates100 North Sumter St Ste 200Sumter, SC 29150(803) 774-7621

Ages Seen: 00 Yrs/99 Yrs

PAIN MANAGEMENT

Girault, Gisele, MD !"Provider ID: 773080The Pain Center of First Choice

Health10 Miller RdSumter, SC 29150(803) 774-6500

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

SUMTER COUNTY (cont.)

Page 84: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY79

PAIN MANAGEMENT (cont.)

Rowe, David, MD "Provider ID: 774518The Pain Center of First Choice

Health220 Broad St Ste BSumter, SC 29150(803) 774-6500

Ages Seen: 00 Yrs/99 Yrs

The Pain Center of First Choice Healthca "

Provider ID: 776756The Pain Center of First Choice Hea10 Miller RdSumter, SC 29150(803) 774-6500

Ages Seen: 00 Yrs/99 Yrs

The Pain Center of First Choice Healthca "

Provider ID: 776756The Pain Center of First Choice Hea220 Broad St Ste BSumter, SC 29150(803) 774-6500

Ages Seen: 00 Yrs/99 Yrs

PEDIATRIC NEPHROLOGY

Salcedo, Jose, MD "Provider ID: 776294Sumter Medical Specialists635 W Wesmark BlvdSumter, SC 29150(803) 469-7500

Ages Seen: 00 Yrs/21 Yrs

PEDIATRICS

Sumter Pediatrics "Provider ID: 769488237 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

Sumter Pediatrics "Provider ID: 769489241 Church StSumter, SC 29150(803) 775-6311

Ages Seen: 00 Yrs/18 Yrs

PLASTIC & RECONSTRUCTIVE

SURGERY

Culbertson, Gary, MD !"Provider ID: 770987Plastic Reconstructive Surgery18 Miller RdSumter, SC 29150(803) 773-6361

Ages Seen: 00 Yrs/99 Yrs

Evangelisti, Paul, MD "Provider ID: 777284Sumter ENT Facial Plastic Surgery100 North Sumter St Ste 400Sumter, SC 29150(803) 778-5970

Ages Seen: 00 Yrs/99 Yrs

Hanz, Kevin, MD "Provider ID: 775992Sumter Plastic and Reconstructive

S115 North Sumter St Ste 115Sumter, SC 29150(803) 774-7546

Ages Seen: 00 Yrs/99 Yrs

Lovice, David, MD "Provider ID: 773336Sumter ENT Facial Plastic Surgery100 North Sumter St Ste 400Sumter, SC 29150(803) 778-5970

Ages Seen: 00 Yrs/99 Yrs

Sumter Plastic and Reconstructive Surger "

Provider ID: 774359Sumter Plastic and Reconstructive

S115 North Sumter St Ste 115Sumter, SC 29150(803) 774-7546

Ages Seen: 00 Yrs/99 Yrs

PULMONARY DISEASE

White Jr, Charles, MD "Provider ID: 771380Sumter Pulmonary Consultants540 Physicians LnSumter, SC 29150(803) 778-1941

Ages Seen: 00 Yrs/99 Yrs

RADIATION ONCOLOGY

Grubb, Larry, MD "Provider ID: 769942T Rhett Spencer MD130 North Washington StSumter, SC 29150(803) 778-8888

Ages Seen: 00 Yrs/99 Yrs

Spencer Jr, Thomas, MD "Provider ID: 773278T Rhett Spencer MD130 North Washington StSumter, SC 29150(803) 774-8888

Ages Seen: 00 Yrs/99 Yrs

T Rhett Spencer MD "Provider ID: 776759130 North Washington StSumter, SC 29150(803) 778-8888

Ages Seen: 00 Yrs/99 Yrs

UROLOGY

Lee, Robert, MD "Provider ID: 773204Sumter Urological410 W Wesmark BlvdSumter, SC 29150(803) 469-4402

Ages Seen: 00 Yrs/99 Yrs

Moss, Charles, MD !"Provider ID: 773538Sumter Urological410 W Wesmark BlvdSumter, SC 29150(803) 469-4402

Ages Seen: 00 Yrs/99 Yrs

Pinto, Vijay, MD !"Provider ID: 775972Sumter Urological410 W Wesmark BlvdSumter, SC 29150(803) 469-4402

Ages Seen: 00 Yrs/99 Yrs

Sumter Urological "Provider ID: 771030410 W Wesmark BlvdSumter, SC 29150(803) 469-4402

Ages Seen: 00 Yrs/99 Yrs

Zubel, Paul, DO "Provider ID: 771479Sumter Urological410 W Wesmark BlvdSumter, SC 29150(803) 469-4402

Ages Seen: 00 Yrs/99 Yrs

VASCULAR SURGERY

Brings, Hans, MD !"Provider ID: 771517Tuomey Healthcare Systems129 North Washington StSumter, SC 29150(803) 778-9000

Ages Seen: 00 Yrs/99 Yrs

Naylor, Michael, MD "Provider ID: 777353Sumter Surgical115 North Sumter StSumter, SC 29150(803) 775-4655

Ages Seen: 00 Yrs/99 Yrs

Naylor, Michael, MD "Provider ID: 777353Sumter Surgical129 North Washington StSumter, SC 29150(803) 775-7550

Ages Seen: 00 Yrs/99 Yrs

CARDIOLOGY

Baki, Talal, MD !"Provider ID: 770011Carolina Cardiology Associates196 Cardiology DrRock Hill, SC 29732(803) 324-5135

Ages Seen: 00 Yrs/99 Yrs

Ciminelli, Mark, MD !"Provider ID: 777297Carolina Heart Specialists1721 Ebenezer Rd Ste 125Rock Hill, SC 29732(803) 366-8300

Ages Seen: 00 Yrs/99 Yrs

Hicklin III, Harry, MD !"Provider ID: 777351Palmetto Cardiology of York County430 S Herlong AveRock Hill, SC 29732(803) 324-4900

Ages Seen: 15 Yrs/99 Yrs

Mori, Naresh, MD "Provider ID: 774542Carolina Cardiology Associates1658 Hwy 160 EFt Mill, SC 29715(803) 802-0090

Ages Seen: 00 Yrs/99 Yrs

Mori, Naresh, MD "Provider ID: 774542Carolina Cardiology Associates196 Cardiology DrRock Hill, SC 29732(803) 324-5135

Ages Seen: 00 Yrs/99 Yrs

Patel, Vasant, MD !"Provider ID: 774021Carolina Cardiology Associates196 Cardiology DrRock Hill, SC 29732(803) 324-5135

Ages Seen: 00 Yrs/99 Yrs

Shah, Deepak, MD !"Provider ID: 772088Carolina Heart Specialists1721 Ebenezer Rd Ste 125Rock Hill, SC 29732(803) 366-8300

Ages Seen: 00 Yrs/99 Yrs

Shah, Deepak, MD !"Provider ID: 772088Carolina Heart Specialists370 South Herlong Ave Ste 200Rock Hill, SC 29732(803) 285-2041

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

SUMTER COUNTY (cont.)

YORK COUNTY

Page 85: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY80

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

CARDIOLOGY (cont.)

Shah, Jugalkishor, MD !"Provider ID: 772845Carolina Cardiology Associates196 Cardiology DrRock Hill, SC 29732(803) 324-5135

Ages Seen: 00 Yrs/99 Yrs

Shah, Vipul, MD !"Provider ID: 776222Carolina Heart Specialists370 South Herlong Ave Ste 200Rock Hill, SC 29732(803) 285-2041

Ages Seen: 00 Yrs/99 Yrs

Shah, Vipul, MD !"Provider ID: 776222Carolina Heart Specialists8351 Charlotte HwyFt Mill, SC 29715(803) 802-3512

Ages Seen: 00 Yrs/99 Yrs

Singh, Pradeep, MD !"Provider ID: 774725Carolina Cardiology Associates196 Cardiology DrRock Hill, SC 29732(803) 324-5135

Ages Seen: 00 Yrs/99 Yrs

Singhi, Sushil, MD !"Provider ID: 773133Carolina Cardiology Associates196 Cardiology DrRock Hill, SC 29732(803) 324-5135

Ages Seen: 00 Yrs/99 Yrs

Slota, Paul, MD !"Provider ID: 770598Carolina Heart Specialists744 Arden LnRock Hill, SC 29732(803) 325-2212

Ages Seen: 00 Yrs/99 Yrs

Slota, Paul, MD !"Provider ID: 770598Carolina Heart Specialists8351 Charlotte HwyFt Mill, SC 29715(803) 802-3512

Ages Seen: 00 Yrs/99 Yrs

CHIROPRACTIC

Black, Christopher, DC "Provider ID: 774295Dr Blacks Family Chiropractic1121 Charlotte AveRock Hill, SC 29732(803) 328-3444

Ages Seen: 00 Yrs/99 Yrs

Hartley, Alan, DC "Provider ID: 771786Language: FrenchLake Wylie Family Chiropractic244 Latitude Ln Ste 104Clover, SC 29710(803) 831-6500

Ages Seen: 00 Yrs/99 Yrs

Kimble, Mark, DC "Provider ID: 770022Kimble Chiropractic Center518 North AveRock Hill, SC 29732(803) 327-6155

Ages Seen: 00 Yrs/99 Yrs

Muschik, Jeffery, DC "Provider ID: 776537Access Chiropractic Center2253 Celamese RdRock Hill, SC 29732(803) 366-7400

Ages Seen: 00 Yrs/99 Yrs

Nedrow, Amy, DC "Provider ID: 775098Contour Chiropractic1728 Old York RdYork, SC 29745(803) 818-5377

Ages Seen: 00 Yrs/99 Yrs

Orr, Reuben, MD "Provider ID: 771573Beaver Chiropractic1906 India Hook RdRock Hill, SC 29732(803) 366-9482

Ages Seen: 00 Yrs/99 Yrs

Schock, Winslow, DC "Provider ID: 776625Rock Hill Chiropractic Works419 E Main StRock Hill, SC 29730(803) 366-6100

Ages Seen: 00 Yrs/99 Yrs

Wahler, Suzanne, DC "Provider ID: 771912Premier Chiropractic2241 Ebenezer RdRock Hill, SC 29732(803) 366-7778

Ages Seen: 00 Yrs/99 Yrs

Wahler, Suzanne, DC "Provider ID: 771913Advanced Pain Relief Center410 Oakland AveRock Hill, SC 29730(803) 366-2225

Ages Seen: 00 Yrs/99 Yrs

EAR NOSE & THROAT

Abrams, Mark, MD "Provider ID: 773586Charlotte Eye Ear Nose and Throat200 South Herlong Ave Ste ARock Hill, SC 29732(803) 328-1864

Ages Seen: 00 Yrs/99 Yrs

Bailey, Luna, MD !"Provider ID: 771086Ear Nose Throat Audiology Assoc430 S Herlong St Ste 102Rock Hill, SC 29732(803) 328-3686

Ages Seen: 00 Yrs/99 Yrs

Bailey, Luna, MD !"Provider ID: 771084ENT Audiology Assoc of The

Carolin744 Arden Ln Ste 200Rock Hill, SC 29732(803) 328-3686

Ages Seen: 00 Yrs/99 Yrs

Central Carolina Ear Nose Throat and AuD "

Provider ID: 773590Central Carolina Ear Nose Throat

An1565 Ebenezer Rd Ste 110Rock Hill, SC 29732(803) 327-4000

Ages Seen: 00 Yrs/99 Yrs

Central Carolina Ear Nose Throat and AuD "

Provider ID: 773590Central Carolina Ear Nose Throat

An1698 W Hwy 160 Ste 110Ft Mill, SC 29708(803) 547-3800

Ages Seen: 00 Yrs/99 Yrs

Ear Nose Throat Audiology Assoc "

Provider ID: 772445744 Arden Ln Ste 200Rock Hill, SC 29732(803) 328-3686

Ages Seen: 00 Yrs/99 Yrs

Jones, Christopher, MD !"Provider ID: 772271Central Carolina Ear Nose Throat A1565 Ebenezer Rd Ste 110Rock Hill, SC 29732(803) 327-4000

Ages Seen: 00 Yrs/99 Yrs

Jones, Christopher, MD !"Provider ID: 772271Central Carolina Ear Nose Throat A1698 W Hwy 160 Ste 110Ft Mill, SC 29708(803) 547-3800

Ages Seen: 00 Yrs/99 Yrs

Kelly, Timothy, MD "Provider ID: 775003Central Carolina ENT and

Audiology1565 Ebenezer Rd Ste 110Rock Hill, SC 29732(803) 327-4000

Ages Seen: 00 Yrs/99 Yrs

Kelly, Timothy, MD "Provider ID: 775003Central Carolina ENT and

Audiology1698 W Hwy 160 Ste 110Ft Mill, SC 29708(803) 547-3800

Ages Seen: 00 Yrs/99 Yrs

Kessler, Chad, MD !"Provider ID: 771113Charlotte Eye Ear Nose and Throat200 South Herlong AveRock Hill, SC 29732(803) 328-1864

Ages Seen: 00 Yrs/99 Yrs

Parsons, David, MD "Provider ID: 777067Charlotte Eye Ear Nose and Throat200 South Herlong Ave Ste ARock Hill, SC 29732(803) 328-1864

Ages Seen: 00 Yrs/99 Yrs

Parsons, Gregory, MD "Provider ID: 772102Central Carolina ENT and

Audiology1565 Ebeenezer Rd Ste 110Rock Hill, SC 29732(803) 327-4000

Ages Seen: 00 Yrs/99 Yrs

Parsons, Gregory, MD "Provider ID: 772102Central Carolina ENT and

Audiology1698 W Hwy 160 Ste 110Ft Mill, SC 29708(803) 547-3800

Ages Seen: 00 Yrs/99 Yrs

Villaret, Douglas, MD "Provider ID: 776527Charlotte Eye Ear Nose and Throat200 South Herlong Ave Ste ARock Hill, SC 29732(803) 328-1864

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

YORK COUNTY (cont.)

Page 86: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY81

EAR NOSE & THROAT (cont.)

Williams, Andrea, MD "Provider ID: 777360Language: SpanishEar Nose Throat Audiology Associat744 Arden Ln Ste 200Rock Hill, SC 29732(803) 328-3686

Ages Seen: 00 Yrs/99 Yrs

ENDOCRINOLOGY DIABETES METABOLISM

Kashyap, Sona, MD !"Provider ID: 772474Language: HindiLancaster Endocrinology410 South Herlong Ave Ste 106Rock Hill, SC 29732(803) 329-3899

Ages Seen: 18 Yrs/99 Yrs

Lancaster Endocrinology "Provider ID: 771667410 South Herlong AveRock Hill, SC 29732(803) 329-3899

Ages Seen: 00 Yrs/99 Yrs

Wozniak, Robert, MD !"Provider ID: 777028Language: Polish, RussianLancaster Endocrinology410 South Herlong Ave Ste 106Rock Hill, SC 29732(803) 329-3899

Ages Seen: 18 Yrs/99 Yrs

FAMILY PRACTICE

Mackey Family Practice 2 "#Provider ID: 7675688351 Charlotte Hwy Ste 200Ft Mill, SC 29707(803) 396-5333

Ages Seen: 00 Yrs/99 Yrs

GASTROENTEROLOGY

Amato, Victor, MD !"Provider ID: 770208Catawba Gastroenterolgoy1380 Ebenezer Rd Ste ERock Hill, SC 29732(803) 366-7550

Ages Seen: 11 Yrs/99 Yrs

Amin, Vimal, MD !"Provider ID: 772408Language: IndianCatawba Gastroenterology1380 Ebenezer Rd Ste ERock Hill, SC 29732(803) 366-7550

Ages Seen: 12 Yrs/99 Yrs

Bott, Stephen, MD "Provider ID: 771650Digestive Disease Associate of York170 Amendment AveRock Hill, SC 29732(803) 324-7607

Ages Seen: 00 Yrs/99 Yrs

Catawba Gastroenterology "Provider ID: 7708461380 Ebenezer Rd Ste ERock Hill, SC 29732(803) 366-7550

Ages Seen: 00 Yrs/99 Yrs

Digestive Disease Associate of York Coun "

Provider ID: 770450Digestive Disease Associate of York170 Amendment AveRock Hill, SC 29732(803) 324-7607

Ages Seen: 00 Yrs/99 Yrs

Digestive Disease Associate of York Coun "

Provider ID: 770450Digestive Disease Associate of York1700 First Baxter Crossing Ste 102Ft Mill, SC 29708(803) 324-7607

Ages Seen: 00 Yrs/99 Yrs

Garretson, Bret, MD !"Provider ID: 775628Digestive Disease Associate of York170 Amendment AveRock Hill, SC 29732(803) 324-7607

Ages Seen: 16 Yrs/99 Yrs

Khandekar, Suresh, MD !"Provider ID: 772072Language: Hindi, IndianCatawba Gastroentrerology1380 Ebenezer RdRock Hill, SC 29732(803) 366-7550

Ages Seen: 13 Yrs/99 Yrs

Patel, Nirav, MD !"Provider ID: 771417Digestive Disease Associate of York170 Amendment AveRock Hill, SC 29732(803) 324-7607

Ages Seen: 00 Yrs/99 Yrs

Pennington, Larry, MD !"Provider ID: 777161Digestive Disease Associate of York170 Amendment AveRock Hill, SC 29732(803) 324-7607

Ages Seen: 00 Yrs/99 Yrs

Richardson, Scott, MD !"Provider ID: 774815Digestive Disease Associate of York170 Amendment AveRock Hill, SC 29732(803) 324-7607

Ages Seen: 00 Yrs/99 Yrs

Rodrigue, Randolph, MD "Provider ID: 770599Digestive Disease Associate of York170 Admendment AveRock Hill, SC 29732(803) 324-7607

Ages Seen: 16 Yrs/99 Yrs

Rodrigue, Randolph, MD "Provider ID: 770599Digestive Disease Associate of York1700 First Baxter CrossingFt Mill, SC 29708(803) 324-7607

Ages Seen: 16 Yrs/99 Yrs

HEMATOLOGY & ONCOLOGY

Carolina Blood Cancer Care Associates "

Provider ID: 769906Carolina Blood Cancer Care Assoc1583 Health Care DrRock Hill, SC 29732(803) 329-7772

Ages Seen: 00 Yrs/99 Yrs

INFECTIOUS DISEASE

Charles, James, MD !"Provider ID: 777126Catawba Care500 Lakeshore PkwyRock Hill, SC 29730(803) 909-6363

Ages Seen: 00 Yrs/99 Yrs

INTERNAL MEDICINE

Palmetto Medical Group "Provider ID: 7682009789 Charlotte Hwy Ste 1400Ft Mill, SC 29707(803) 548-7007

Ages Seen: 00 Yrs/99 Yrs

Premier Clinics of Rock Hill "Provider ID: 7680201609 Constitution BlvdRock Hill, SC 29732(803) 326-3000

Ages Seen: 00 Yrs/99 Yrs

Premier Clinics of York "Provider ID: 768888114 S Congress StYork, SC 29745(803) 628-4090

Ages Seen: 00 Yrs/99 Yrs

MEDICAL ONCOLOGY

Gor, Asutosh, MD !"Provider ID: 772799Language: Gujarati, HindiCarolina Blood Cancer Care Assoc1583 Health Care DrRock Hill, SC 29732(803) 329-7772

Ages Seen: 00 Yrs/99 Yrs

Naidu, Sashi, MD !"Provider ID: 771604Carolina Blood Cancer Care Assoc1583 Health Care DrRock Hill, SC 29732(803) 329-7772

Ages Seen: 00 Yrs/99 Yrs

Patel, Kashyap, MD !"Provider ID: 774150Language: Gujarati, HindiCarolina Blood Cancer Care Assoc1583 Health Care DrRock Hill, SC 29732(803) 329-7772

Ages Seen: 00 Yrs/99 Yrs

Welsh, James, MD "Provider ID: 770051Carolina Blood Cancer Care Assoc1583 Health Care DrRock Hill, SC 29732(803) 329-7772

Ages Seen: 00 Yrs/99 Yrs

NEONATAL PERINATAL MEDICINE

Cahanap-Mercado, Sonia, MD !"

Provider ID: 774486Pediatrix Medical Grp of South Caro222 S Herlong StRock Hill, SC 29732(803) 909-2041

Ages Seen: 00 Yrs/99 Yrs

Ellis, Sharon, MD "Provider ID: 773406Pediatrix Medical Group of SC222 South Herlong AveRock Hill, SC 29732(803) 909-2041

Ages Seen: 00 Yrs/99 Yrs

Holtzman, Ronald, MD "Provider ID: 774454Pediatrix Medical Grp of South Caro222 South Herlong StRock Hill, SC 29732(803) 329-1234

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

YORK COUNTY (cont.)

Page 87: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY82

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

NEONATAL PERINATAL MEDICINE (cont.)

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro222 South Herlong StRock Hill, SC 29732(803) 909-2041

Ages Seen: 00 Yrs/99 Yrs

Rao, Raviprasad, MD !"Provider ID: 774033Pediatrix Medical Group of SC222 S Herlong AveRock Hill, SC 29732(803) 909-2041

Ages Seen: 00 Yrs/99 Yrs

Thorp, James, MD "Provider ID: 773329Pediatrix Medical Grp of South Caro222 Herlong AveRock Hill, SC 29730(803) 909-2041

Ages Seen: 00 Yrs/99 Yrs

Wells, David, MD "Provider ID: 776609Pediatrix Medical Grp of South Caro222 South Herlong AveRock Hill, SC 29732(803) 909-2041

Ages Seen: 00 Yrs/99 Yrs

Yajnik, Bhavana, MD "Provider ID: 770063Pediatrix Medical Group of SC222 South Herlong AveRock Hill, SC 29732(803) 909-2041

Ages Seen: 00 Yrs/99 Yrs

NEUROLOGY

Mandell, Howard, MD "Provider ID: 772076Metrolina Neuroldiagnostic Center L127 Professional Park DrRock Hill, SC 29732(803) 329-8635

Ages Seen: 00 Yrs/99 Yrs

Mandell, Howard, MD "Provider ID: 772077Metrolina Neurological Associates200 South Herlong Ave Ste 4Rock Hill, SC 29732(803) 366-6135

Ages Seen: 00 Yrs/99 Yrs

Metrolina Neurological Associates "

Provider ID: 770696200 South Herlong Ave Ste HRock Hill, SC 29732(803) 366-6135

Ages Seen: 00 Yrs/99 Yrs

Perumal, Shankar, MD "Provider ID: 770272Perumal Shankar200 South Herlong Ste HRock Hill, SC 29732(803) 366-6135

Ages Seen: 00 Yrs/99 Yrs

Porter, Mark, MD "Provider ID: 772250Metrolina Neuroldiagnostic Center L127 Professional Park DrRock Hill, SC 29732(803) 329-8635

Ages Seen: 00 Yrs/99 Yrs

Porter, Mark, MD "Provider ID: 772251Metrolina Neurological Associates200 South Herlong Ave Ste 4Rock Hill, SC 29732(803) 366-6135

Ages Seen: 00 Yrs/99 Yrs

Ryder-Cook, Allan, MD "Provider ID: 770835Language: American Sign LanguageMetrolina Neurodiagnostic Center

LL127 Professional Park DrRock Hill, SC 29732(803) 329-8635

Ages Seen: 00 Yrs/99 Yrs

Ryder-Cook, Allan, MD "Provider ID: 770836Language: American Sign LanguageMetrolina Neurological Associates200 South Herlong Ave Ste HRock Hill, SC 29732(803) 366-6135

Ages Seen: 00 Yrs/99 Yrs

NEURORADIOLOGY

Metrolina Neurodiagnostic Center "

Provider ID: 771703Metrolina Neurodiagnostic Center

LL127 Professional Park DrRock Hill, SC 29732(803) 329-8635

Ages Seen: 00 Yrs/99 Yrs

OPHTHALMOLOGY

Bedrick, James, MD "Provider ID: 777024Mecklenburg Eye Associates724 Arden Ln Ste 120Rock Hill, SC 29732(803) 324-3070

Ages Seen: 00 Yrs/99 Yrs

Blotnick, Charles, MD !"Provider ID: 773158Mecklenburg Eye Associates724 Arden Ln Ste 120Rock Hill, SC 29732(803) 324-3070

Ages Seen: 00 Yrs/99 Yrs

Mecklenburg Eye Associates "Provider ID: 774119724 Arden Ln Ste 120Rock Hill, SC 29732(803) 324-3070

Ages Seen: 00 Yrs/99 Yrs

OPTICIAN

Wal Mart Stores East LPProvider ID: TPVWALM40-05Wal-Mart Stores East LP1151 Stone Crest BlvdWalmart Vision Center Ste 3733Ft Mill, SC 29708(803) 578-4135

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-34Wal-Mart Stores East LP4875 Old York RdWalmart Vision Center Ste 4593Rock Hill, SC 29732(803) 323-2097

Ages Seen: 00 Yrs/99 Yrs

Wal Mart Stores East LPProvider ID: TPVWALM40-48Wal-Mart Stores East LP970 East Liberty StWalmart Vision Center Ste 1144York, SC 29745(803) 684-4313

Ages Seen: 00 Yrs/99 Yrs

OPTOMETRY

Burt, Paul, OD "Provider ID: TPVBURT05-02Palmetto Eye Associate2460 India Hook Rd Ste 206Rock Hill, SC 29732(803) 985-2020

Ages Seen: 00 Yrs/99 Yrs

Caston, Sakesha, OD "Provider ID: TPVCAST11-01Sakesha Y Caston OD4875 Old York RdWalmart Vision CenterRock Hill, SC 29732(803) 327-0035

Ages Seen: 00 Yrs/99 Yrs

Colletto, Brian, ODProvider ID: TPVCOLL13-01Brian E Colletto356 Oakland AveRock Hill, SC 29730(803) 980-3937

Ages Seen: 00 Yrs/99 Yrs

Davis, Rachel, ODProvider ID: TPVDAVI51-01Rachel S Davis970 East Liberty StWalmart Vision Center Ste 1144York, SC 29745(803) 684-4313

Ages Seen: 00 Yrs/99 Yrs

Jerge, Larry, ODProvider ID: TPVJERG01-01Larry F Jerge1151 Stone Crest BlvdWalmart Vision Center Ste 3733Tega Cay, SC 29708(803) 802-4733

Ages Seen: 00 Yrs/99 Yrs

Kleinau, Karl, ODProvider ID: TPVKLEI16-01Karl Kleinau970 East Liberty StYork, SC 29745(803) 628-3000

Ages Seen: 00 Yrs/99 Yrs

ORTHOPAEDIC SURGERY

Blue, Brian, MD !"Provider ID: 771500Lancaster Orthopaedics Sports

Medi2536 Lengers WayFt Mill, SC 29707(803) 801-9500

Ages Seen: 00 Yrs/99 Yrs

Blue, Brian, MD !"Provider ID: 771500Lancaster Orthopaedics Sports

Medi9787 Charlotte Hwy Ste 200Ft Mill, SC 29715(803) 396-0497

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

YORK COUNTY (cont.)

Page 88: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY83

ORTHOPAEDIC SURGERY (cont.)

Carolina Orthopaedic Surgery Associates "

Provider ID: 770614Carolina Orthopaedic Surgery

Associ134 Professional Park DrRock Hill, SC 29732(803) 329-3130

Ages Seen: 00 Yrs/99 Yrs

Carolina Orthopaedic Surgery Associates

Provider ID: 770614Carolina Orthopaedic Surgery

Associ1690 W Hwy 160Ft Mill, SC 29715(803) 548-2424

Ages Seen: 00 Yrs/99 Yrs

Heinig, Michael, MD !"Provider ID: 771994Carolina Orthopaedic Surgery

Associ134 Professional Park DrRock Hill, SC 29732(803) 329-3130

Ages Seen: 00 Yrs/99 Yrs

Heinig, Michael, MD !"Provider ID: 771994Carolina Orthopaedic Surgery

Associ1690 W Hwy 160Ft Mill, SC 29715(803) 548-2424

Ages Seen: 00 Yrs/99 Yrs

Heinig, Michael, MD !"Provider ID: 771994Carolina Orthopaedic Surgery

Associ6237 Carolina Commons Ste 313Ft Mill, SC 29707(803) 802-3130

Ages Seen: 00 Yrs/99 Yrs

James III, Walter, MD !"Provider ID: 775288Carolina Orthopaedic Surgery

Associ134 Professional Park DrRock Hill, SC 29732(803) 329-3130

Ages Seen: 00 Yrs/99 Yrs

James III, Walter, MD !"Provider ID: 775288Carolina Orthopaedic Surgery

Associ1690 W Hwy 160Ft Mill, SC 29715(803) 548-2424

Ages Seen: 00 Yrs/99 Yrs

James III, Walter, MD !"Provider ID: 775288Carolina Orthopaedic Surgery

Associ6237 Carolina Commons Ste 313Ft Mill, SC 29707(803) 802-3130

Ages Seen: 00 Yrs/99 Yrs

Lancaster Orthopaedics Sports Medicine "

Provider ID: 775673Lancaster Orthopaedics Sports

Medi2536 Lengers WayFt Mill, SC 29707(803) 801-9500

Ages Seen: 00 Yrs/99 Yrs

Lancaster Orthopaedics Sports Medicine "

Provider ID: 775673Lancaster Orthopaedics Sports

Medi9787 Charlotte HwySuiite 200Ft Mill, SC 29715(803) 396-0497

Ages Seen: 00 Yrs/99 Yrs

Lehman, William, MD !"Provider ID: 774129Carolina Orthopaedic Surgery

Associ134 Professional Park DrRock Hill, SC 29732(803) 329-3130

Ages Seen: 00 Yrs/99 Yrs

Lehman, William, MD !"Provider ID: 774129Carolina Orthopaedic Surgery

Associ1690 W Hwy 160Ft Mill, SC 29715(803) 548-2424

Ages Seen: 00 Yrs/99 Yrs

McCarthy, William, MD !"Provider ID: 774663Carolina Orthopaedic Surgery

Associ134 Professional Park DrRock Hill, SC 29732(803) 329-3130

Ages Seen: 00 Yrs/99 Yrs

McCarthy, William, MD !"Provider ID: 774663Carolina Orthopaedic Surgery

Associ1690 W Hwy 160Ft Mill, SC 29715(803) 548-2424

Ages Seen: 00 Yrs/99 Yrs

McQueen, Donald, MD "Provider ID: 776735Carolina Orthopaedic Surgery

Associ134 Professional Park DrRock Hill, SC 29732(803) 329-3130

Ages Seen: 00 Yrs/99 Yrs

McQueen, Donald, MD "Provider ID: 776735Carolina Orthopaedic Surgery

Associ1690 W Hwy 160Ft Mill, SC 29715(803) 548-2424

Ages Seen: 00 Yrs/99 Yrs

Omalley, Aran, MD !"Provider ID: 774691Lancaster Orthopaedics Sports

Medi2536 Lengers WayFt Mill, SC 29707(803) 801-9500

Ages Seen: 00 Yrs/99 Yrs

Omalley, Aran, MD !"Provider ID: 774691Lancaster Orthopaedics Sports

Medi9787 Charlotte HwySuiet 200Ft Mill, SC 29715(803) 396-0497

Ages Seen: 00 Yrs/99 Yrs

Powell, Eugene, MD !"Provider ID: 777098Carolina Orthopaedic Surgery

Associ134 Professional Park DrRock Hill, SC 29732(803) 329-3130

Ages Seen: 00 Yrs/99 Yrs

Powell, Eugene, MD !"Provider ID: 777098Carolina Orthopaedic Surgery

Associ1690 W Hwy 160Ft Mill, SC 29715(803) 548-2424

Ages Seen: 00 Yrs/99 Yrs

Rentz, James, MD !"Provider ID: 776165Carolina Orthopaedic Surgery

Associ134 Professional Park DrRock Hill, SC 29732(803) 329-3130

Ages Seen: 00 Yrs/99 Yrs

Rentz, James, MD !"Provider ID: 776165Carolina Orthopaedic Surgery

Associ1690 W Hwy 160Ft Mill, SC 29715(803) 548-2424

Ages Seen: 00 Yrs/99 Yrs

Schwartz, Matthew, MD "Provider ID: 774851Carolina Orthopaedic Surgery

Associ134 Professional Park DrRock Hill, SC 29732(803) 329-3130

Ages Seen: 00 Yrs/99 Yrs

Schwartz, Matthew, MD "Provider ID: 774851Carolina Orthopaedic Surgery

Associ1690 W HWY160Ft Mill, SC 29715(803) 548-2424

Ages Seen: 00 Yrs/99 Yrs

PAIN MANAGEMENT

Akande, Adewunmi, MD "Provider ID: 770275Charlotte Pain Associates430 S HerlongRock Hill, SC 29732(704) 364-7727

Ages Seen: 18 Yrs/99 Yrs

Charlotte Pain Associates "Provider ID: 775649430 S HerlongRock Hill, SC 29732(704) 364-7727

Ages Seen: 18 Yrs/99 Yrs

PEDIATRIC PSYCHIATRY

Josiah-Howse, Dara, MD !"Provider ID: 770276The Olive Tree Wellness Center111 Clebourne St Ste 110Ft Mill, SC 29715(803) 802-1301

Ages Seen: 00 Yrs/21 Yrs

SOUTH CAROLINA (cont.)

YORK COUNTY (cont.)

Page 89: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY84

SPECIALTY PHYSICIANSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PEDIATRICS

Agape Senior Primary Care Fp "Provider ID: 768359159 Sedgewood DrRock Hill, SC 29732(803) 454-3510

Ages Seen: 00 Yrs/21 Yrs

First Care Medical Clinic "Provider ID: 7689091462 Constitution BlvdRock Hill, SC 29732(803) 909-4040

Ages Seen: 00 Yrs/99 Yrs

Lancaster Clinic Corp "Provider ID: 7756682536 Lengers WayFt Mill, SC 29707(803) 802-9500

Ages Seen: 00 Yrs/99 Yrs

Lancaster Clinic Corp "Provider ID: 7756689787 Charlotte Hwy Ste 200Ft Mill, SC 29715(803) 396-0494

Ages Seen: 00 Yrs/99 Yrs

Pediatrix Medical Grp of South Carolina "

Provider ID: 777375Pediatrix Medical Grp of South Caro222 South Herlong StRock Hill, SC 29732(803) 909-2041

Ages Seen: 00 Yrs/99 Yrs

Tri County Pediatrics "Provider ID: 767889165 Amendment Ave Ste 102Rock Hill, SC 29732(803) 329-2700

Ages Seen: 00 Yrs/18 Yrs

Tri County Pediatrics "Provider ID: 767122815 E Liberty StYork, SC 29745(803) 628-2728

Ages Seen: 00 Yrs/21 Yrs

York Pediatrics "Provider ID: 7690681538 Healthcare DrRock Hill, SC 29732(803) 980-6610

Ages Seen: 00 Yrs/18 Yrs

PLASTIC & RECONSTRUCTIVE

SURGERY

Pillai, Mohan, MD "Provider ID: 771238Summit Plastic and Hand Surgery1700 First Baxter Crossing Ste 202Ft Mill, SC 29708(803) 802-2488

Ages Seen: 00 Yrs/99 Yrs

Summit Plastic and Hand Surgery "

Provider ID: 7730581700 First Baxter Crossing Ste 202Ft Mill, SC 29708(803) 802-2488

Ages Seen: 00 Yrs/99 Yrs

PODIATRY

Carolina Podiatry Group "Provider ID: 7737489789 Charlotte Hwy Ste 200Ft Mill, SC 29715(800) 323-6127

Ages Seen: 00 Yrs/99 Yrs

Olson, Thomas, DPM "Provider ID: 770656Piedmont Podiatry Group724 Arden Ln Ste 200Rock Hill, SC 29732(803) 366-9440

Ages Seen: 00 Yrs/99 Yrs

Percival, Brandon, DPM !"Provider ID: 773666Carolina Podiatry Group9789 Charlotte Hwy Ste 200Ft Mill, SC 29715(800) 336-1279

Ages Seen: 00 Yrs/99 Yrs

Percival, Julie, DPM !"Provider ID: 770739Carolina Podatry Group9789 Charlotte Hwy Ste 200Ft Mill, SC 29715(803) 285-1411

Ages Seen: 00 Yrs/99 Yrs

UROLOGY

Carolina Urology Center "Provider ID: 7724091780 Medical Park DrRock Hill, SC 29732(803) 327-1116

Ages Seen: 00 Yrs/99 Yrs

Carolina Urology Center "Provider ID: 772409580 Kingsley Park Dr Ste 150Ft Mill, SC 29715(803) 578-7600

Ages Seen: 00 Yrs/99 Yrs

Douglas, Thomas, MD !"Provider ID: 772198Carolina Urology Center1780 Medical Park DrRock Hill, SC 29732(803) 327-1116

Ages Seen: 00 Yrs/99 Yrs

Douglas, Thomas, MD !"Provider ID: 772198Carolina Urology Center580 Kingsley Park Dr Ste 150Ft Mill, SC 29715(803) 578-7600

Ages Seen: 00 Yrs/99 Yrs

Ezell, Terry, MD !"Provider ID: 770470Carolina Urology Center1780 Medical Park DrRock Hill, SC 29732(803) 327-1116

Ages Seen: 00 Yrs/99 Yrs

Ezell, Terry, MD !"Provider ID: 770470Carolina Urology Center580 Kingsley Park Dr Ste 150Ft Mill, SC 29715(803) 578-7600

Ages Seen: 00 Yrs/99 Yrs

Johnson, Bradlee, MD "Provider ID: 774545Lancaster Clinic Corp2536 Lengers WayFt Mill, SC 29707(803) 801-9500

Ages Seen: 00 Yrs/99 Yrs

Johnson, Bradlee, MD "Provider ID: 774545Lancaster Clinic Corp9787 Charlotte Hwy Ste 200Ft Mill, SC 29715(803) 396-0497

Ages Seen: 00 Yrs/99 Yrs

Livingston, Wilbur, MD "Provider ID: 777045Carolina Urology Center1780 Medical Park DrRock Hill, SC 29732(803) 327-1116

Ages Seen: 00 Yrs/99 Yrs

Livingston, Wilbur, MD "Provider ID: 777045Carolina Urology Center580 Kingsley Park Dr Ste 150Ft Mill, SC 29715(803) 578-7600

Ages Seen: 00 Yrs/99 Yrs

Magura, Christian, MD "Provider ID: 771294Carolina Urology Center1780 Medical Park DrRock Hill, SC 29732(803) 327-1116

Ages Seen: 00 Yrs/99 Yrs

Magura, Christian, MD "Provider ID: 771294Carolina Urology Center580 Kingsley Park Dr Ste 150Ft Mill, SC 29715(803) 578-7600

Ages Seen: 00 Yrs/99 Yrs

Makhuli, Mark, MD !"Provider ID: 769871Lancaster Clinic Corp2536 Lengers WayFt Mill, SC 29707(803) 802-9500

Ages Seen: 00 Yrs/99 Yrs

Makhuli, Mark, MD !"Provider ID: 769871Lancaster Clinic Corp9787 Charlotte Hwy Ste 200Ft Mill, SC 29715(803) 396-0497

Ages Seen: 00 Yrs/99 Yrs

Matthews, Curtis, MD !"Provider ID: 777382Carolina Urology Center1780 Medical Park DrRock Hill, SC 29732(803) 327-1116

Ages Seen: 00 Yrs/99 Yrs

Matthews, Curtis, MD !"Provider ID: 777382Carolina Urology Center580 Kingsley Park Dr Ste 150Ft Mill, SC 29715(803) 578-7600

Ages Seen: 00 Yrs/99 Yrs

Wright, David, MD !"Provider ID: 775967Carolina Urology Center1780 Medical Park DrRock Hill, SC 29732(803) 327-1116

Ages Seen: 00 Yrs/99 Yrs

Wright, David, MD !"Provider ID: 775967Carolina Urology Center580 Kingsley Park Dr Ste 150Ft Mill, SC 29715(803) 578-7600

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

YORK COUNTY (cont.)

Page 90: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

CLINICSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

" WHEELCHAIR ACCESSIBLE85

CLINIC

Bamberg County Hospital and Nursing Cent "

Provider ID: 774242Bamberg County Hospital and

Nursing509 North StBamberg, SC 29003(803) 245-4321

FEDERALLY QUALIFIED HEALTH CENTER

Ridgeway Family Practice "Provider ID: 767837Eau Claire Coop Health Centers755 US Hwy 21 SouthRidgeway, SC 29130(803) 337-2920

FEDERALLY QUALIFIED HEALTH CENTER

Caresouth Carolina "Provider ID: 769730545 Sumter HwyBishopville, SC 29010(803) 484-5317

FEDERALLY QUALIFIED HEALTH CENTER

Brookland Cayce Medical Practice "

Provider ID: 767826Eau Claire Coop Health Centers1115 State StCayce, SC 29033(803) 939-0174

Brookland Community Pediatrics "

Provider ID: 767836Eau Claire Coop Health Centers500 N 12th StWest Columbia, SC 29169(803) 217-0415

Pediatrics of Batesburg Leesville "

Provider ID: 767829Eau Claire Coop Health Centers120 W Church StBatesburg, SC 29006(803) 532-2208

FEDERALLY QUALIFIED HEALTH CENTER

Pediatrics of Newberry "Provider ID: 767833Eau Claire Coop Health Centers2525 Kinard StNewberry, SC 29108(803) 405-0220

FEDERALLY QUALIFIED HEALTH CENTER

Eastover Family Practice "Provider ID: 767828Eau Claire Coop Health Centers120 Clarkson StEastover, SC 29044(803) 353-8741

Five Points Walk-IN & Pediatrics "

Provider ID: 767830Eau Claire Coop Health Centers1228 Harden StColumbia, SC 29204(803) 748-7002

Five Points Walk-IN Care "Provider ID: 7733091228 Harden StColumbia, SC 29204(803) 748-7002

Laurel Medical Practice "Provider ID: 767831Eau Claire Coop Health Centers1520 Laurel StColumbia, SC 29201(803) 799-8407

FEDERALLY QUALIFIED HEALTH CENTER

Sumter Family Health Center "Provider ID: 7679421278 North Lafayette DrSumter, SC 29150(803) 774-4500

SOUTH CAROLINABAMBERG COUNTY

FAIRFIELD COUNTY

LEE COUNTY

LEXINGTON COUNTY

NEWBERRY COUNTY

RICHLAND COUNTY

SUMTER COUNTY

Page 91: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

" WHEELCHAIR ACCESSIBLE86

HOSPITALSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

HOSPITAL

Aiken Regional Medical Center "

302 University PkwyAiken, SC 29801(803) 641-5000

HOSPITAL

Allendale County Hospital "1787 Allendale Fairfax HwyFairfax, SC 29827(803) 632-3311

HOSPITAL

Bamberg County Memorial Hospital "

509 North StBamberg, SC 29003(803) 245-4321

HOSPITAL

Barnwell County Hospital "811 Reynolds RdBarnwell, SC 29812(803) 259-1000

HOSPITAL

Clarendon Memorial Hospital "10 Hospital StManning, SC 29102(803) 435-8463

HOSPITAL

Fairfield Memorial Hospital "102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

HOSPITAL

Springs Memorial Hospital "800 W Meeting StLancaster, SC 29720(803) 286-1214

Springs Memorial Hospital "Lancaster Hospital Corporation800 W Meeting StLancaster, SC 29720(803) 286-1214

HOSPITAL

Trident Medical Center "9330 Medical Plaza DrElliott, SC 29046(843) 847-4100

HOSPITAL

Newberry County Memorial Hospital "

2669 Kinard StNewberry, SC 29108(803) 276-2570

HOSPITAL

The Regional Medical Center Orangeburg "

The Regional Medical Center Orangeb

3000 St Matthews RdOrangeburg, SC 29118(803) 533-2200

HOSPITAL

Palmetto Health Richland "5 Medical Park DrColumbia, SC 29203(803) 434-7192

Palmetto Health Richland "5 Richland Medical Park DrColumbia, SC 29203(803) 434-7000

Sisters of Charity Providence Hospitals "

Providence Northeast120 Gateway Corporate BlvdColumbia, SC 29203(803) 865-4500

Sisters of Charity Providence Hospitals "

Providence Northeast120 Gatway Corporate BlvdColumbia, SC 29203(803) 365-4500

Sisters of Charity Providence Hospitals "

Providence Hospital2435 Forest DrColumbia, SC 29204(803) 256-5300

HOSPITAL

Tuomey Regional Medical Center "

129 N Washington StSumter, SC 29150(803) 774-9000

SOUTH CAROLINAAIKEN COUNTY

ALLENDALE COUNTY

BAMBERG COUNTY

BARNWELL COUNTY

CLARENDON COUNTY

FAIRFIELD COUNTY

LANCASTER COUNTY

LEE COUNTY

NEWBERRY COUNTY

ORANGEBURG COUNTY

RICHLAND COUNTY

SUMTER COUNTY

Page 92: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ANCILLARY PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

" WHEELCHAIR ACCESSIBLE87

DIALYSIS

Aiken Dialysis "775 Medical Park DrAiken, SC 29801(803) 641-4222

DURABLE MEDICAL EQUIPMENT

Home Medical "309 University Pkwy NWAiken, SC 29801(803) 649-1726

Langley Drug Company "2820 Augusta RdLangley, SC 29834(803) 593-3411

Lincare "3521 W Richland AveAiken, SC 29801(803) 648-1636

Lincare Aiken "3521 W Richland AveAiken, SC 29801(800) 736-2034

Performance Medical Supply "553 Edgefield RdNorth Augusta, SC 29841(803) 278-2910

GENERAL DENTISTRY

Robinson, Ronald, MD "Carolina Radiological Associates302 University PkwyAiken, SC 29801(706) 737-4565

HOME HEALTH CARE

Liberty Home Care "610 Aldrich St NEAiken, SC 29801(803) 643-0001

INFUSION THERAPY

Palmetto Infusion Services Augusta "

815 W AveNorth Augusta, SC 29841(803) 489-0130

PHYSICAL THERAPY

Clemson Sports Medicine and Rehab "

Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Healing Hands Physical Therapy Center IN "

Healing Hands Physical Therapy Center

1501 Whiskey RdAiken, SC 29803(800) 401-1306

Pediatric Therapy of Aiken "6140 Woodside Executive CtAiken, SC 29803(803) 642-0700

SPEECH THERAPY

Schultz Speech Therapy Services "

104 Crestview DrNorth Augusta, SC 29841(803) 586-5280

Small Talk Speech Pathology Services "

Small Talk Speech Pathology Service

118 Park Ave South W Ste 600Aiken, SC 29801(803) 502-1718

DIALYSIS

Allendale County Dialysis "202 N Hampton StFairfax, SC 29827(803) 632-1511

DIALYSIS

Central Bamberg Dialysis "67 Sunset DrBamberg, SC 29003(803) 245-5166

DURABLE MEDICAL EQUIPMENT

Bamberg Medical Equipment Supplies Unif "

Bamberg Medical Equipment Supplies

3109 Main HwyBamberg, SC 29003(803) 245-1708

HOME HEALTH CARE

VNA of Greater Bamberg "923 Midway StBamberg, SC 29003(803) 245-5611

DURABLE MEDICAL EQUIPMENT

Daniels Pharmacy and DME "178 Wren StBarnwell, SC 29812(803) 259-1234

Daniels Pharmacy and DME "19354 Solomon Blatt AveBlackville, SC 29817(803) 243-3372

HOME HEALTH CARE

SC Dhec Region 5 Home Health Services "

SC Dhec Region 5 Home Health Servic

11015 Ellenton StBarnwell, SC 29812(803) 541-1190

SC Dhec Region 5 Home Health Services "

SC Dhec Region 5 Home Health Servic

1150 Ellenton StBarnwell, SC 29812(803) 536-9117

DURABLE MEDICAL EQUIPMENT

Blu Bird Medical "711 Harry Raysor DrSaint Matthews, SC 29135(803) 874-4369

DURABLE MEDICAL EQUIPMENT

Cypress Medical Supply "523 South Mill StManning, SC 29102(803) 435-9927

Summerton Drugs "115 Main StSummerton, SC 29148(803) 485-2555

HOME HEALTH CARE

Clarendon Memorial Home Health "

23 South Mill StManning, SC 29102(803) 435-4494

SC Dhec Region 4 East Home Health Servic "

SC Dhec Region 4 East Home Health S

110 E Boyce StManning, SC 29102(803) 435-4355

SKILLED NURSING FACILITY

Windsor Manor Nursing Facility "

5583 Summerton HwyManning, SC 29102(803) 478-2323

DURABLE MEDICAL EQUIPMENT

Aftercare Medical Equipment Supplies IN "

Aftercare Medical Equipment Suppli316 South Congress StWinnsboro, SC 29180(803) 635-7729

HOME HEALTH CARE

Caring Neighbors Home Health "

Fairfield Memorial Hospital102 Hwy 321 Bypass NorthWinnsboro, SC 29180(803) 635-5548

SC Dhec Region 3 Home Health Services "

SC Dhec Region 3 Home Health Servic

1136 Kincaid Bridge RdWinnsboro, SC 29180(803) 286-9948

DURABLE MEDICAL EQUIPMENT

Aftercare Medical Equipment and Supplies "

Aftercare Medical Equipment and Sup

510 Rutledge StCamden, SC 29020(803) 425-1542

Linkia "59 E Dekalb StCamden, SC 29020(803) 424-5221

DIALYSIS

Lancaster SC Dialysis "1100 W Meeting StLancaster, SC 29720(877) 678-8603

SOUTH CAROLINAAIKEN COUNTY

ALLENDALE COUNTY

BAMBERG COUNTY

BARNWELL COUNTY

CALHOUN COUNTY

CLARENDON COUNTY

FAIRFIELD COUNTY

KERSHAW COUNTY

LANCASTER COUNTY

Page 93: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

" WHEELCHAIR ACCESSIBLE88

ANCILLARY PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

DURABLE MEDICAL EQUIPMENT

Advanced Home Care "1073-B W Meeting StLancaster, SC 29720(803) 285-2026

American Homepatient "112 Woodland Dr Ste ELancaster, SC 29720(803) 285-6755

Barnett Medical Supply "1666 Pageland HwyLancaster, SC 29720(803) 286-6655

Linkia "1228 Colonial CommonsLancaster, SC 29720(803) 283-1202

Thomas Drug Store "203 W Marion StKershaw, SC 29067(803) 475-9665

HOME HEALTH CARE

Home Care of Lancaster "902 W Meeting St Ste ALancaster, SC 29720(803) 286-1472

SC Dhec Region 3 Home Health Services "

SC Dhec Region 3 Home Health Servic

1833 Pageland HwyLancaster, SC 29720(803) 286-8441

INFUSION THERAPY

Advanced Home Care "1073-B W Meeting StLancaster, SC 29720(803) 285-2026

SPEECH THERAPY

Milestones Speech and Language "

304 North White StLancaster, SC 29721(803) 283-6318

HOME HEALTH CARE

SC Dhec Region 4 East Home Health Servic "

SC Dhec Region 4 East Home Health S

810 Brown StBishopville, SC 29010(803) 484-4180

AUDIOLOGY

Lake Murray Hearing Associates "

150 Whiteford WayLexington, SC 29072(803) 808-9611

DURABLE MEDICAL EQUIPMENT

Aerocare "632 Sunset BlvdWest Columbia, SC 29169(803) 581-2313

Calco Medical Supplies "814 E Main St Ste BLexington, SC 29072(803) 358-6835

Carolina Medical Equipment "4787 Sunset BlvdLexington, SC 29072(803) 356-4983

Center For Prosthetics "811 Sunset BlvdWest Columbia, SC 29169(803) 926-9020

Esteemcare "3223 Sunset Blvd104West Columbia, SC 29169(803) 935-9376

Medfirst Diabetic Shoes and Supplies "

Medfirst Diabetic Shoes and Supplie

112 K White Oak LnLexington, SC 29072(803) 939-1916

Medi Source Home Medical "110 Main StLeesville, SC 29070(803) 532-2644

Medical Comfort Systems "112 A White Oak LnLexington, SC 29073(803) 794-0601

Medpro "501 Hafely CtCayce, SC 29033(803) 791-7436

Medsource "1311 Augusta RdWest Columbia, SC 29169(803) 926-2919

Medtrex "1330 Methodist Park Rd Ste BWest Columbia, SC 29170(803) 926-3737

Medxpress "171 B Monroe LnLexington, SC 29071(803) 957-0500

Owen Drug Company "501 W Railroad AveBatesburg, SC 29006(803) 532-6581

Pal Med "1403 Dunbar RdCayce, SC 29033(803) 791-9013

Physical Medicine Devices "Physcialmedicinedevices LLC203 Amicks Ferry Rd Ste 700Chapin, SC 29036(803) 932-7080

Reliant Medical Products "125 Wade St Ste BWest Columbia, SC 29169(803) 794-4460

Reyland Medical "1053 Sunset BlvdWest Columbia, SC 29169(803) 939-4673

Special Care Medical of SC West Colu "

Special Care Medical of SC West3465 Leaphart RdWest Columbia, SC 29169(803) 926-0161

Specialized Mobility "2361 Dutch Fork RdChapin, SC 29036(803) 749-3613

HOME HEALTH CARE

Incare Home Health "171 Monroe LnLexington, SC 29072(803) 957-0500

Tri County Home Health "117A W Church StBatesburg, SC 29006(803) 532-9900

Tri County Home Health "120D W Church StBatesburg, SC 29006(803) 532-9900

INFUSION THERAPY

Medi Home Infusion "Sunrise Medications171 B Monroe LnLexington, SC 29072(803) 358-6766

Palmetto Infusion Services Columbia "

172 McSwain DrWest Columbia, SC 29169(800) 809-1265

OCCUPATIONAL THERAPY

Carol Hutto OT "125 Tanners Mill RdChapin, SC 29036(803) 603-3035

Vital Energy Occupational Therapy and We "

Vital Energy Occupational Therapy A

163 Charter Oak RdLexington, SC 29072(803) 359-1551

ORTHOTICS & PROSTHETICS

Lexington Prosthetics and Orthotics "

205 Medical CirWest Columbia, SC 29169(803) 939-0097

PHYSICAL THERAPY

Active Therapeutics "117 Eagle PointeChapin, SC 29036(803) 315-1001

HPRC "1216 W Main St Ste ALexington, SC 29072(803) 996-4761

The Pain Center of First Choice Healthca "

The Pain Center of First Choice Hea3227 Sunset Blvd Ste FWest Columbia, SC 29169(803) 791-9200

SPEECH THERAPY

Childrens Chatter "28 Kitfox CtChapin, SC 29036(803) 622-7939

SOUTH CAROLINA (cont.)

LANCASTER COUNTY (cont.)

LEE COUNTY

LEXINGTON COUNTY

Page 94: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ANCILLARY PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

" WHEELCHAIR ACCESSIBLE89

SPEECH THERAPY (cont.)

Dynamic Speech Language Therapy "

34 Woodcross DrApt 224Columbia, SC 29212(803) 614-0314

Jumpstart Pediatrics "955 Saint Peters Church RdChapin, SC 29036(803) 331-5620

Kid Connections Therapy Services "

Kid Connections Therapy Services LL

259 River Ridge WaySwansea, SC 29160(803) 622-4482

Wee Talk Therapy Services "116 Musket RdGilbert, SC 29054(803) 429-7463

HOME HEALTH CARE

SC Dhec Region 3 Home Health Services "

SC Dhec Region 3 Home Health Servic

2111 Wilson RdNewberry, SC 29108(866) 888-2430

MOBILE DIAGNOSTIC

Nxe "2605 Kinard St Ste 206Newberry, SC 29108(803) 276-4860

SKILLED NURSING FACILITY

White Oak Manor Newberry "2555 Kinard StNewberry, SC 29108(803) 276-6060

DIABETES EDUCATION

New Beginnings Diabetic and Homecare "

New Beginnings Diabetic and Homecar

1303 Glen Gloria RdOrangeburg, SC 29118(803) 531-3339

DIALYSIS

North Orangeburg Dialysis "124 Fire Tower RdOrangeburg, SC 29118(877) 678-8603

Santee Dialysis "228 Bradford BlvdSantee, SC 29142(803) 854-3133

South Orangeburg Dialysis "1080 Summers AveOrangeburg, SC 29115(803) 539-0084

DURABLE MEDICAL EQUIPMENT

Daniels Pharmacy and DME "8412 Savannah HwyNorway, SC 29113(803) 263-4795

Grove Park Pharmacy "1324 Grove Park NEOrangeburg, SC 29115(803) 534-1164

Lincare "1262 Ridgewood DrOrangeburg, SC 29118(803) 536-2118

Linkia "1707 Village Park DrOrangeburg, SC 29118(803) 536-6797

Priority Home Medical "1464 Carolina AveOrangeburg, SC 29115(803) 534-1234

R J Drugs "4633 Savannah HwyNorth, SC 29112(803) 247-2133

SC Orthopaedic Institute "1175 Cook Rd Ste 215Orangeburg, SC 29118(803) 531-0126

Whites Medical Rentals "1891 Saint Matthews RdOrangeburg, SC 29118(803) 534-6236

HOME HEALTH CARE

Home Care of The Regional Medical Center "

Home Care of The Regional Medical C

1324 Hutto StOrangeburg, SC 29118(803) 533-2600

HOSPICE

Home Care of The Regional Medical Center "

Home Care of The Regional Medical C

1324 Hutto StOrangeburg, SC 29118(803) 533-2600

PHYSICAL THERAPY

Clemson Sports Medicine and Rehab "

Sports Plus119 Office Park DrOrangeburg, SC 29118(803) 536-5509

SPEECH THERAPY

Carolina Speech and Language Associates "

Carolina Speech and Language Associ

3298 Hunter DrOrangeburg, SC 29116(803) 928-0369

Carolina Therapy Services "107 Jade CirOrangeburg, SC 29115(803) 533-8092

Tri County Speech Pathology Services "

Tri County Speech Pathology Service

1655 Carolina AveOrangeburg, SC 29115(803) 531-3459

Tri County Speech Pathology Services "

Tri County Speech Pathology Service

226 Waterford PkwyOrangeburg, SC 29118(803) 531-3459

URGENT CARE CENTER

Santee Express Care "111 John Lawson AveSantee, SC 29142(803) 268-2070

AMBULATORY SURGERY CENTER

Providence Surgery Center "2631 Forest DrColumbia, SC 29204(803) 256-5300

SC Medical Endoscopy "1735 Taylor StColumbia, SC 29201(803) 254-8449

AUDIOLOGY

The University of South Carolina "

Usc Speech and Hearing1601 St Julian PlColumbia, SC 29204(803) 777-2614

DIABETES EDUCATION

New Beginnings Diabetic and Homecare "

New Beginnings Diabetic and Homecar

2712 Middleburg Dr Ste 220Columbia, SC 29204(803) 779-0672

DIAGNOSTIC CENTER

Palmetto Health Diagnostic "5 Richland Medical ParkColumbia, SC 29203(803) 434-7619

DIALYSIS

Central Columbia Dialysis "3511 Medical DrColumbia, SC 29203(877) 678-8603

Northeast Columbia Dialysis "10 Gateway Corners Pkwy Ste 200Columbia, SC 29203(803) 865-0554

DURABLE MEDICAL EQUIPMENT

Alala "3400 Harden St ExtentionColumbia, SC 29203(803) 569-4373

All Medical "Please Contact Your Provider For

All-Med Services2011 Hampton StColumbia, SC 29204

American Home Patient "127 Corporate LnColumbia, SC 29223(803) 714-6544

Carolina Diabetic Family Pharmacy Servic "

Carolina Diabetic Family Pharmacy S

124 Doctors CirColumbia, SC 29203(803) 931-0953

Diabetic Supply Source "2805 Millwood AveColumbia, SC 29205(803) 799-3505

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

NEWBERRY COUNTY

ORANGEBURG COUNTYRICHLAND COUNTY

Page 95: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

" WHEELCHAIR ACCESSIBLE90

ANCILLARY PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

DURABLE MEDICAL EQUIPMENT (cont.)

Hawthorne Medical Equipment "

1506 Taylor StColumbia, SC 29201(803) 256-3440

Healthcare Etc "7340 Parklane Rd Ste 101Columbia, SC 29223(803) 708-4750

Linkia "1739 Blanding StColumbia, SC 29201(803) 256-4359

Longs Home Medical "27 Boland CtColumbia, SC 29210(864) 770-0344

Longs Home Medical "454 Berryhill RdColumbia, SC 29210(803) 254-8775

Medical Select "101 W Park Blvd Ste A-2Columbia, SC 29210(803) 772-4445

Rotech "720 Old Clemson Rd Ste CColumbia, SC 29229(803) 419-1505

Rotech Columbia "720 Old Clemson Rd Ste CColumbia, SC 29203(803) 333-9910

Shoes Etc "7715 St Andrews Rd Ste DIrmo, SC 29063(803) 781-5757

Smp Medical Products "1111 Belleview St Ste 105Columbia, SC 29201(803) 735-3050

The Forms Boutique "2602 Devine StColumbia, SC 29205(803) 799-7096

HOME HEALTH CARE

Carepro Home Health "1800 Main St Ste 100Columbia, SC 29201(803) 758-4000

Palmetto Health Homecare "1400 Pickens StColumbia, SC 29201(803) 296-3119

Tri County Home Health "1950 Bush River RdColumbia, SC 29210(808) 561-7680

LABORATORY PATHOLOGY TESTING

Medical Assay Laboratory "4801 North Main StColumbia, SC 29203(803) 788-0697

SC Dhec Bureau of Laboratories "

Bureau of Finance - Scdhec8231 Parklane RdColumbia, SC 29223(803) 896-0801

OCCUPATIONAL THERAPY

Charleston Pediatric Rehabilitation "

Columbia Pediatric Rehabilitation212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Health Tracks "2537 Gervais StColumbia, SC 29204(803) 269-6091

ORTHOTICS & PROSTHETICS

Capital Prosthetics and Orthotics "

Capital Prosthetics and Orthotics I1455 Harden St ExtensionColumbia, SC 29201(803) 799-5063

Certified Pedorthic Orthotics "1901 Blanding StColumbia, SC 29201(803) 779-0550

Level Four Orthotics and Prosthetics "

Level Four Orthotics and Prosthetic3010 Farrow Rd Ste 130Columbia, SC 29203(803) 771-6816

PHYSICAL THERAPY

Clemson Sports Medicine and Rehab "

Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Clemson Sports Medicine and Rehab "

Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

HPRC "1910 Blanding StColumbia, SC 29201(803) 253-6721

Rehab and Geriatrics Specialists "

2935 Colonial DrColumbia, SC 29203(803) 401-1369

Sprout Pediatrics "108 Belfair RdIrmo, SC 29063(803) 629-1981

Team Therapy SC "1710 B Richland StColumbia, SC 29201(803) 253-6223

The Pain Center of First Choice Healthca "

The Pain Center of First Choice Hea115 Blarney Dr Ste 111Columbia, SC 29223(803) 419-9091

SKILLED NURSING FACILITY

White Oak Manor Columbia "3001 Beechaven RdColumbia, SC 29204(803) 782-4363

SPEECH THERAPY

Angelic Speech Therapy Services "

213 Cabin DrIrmo, SC 29063(803) 699-1142

Kaufman Therapy Service "105 Fox Hill DrBlythewood, SC 29016(803) 530-2214

Kristi Zoller MS Ccc SLP "1732 Maplewood DrColumbia, SC 29205(803) 530-8338

Northeast Speech-Language Pathology "

503 Summit SqColumbia, SC 29229(803) 423-2327

Palmetto Early Beginnings "355 Ridge Run TrlIrmo, SC 29063(803) 271-2364

Say and Play "101 Kestrel LnIrmo, SC 29063(803) 528-3588

Speechworks "1931 Bull St Ste DColumbia, SC 29201(803) 767-4832

The Therapy Place "3620 Covenant RdColumbia, SC 29204(803) 787-3033

URGENT CARE CENTER

Forest Drive Physicians dba Doctors Expr "

Forest Drive Physicians dba Doctors

3304 Forest DrColumbia, SC 29204(803) 787-3901

Palmetto Health Private Services "

1400 Pickens StColumbia, SC 29201(803) 296-3100

AMBULATORY SURGERY CENTER

Wesmark Ambulatory Surgery "420 W Wesmark BlvdSumter, SC 29150(803) 905-5590

DURABLE MEDICAL EQUIPMENT

Access Home Medical "144 Garrett St Ste DSumter, SC 29150(803) 773-1600

Lincare Sumter "1500 D Airport RdSumter, SC 29153(803) 773-0387

Reliable Medical Equipment "418 Broad StSumter, SC 29150(803) 934-9212

Sumter Medical Supplies "32 South Main St Ste ASumter, SC 29150(803) 773-8447

HOME HEALTH CARE

Tri County Home Health "2560 Tahoe DrSumter, SC 29150(800) 849-4353

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

SUMTER COUNTY

Page 96: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ANCILLARY PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

" WHEELCHAIR ACCESSIBLE91

HOME HEALTH CARE (cont.)

Tri County Home Health "2650B Hardee CvSumter, SC 29150(800) 849-4353

Tuomey Regional Home Health "

Tuomey Home Health115 North Sumter St Ste 410Sumter, SC 29150(803) 773-4663

ORTHOTICS & PROSTHETICS

Advanced Care Prosthetics and Orthotics "

Advanced Care Prosthetics and Ortho

10 Baker StSumter, SC 29150(803) 774-5462

Advanced Care Prosthetics and Orthotics "

Advanced Care Prosthetics and Ortho

116 Broad StSumter, SC 29150(803) 774-5462

Looks Like U "540 Bultman Dr Ste 3Sumter, SC 29150(803) 774-0139

PHYSICAL THERAPY

The Pain Center of First Choice Healthca "

The Pain Center of First Choice Hea10 Miller RdSumter, SC 29150(803) 774-6500

The Pain Center of First Choice Healthca "

The Pain Center of First Choice Hea220 Broad St Ste BSumter, SC 29150(803) 774-6500

SKILLED NURSING FACILITY

Tuomey Healthcare Center "129 North Washington StSumter, SC 29150(803) 774-9000

SLEEP DIAGNOSTIC STUDIES

Carolina Sleep Diagnostics "219 North Washington StSumter, SC 29150(803) 775-1350

SPEECH THERAPY

Carolina Therapy Works "340 Rast StSumter, SC 29150(803) 774-4757

Noteable Pathways Therapeutics "

340 Rast St Ste 2Sumter, SC 29150(803) 774-4757

AMBULATORY SURGERY CENTER

The Center For Orthopaedic Surgery "

118 Professional Park DrRock Hill, SC 29732(803) 329-3130

DIALYSIS

Fort Mill Dialysis "1975 Carolina Pl DrFt Mill, SC 29708(803) 802-3027

DURABLE MEDICAL EQUIPMENT

Carolina Home Respiratory "601 Soringcrest DrFt Mill, SC 29715(803) 548-2851

Good Vital Care "1243-B Ebenezer RdRock Hill, SC 29732(803) 327-2092

Lincare Rock Hill "232 Cherry Rd Ste 120Rock Hill, SC 29732(866) 788-9997

Linkia "1578 Constitution BlvdRock Hill, SC 29732(803) 328-2625

Medical Comfort Systems "2012 W Hwy 160 Ste 25Ft Mill, SC 29708(803) 356-8050

Piedmont Medical Equipment1213 Ebenezer Rd Ste 100Rock Hill, SC 29732(803) 366-6666

Prestige Diabetic "6 Executive CtClover, SC 29710(803) 831-6778

ORTHOTICS & PROSTHETICS

Prosthetic and Orthotic Institute "

197 Piedmont Blvd Ste 212Rock Hill, SC 29732(803) 980-5080

PHYSICAL THERAPY

Stepping Stones Pediatric Therapy "

Stepping Stones Pediatric Therapy I3009 Mason CtClover, SC 29710(518) 461-1070

SKILLED NURSING FACILITY

White Oak Manor Rock Hill "1915 Ebenezer RdRock Hill, SC 29732(803) 366-8155

White Oak Manor of York "111 S Congress StYork, SC 29745(803) 684-0035

SPEECH THERAPY

Andrea Hope Speech Pathology "

1147 Ebenezer RdRock Hill, SC 29732(803) 230-1529

Barbara E Anslow-Myers "530 Little Cove LnClover, SC 29710(803) 619-4075

Chit Chat Speech and Language Therapy "

Chit Chat Speech and Language Thera

1670 Hwy 160 W Ste 201Ft Mill, SC 29708(800) 779-4089

SOUTH CAROLINA (cont.)

SUMTER COUNTY (cont.)

YORK COUNTY

Page 97: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY92

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

AUDIOLOGY

Little, Sherri, AuD "Provider ID: 770432Hearing Associates of South Carolin39 A Varden DrAiken, SC 29803(803) 641-6104

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Aiken County Health Department "

Provider ID: 770882828 Richland Ave WAiken, SC 29801(803) 642-1687

Ages Seen: 00 Yrs/99 Yrs

Lower Savannah Crs "Provider ID: 776887Bureau of Finance - Scdhec828 Richland Ave WAiken, SC 29801(803) 898-0784

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Bell, Jennifer, CNP "Provider ID: 774853Wagener Medical Center120 Louie StWagener, SC 29164(803) 564-6497

Ages Seen: 02 Yrs/99 Yrs

Blake, Sally, CNP "Provider ID: 775589Wagener Medical Center120 Louie StWagener, SC 29164(803) 284-2041

Ages Seen: 02 Yrs/99 Yrs

Haddock, Kristin, CNP "Provider ID: 770238Wagener Medical Center120 Louie StWagener, SC 29164(803) 564-6497

Ages Seen: 02 Yrs/99 Yrs

OCCUPATIONAL THERAPY

Apple, Claire, OT "Provider ID: 771557Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Cammisa, Katryne, OT "Provider ID: 772491Childrens Place310 Barnwell AveAiken, SC 29801(803) 641-4144

Ages Seen: 00 Yrs/99 Yrs

Dieter, Sara, PT "Provider ID: 775122Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Floyd, Elaine, OT "Provider ID: 771409Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Hudspith, Louann, OT "Provider ID: 772494Hitchcock Healthcare690 Medical Park DrAiken, SC 29801(803) 648-8344

Ages Seen: 00 Yrs/99 Yrs

Merritt, Rhonda, OT "Provider ID: 772228Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Peeler, Kara, OT "Provider ID: 776266Pediatric Therapy of Aiken6140 Woodside Executive CtAiken, SC 29803(803) 642-0700

Ages Seen: 00 Yrs/99 Yrs

Vazquez, Nelson, OT "Provider ID: 771541Language: SpanishSports Lus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

PHYSICAL THERAPY

Adams, Chad, PT "Provider ID: 773308Sports Plus Aiken170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Badaoui, Genevieve, PT "Provider ID: 774071Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Bolton, Paula, PT "Provider ID: 775713Sports Plus Aiken170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Bouchard, Kristen, PT "Provider ID: 776109Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Bowen II, Cary, PT "Provider ID: 771611Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Brangers, Jennifer, PT "Provider ID: 777276Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Brannon, Dorothy, PT "Provider ID: 776782Hitchock Healthcare690 Medical Park DrAiken, SC 29801(866) 679-1600

Ages Seen: 00 Yrs/99 Yrs

Burkert II, Stephen, PT "Provider ID: 772155Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Calub, Leslie, PT "Provider ID: 771760Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Cheek, Joel, PT "Provider ID: 773766Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Cheng, Vicki, PT "Provider ID: 775931Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Cherni, Terri, PT "Provider ID: 771336Hitchcock Healthcare690 Medical Park DrAiken, SC 29801(803) 648-8344

Ages Seen: 00 Yrs/99 Yrs

Chitty, Nina, PT "Provider ID: 770397Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Christiansen, Laura, PT "Provider ID: 775499Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Clarke, Erika, PT "Provider ID: 771745Hitchock Healthcare690 Medical Park DrAiken, SC 29801(803) 648-8344

Ages Seen: 00 Yrs/99 Yrs

Colbo, Kelson, PT "Provider ID: 773893Sports Plus170 University ParkwqyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Cole, James, PT "Provider ID: 776953Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINAAIKEN COUNTY

Page 98: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY93

PHYSICAL THERAPY (cont.)

Cothran, Katherine, PT "Provider ID: 774607Hitchock Healthcare690 Medical Park DrAiken, SC 29801(866) 679-1600

Ages Seen: 00 Yrs/99 Yrs

Cowling, Jurgen, PT "Provider ID: 773646Healing Hands Physical Therapy

Center1501 Whiskey RdAiken, SC 29803(800) 401-1306

Ages Seen: 00 Yrs/21 Yrs

Cumbie, Heather, PT "Provider ID: 771872Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Downey, Amy, PT "Provider ID: 771658Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Dukes, Laura, PT "Provider ID: 776129Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Durst, Kimberly, PT "Provider ID: 775240Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Ekman, Cynthia, PT "Provider ID: 771711Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Fitzgerald, John, PT "Provider ID: 775670Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Fontanares, Roland, PT "Provider ID: 770337Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Graham, Megan, PT "Provider ID: 774411Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Grant, Lisa, PT "Provider ID: 772140Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Harward, Stacey, PT "Provider ID: 777349Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Haygood, Allison, PT "Provider ID: 771368Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Heath, Barbara, PT "Provider ID: 777381Hitchcock Healthcare690 Medical Park DrAiken, SC 29801(803) 648-8344

Ages Seen: 00 Yrs/99 Yrs

Henderson, Jessica, PT "Provider ID: 771465Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Heniford, Mary, PT "Provider ID: 771445Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Horn, Rebekah, PT "Provider ID: 776005Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Hunter, Stuart, PT "Provider ID: 776883Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Hyer, Eric, PT "Provider ID: 776378Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Ittenbach, Dennis, PT "Provider ID: 773903Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Laing, Shannon, PT "Provider ID: 775797Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Lee, Matthew, PT "Provider ID: 776064Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Maggard, Ann, OT "Provider ID: 776839Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

McAlister, Suzanne, PT "Provider ID: 776152Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Meseck, Michael, PT "Provider ID: 773191Spots Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Perez, Diana, PT "Provider ID: 776587Pediatric Therapy of Aiken6140 Woodside Executive CtAiken, SC 29803(803) 642-0700

Ages Seen: 00 Yrs/99 Yrs

Phillips, Kris, PT "Provider ID: 771372Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Porada, Theodore, PT "Provider ID: 771644Sports Plus Aiken170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Richardson, Hagood, PT "Provider ID: 772503Sports Plus Aiken170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Rogan, Frances, PT "Provider ID: 775121Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Schneider, Nicole, PT "Provider ID: 775911Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Snape, Kirsten, PT "Provider ID: 774413Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

AIKEN COUNTY (cont.)

Page 99: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY94

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PHYSICAL THERAPY (cont.)

Stoker, James, PT "Provider ID: 774396Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Sullivan, Catherine, PT "Provider ID: 772653Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Turner, Allison, PT "Provider ID: 774317Sports Plus Aiken170 University PkwyAiken, SC 29803(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Twaddle, Carianna, PT "Provider ID: 773234Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Vance, Darren, PT "Provider ID: 775251Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Welch, Erin, PT "Provider ID: 773487Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

White, Amie, PT "Provider ID: 772813Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Wooten, Jessica, PT "Provider ID: 769928Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

Workman, Marlene, PT "Provider ID: 776421Sports Plus170 University PkwyAiken, SC 29801(803) 649-9975

Ages Seen: 00 Yrs/99 Yrs

SPEECH THERAPY

Cole, Hope, SLP "Provider ID: 770821Hitchock Healthcare690 Medical Park DrAiken, SC 29801(803) 648-8344

Ages Seen: 00 Yrs/99 Yrs

Harris, Marcia, SLP "Provider ID: 771738Hitchcock Healthcare690 Medical Park DrAiken, SC 29801(803) 648-8344

Ages Seen: 00 Yrs/99 Yrs

Huffman, Dawn, SLP "Provider ID: 773911Small Talk Speech Pathology

Service118 Park Ave South W Ste 600Aiken, SC 29801(803) 502-1718

Ages Seen: 00 Yrs/99 Yrs

Lint, Annette, SLP "Provider ID: 777326Small Talk Speech Pathology

Service118 Park Ave South W Ste 600Aiken, SC 29801(803) 502-1718

Ages Seen: 00 Yrs/99 Yrs

Matthews, Betsy, SLP "Provider ID: 769921Small Talk Speech Pathology

Service118 Park Ave South W Ste 600Aiken, SC 29801(803) 502-1718

Ages Seen: 00 Yrs/99 Yrs

Schultz Jr, Jack, SLP "Provider ID: 771749Schultz Speech Services104 Crestview DrNorth Augusta, SC 29841(803) 586-5280

Ages Seen: 00 Yrs/99 Yrs

Willis, Cheryl, SLP "Provider ID: 770492Pediatric Therapy of Aiken6140 Woodside Executive CtAiken, SC 29803(803) 642-0700

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Allendale County Health Department "

Provider ID: 775969SC Dhec - Bureau of Finance571 Memorial Ave NorthAllendale, SC 29810(803) 584-3818

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

All, Allison, CNP "Provider ID: 777241Allendale County Hospital1787 Allendale Fairfax HwyFairfax, SC 29827(803) 632-3311

Ages Seen: 00 Yrs/99 Yrs

Jones, Rebecca, CNP !"Provider ID: 768699Low Country Health Care System333 Revolutionary TrlFairfax, SC 29827(803) 632-2533

Ages Seen: 00 Yrs/99 Yrs

Jones, Rebecca, CNP !"Provider ID: 774532Allendale County Hospital1787 Allendale Fairfax HwyFairfax, SC 29827(803) 632-3311

Ages Seen: 00 Yrs/99 Yrs

Low Country Health Care System Nps "

Provider ID: 768787333 Revolutionary TrlFairfax, SC 29827(803) 632-2533

Ages Seen: 00 Yrs/99 Yrs

Sycamore Health Care "Provider ID: 7670347205 Bufords Bridge HwySycamore, SC 29846(803) 632-3900

Ages Seen: 00 Yrs/99 Yrs

Taylor, Margaret, CNP !"Provider ID: 768691Sycamore Health Care7205 Bufords Bridge HwySycamore, SC 29846(803) 632-3900

Ages Seen: 00 Yrs/99 Yrs

Wise, Sharon, APRN "Provider ID: 772495Allendale County Hospital1787 Allendale Fairfax HwyFairfax, SC 29827(803) 632-3311

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Bamberg County Health Department "

Provider ID: 775422SC Dhec - Bureau of Finance370 Log Branch RdBamberg, SC 29003(803) 245-5176

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Erhs William D Glenn IV MD "Provider ID: 766806498 North StBamberg, SC 29003(803) 245-5144

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers "Provider ID: 768287Family Health Center At Denmark1241 Solomon Blatt BlvdDenmark, SC 29042(803) 793-4282

Ages Seen: 00 Yrs/99 Yrs

Glenn, Lynn, CNP "Provider ID: 771848Bamberg County Hospital498 North StBamberg, SC 29003(803) 245-5144

Ages Seen: 00 Yrs/99 Yrs

Miller, Lucille, CNP !"Provider ID: 768427Erhs William D Glenn IV MD498 North StBamberg, SC 29003(803) 245-5144

Ages Seen: 00 Yrs/99 Yrs

Perry, Paula, CNP !"Provider ID: 769342Family Health Center At Denmark1241 Solomon Blatt BlvdDenmark, SC 29042(803) 793-4282

Ages Seen: 00 Yrs/99 Yrs

Watkins, Kesha, CNP !"Provider ID: 767060Family Health Center At Denmark1241 Solomon Blatt BlvdDenmark, SC 29042(803) 793-4282

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

AIKEN COUNTY (cont.)

ALLENDALE COUNTY BAMBERG COUNTY

Page 100: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY95

NURSE PRACTITIONER (cont.)

Williams-Bowens, Jean, CNP !"

Provider ID: 767968Family Health Center At Denmark1241 Solomon Blatt BlvdDenmark, SC 29042(803) 793-4282

Ages Seen: 00 Yrs/99 Yrs

OCCUPATIONAL THERAPY

Weaver, Elizabeth, OT !"Provider ID: 771373McKenzie Douglas Rehab113 Oak StBamberg, SC 29003(803) 378-4442

Ages Seen: 00 Yrs/99 Yrs

SPEECH THERAPY

Taylor, Jill, SLP "Provider ID: 771476Taylor Jill G404 Jay StBamberg, SC 29003(803) 682-0109

Ages Seen: 00 Yrs/99 Yrs

Williams, Jamie, SLP "Provider ID: 776588Williams Jamie F74 Azalea AveBamberg, SC 29003(803) 378-7454

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Barnwell County Health Department "

Provider ID: 773108SC Dhec - Bureau of Finance11015 Ellenton StHwy 278Barnwell, SC 29812(803) 541-1061

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Bell, Jennifer, CNP "Provider ID: 774853Blackville Medical Center22 Gardner RdBarnwell, SC 29812(803) 284-2041

Ages Seen: 02 Yrs/99 Yrs

Blake, Sally, CNP "Provider ID: 775589Barnwell County Hospital811 Reynolds HospitalBarnwell, SC 29812(803) 259-1000

Ages Seen: 02 Yrs/99 Yrs

Blake, Sally, CNP "Provider ID: 775589Blackville Medical Center22 Gardner RdBarnwell, SC 29812(803) 284-2041

Ages Seen: 02 Yrs/99 Yrs

Haddock, Kristin, CNP "Provider ID: 770238Williston Family Practice45 Roundtree StWilliston, SC 29853(803) 266-3600

Ages Seen: 02 Yrs/99 Yrs

Low Country Health Care System Nps "

Provider ID: 76878886 Wren StBarnwell, SC 29812(803) 259-5762

Ages Seen: 00 Yrs/99 Yrs

Orcutt, Darlene, CNP "Provider ID: 773834Barnwell County Hospital811 Reynolds RdBarnwell, SC 29812(803) 259-1000

Ages Seen: 00 Yrs/99 Yrs

PHYSICAL THERAPY

Clarke, Erika, PT "Provider ID: 771745Hitchock Healthcare10588 Dunbarton BlvdBarnwell, SC 29812(866) 679-1600

Ages Seen: 00 Yrs/99 Yrs

Still Boylston, Elizabeth, PT "Provider ID: 771676Hitchock Healthcare10588 Dunbarton BlvdBarnwell, SC 29812(866) 679-1600

Ages Seen: 00 Yrs/99 Yrs

SPEECH THERAPY

Cole, Hope, SLP "Provider ID: 770821Hitchock Healthcare10588 Dunbarton BlvdBarnwell, SC 29812(866) 679-1600

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Calhoun County Health Department "

Provider ID: 771601SC Dhec - Bureau of Finance2837 Old Belleville RdSaint Matthews, SC 29135(803) 898-0784

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Family Health Centers "Provider ID: 768291St Matthews Family Health Center558 Chestnut StSaint Matthews, SC 29135(843) 563-5315

Ages Seen: 00 Yrs/99 Yrs

Hobson, Julia, CNP !"Provider ID: 768494Language: SpanishSt Matthews Family Health Center558 Chestnut StSaint Matthews, SC 29135(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Perry, Paula, CNP !"Provider ID: 769346Family Health Center At St Matt558 Chestnut StSaint Matthews, SC 29135(803) 874-2006

Ages Seen: 00 Yrs/99 Yrs

Watkins, Kesha, CNP !"Provider ID: 767065Family Health Center At St Matt558 Chestnut StSaint Matthews, SC 29135(803) 874-2006

Ages Seen: 00 Yrs/99 Yrs

Williams-Bowens, Jean, CNP !"

Provider ID: 767972Family Health Center At St Matt558 Chestnut StSaint Matthews, SC 29135(803) 874-2006

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Clarendon County Health Department "

Provider ID: 775005SC Dhec - Bureau of Finance110 E Boyce StManning, SC 29102(803) 898-0784

Ages Seen: 00 Yrs/99 Yrs

NURSE MIDWIFE

Chappell, Thomas, CNM !"Provider ID: 771330Palmetto Womens Healthcare21 Hospital StManning, SC 29102(803) 433-0797

Ages Seen: 00 Yrs/99 Yrs

Davis-Gordan, Rosemary, CNP "

Provider ID: 776717Palmetto Womens Healthcare21 Hospital StManning, SC 29102(803) 433-0797

Ages Seen: 00 Yrs/99 Yrs

Fry, Judy, CNM !"Provider ID: 772378Palmetto Womens Healthcare21 Hospital StManning, SC 29102(803) 433-0797

Ages Seen: 00 Yrs/99 Yrs

Phillips, Helen, CNM "Provider ID: 776370Black River Healthcare12 W South StManning, SC 29102(803) 433-4124

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Daniels, Mary, CNP !"Provider ID: 768396Black River Healthcare12 W South StManning, SC 29102(803) 433-4124

Ages Seen: 00 Yrs/99 Yrs

Hopla, Deborah, CNP !"Provider ID: 769562Black River Healthcare12 W South StManning, SC 29102(803) 433-4124

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

BAMBERG COUNTY (cont.)

BARNWELL COUNTY

CALHOUN COUNTY CLARENDON COUNTY

Page 101: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY96

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

NURSE PRACTITIONER (cont.)

Lyons, Colleen, CNP !"Provider ID: 768450Black River Healthcare12 W South StManning, SC 29102(803) 433-4124

Ages Seen: 00 Yrs/99 Yrs

McCray, Bonita, CNP !"Provider ID: 768050Hopehealth12 W South StManning, SC 29102(803) 433-4124

Ages Seen: 00 Yrs/99 Yrs

Phillips, Helen, CNM "Provider ID: 769432Hopehealth12 W South StManning, SC 29102(803) 433-4124

Ages Seen: 00 Yrs/99 Yrs

Williams, Jaymas, CNP !"Provider ID: 768242Hopehealth11 Hospital StManning, SC 29102(803) 433-4321

Ages Seen: 00 Yrs/99 Yrs

OCCUPATIONAL THERAPY

Yount, Jessica, OT "Provider ID: 776965Hands 2 Hands Therapy109 Woodlake DrManning, SC 29102(803) 478-5440

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Fairfield County Health Department "

Provider ID: 770627SC Dhec - Bureau of Finance1136 Kincaid Bridge RdWinnsboro, SC 29180(803) 635-6481

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Douglass, Janet, CNP !"Provider ID: 768048Lake Monticello Family Practice12 Meadow Lake Rd Hwy 215Blair, SC 29015(803) 945-7595

Ages Seen: 00 Yrs/99 Yrs

Shaffer, Loretta, CNP "Provider ID: 766900Fairfield Medical Associates880 W Moultrie St Ste 200Winnsboro, SC 29180(803) 635-6461

Ages Seen: 00 Yrs/99 Yrs

SPEECH THERAPY

Hensley, Kay, SLP "Provider ID: 775014Community Speech Pathology200 Hillcrest DrWinnsboro, SC 29180(803) 718-6397

Ages Seen: 00 Yrs/21 Yrs

AUDIOLOGY

Fruth, Nicole, AuD "Provider ID: 776276South Carolina ENT Allergy and

Slee15 Exchange DrLugoff, SC 29078(803) 408-3277

Ages Seen: 00 Yrs/99 Yrs

Werle-Adams, Manda, AuD "Provider ID: 776973SC ENT Allergy and Sleep Medicine15 Exchange DrLugoff, SC 29078(803) 408-3277

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Kershaw County Health Department "

Provider ID: 770748SC Dhec - Bureau of Finance1116 Church StCamden, SC 29020(803) 425-6012

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Kelley, Melinda, CNP !"Provider ID: 768117Kershawhealth103 South Main StBethune, SC 29009(843) 334-6551

Ages Seen: 00 Yrs/99 Yrs

Kershawhealth "Provider ID: 768885103 South Main StBethune, SC 29009(843) 334-6551

Ages Seen: 00 Yrs/99 Yrs

Porter, Cathy, APRN !"Provider ID: 767225Sandhills Medical Foundation1165 Hwy 1 SouthLugoff, SC 29078(803) 408-3262

Ages Seen: 00 Yrs/99 Yrs

Sandhills Medical Foundation "Provider ID: 7685241165 Hwy 1 SouthLugoff, SC 29078(803) 408-3262

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Catawba Crs "Provider ID: 772272Bureau of Finance - Scdhec1833 Pageland HwyLancaster, SC 29720(803) 898-0784

Ages Seen: 00 Yrs/99 Yrs

Lancaster County Health Department "

Provider ID: 770324SC Dhec - Bureau of Finance1833 Pageland HwyLancaster, SC 29721(803) 286-9948

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Harrell, Diane, CNP !"#Provider ID: 768491Mackey Family Practice1025 W Meeting St Ste 200Lancaster, SC 29720(803) 285-7414

Ages Seen: 00 Yrs/99 Yrs

Hess, Paul, ARNP "Provider ID: 776220Lancaster Clinic Corp800 W Meeting StLancaster, SC 29720(803) 286-1794

Ages Seen: 00 Yrs/99 Yrs

Mackey Family Practice "#Provider ID: 7695451025 W Meeting St Ste 200Lancaster, SC 29720(803) 285-7414

Ages Seen: 00 Yrs/99 Yrs

Sawyer, Ondria, ARNP "Provider ID: 773514Lancaster Clinic Corp800 W Meeting StLancaster, SC 29720(803) 286-1794

Ages Seen: 00 Yrs/99 Yrs

SPEECH THERAPY

Truesdale, Lakisha, SLP "Provider ID: 773383Milestones Speech and Language304 North White StLancaster, SC 29720(803) 283-6318

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Lee County Health Department "

Provider ID: 775087SC Dhec - Bureau of Finance810 Brown StBishopville, SC 29010(803) 484-6612

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Coe, Evelyn, CNP !"Provider ID: 769007Caresouth Carolina545 Sumter Hwy Pob 508Bishopville, SC 29010(803) 484-5317

Ages Seen: 00 Yrs/99 Yrs

Curl, Anita, CNP !"Provider ID: 768114Pate Medical Associates116 Hospital SqBishopville, SC 29010(803) 484-9424

Ages Seen: 00 Yrs/99 Yrs

Scouten, Susan, CNP "Provider ID: 769619Csc Bishopville I545 Sumter HwyBishopville, SC 29010(803) 484-5317

Ages Seen: 00 Yrs/99 Yrs

Whiteside, Jane, CNP !"Provider ID: 769116Csc Bishopville I545 Sumter HwyBishopville, SC 29010(803) 484-5317

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

CLARENDON COUNTY (cont.)

FAIRFIELD COUNTY

KERSHAW COUNTY

LANCASTER COUNTY

LEE COUNTY

Page 102: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY97

NURSE PRACTITIONER (cont.)

Wolfe, Dana, CNP !"Provider ID: 766892Csc Bishopville I545 Sumter HwyBishopville, SC 29010(803) 484-5317

Ages Seen: 00 Yrs/99 Yrs

AUDIOLOGY

Gibson, Todd, AuD "Provider ID: 773120Lake Murray Hearing Associates150 Whiteford WayLexington, SC 29072(803) 808-9611

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Lexington County Health Department "

Provider ID: 776256112 W Hospital DrWest Columbia, SC 29169(803) 791-3580

Ages Seen: 00 Yrs/99 Yrs

LICENSED PROFESSIONAL COUNSELOR

Ott, Lannie, LMHC "Provider ID: 772014Lake Murray Pediatrics448 Old Cherokee RdLexington, SC 29072(803) 520-5800

Ages Seen: 00 Yrs/99 Yrs

NURSE MIDWIFE

Hancock, Linda, CNM "Provider ID: 770880Midland Obgyn3020 Sunset Blvd Ste 105West Columbia, SC 29169(803) 798-7660

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Birchmore, Carolyn, CNP !"Provider ID: 766884Lakeview Family Medicine1316 N Lake DrLexington, SC 29072(803) 358-1191

Ages Seen: 00 Yrs/99 Yrs

Birchmore, Carolyn, CNP !"Provider ID: 766885Twelve Mile Creek Family Medicine4711 Sunset BlvdLexington, SC 29072(803) 356-3609

Ages Seen: 00 Yrs/99 Yrs

Ferrence, Carol, CNP "Provider ID: 772938Lexington Heart120 Hospital Dr WWest Columbia, SC 29169(803) 736-6500

Ages Seen: 00 Yrs/99 Yrs

Gantt, Tonja, MD !"Provider ID: 768341Agape Senior Primary Care2318 Sunset BlvdWest Columbia, SC 29169(803) 454-3510

Ages Seen: 00 Yrs/99 Yrs

Harbison Family Practice "#Provider ID: 769769190 Parkridge Dr Ste 250Columbia, SC 29212(803) 407-3857

Ages Seen: 00 Yrs/99 Yrs

Kelly, Mary, CNP "Provider ID: 767123Agape Senior Primary Care2318 Sunset BlvdWest Columbia, SC 29169(803) 836-3663

Ages Seen: 00 Yrs/99 Yrs

Lakeview Family Medicine "Provider ID: 7670701316 N Lake DrLexington, SC 29072(803) 358-1191

Ages Seen: 00 Yrs/99 Yrs

Masters, Kim, CNP !"#Provider ID: 768437Harbison Family Practice190 Parkside Dr Ste 250Columbia, SC 29212(803) 407-3857

Ages Seen: 00 Yrs/99 Yrs

Masters, Kim, CNP !"#Provider ID: 768439Twelve Mile Creek Family Medicine4711 Sunset BlvdLexington, SC 29072(803) 356-3609

Ages Seen: 00 Yrs/99 Yrs

Nixon, Kezia, CNP "Provider ID: 767341Agape Senior Primary Care2318 Sunset BlvdWest Columbia, SC 29169(803) 454-3510

Ages Seen: 00 Yrs/99 Yrs

Palmetto Health Npc "Provider ID: 775021Lexington Heart120 Hospital Dr WWest Columbia, SC 29169(803) 739-6500

Ages Seen: 00 Yrs/99 Yrs

OCCUPATIONAL THERAPY

Dalal, Hima, OT "Provider ID: 775995Vital Energy Occupational Therapy

A163 Charter Oak DrLexington, SC 29072(803) 359-1551

Ages Seen: 00 Yrs/99 Yrs

Hensley, Jessica, OT "Provider ID: 772961Active Therapeutics117 Eagle PT EChapin, SC 29036(803) 315-1001

Ages Seen: 00 Yrs/99 Yrs

Hutto, Carol, OT "Provider ID: 776966Carol Hutto Occupational Therapist125 Tanners Mill RdChapin, SC 29036(803) 603-3035

Ages Seen: 00 Yrs/99 Yrs

Kleppe Bach, Renee, OT "Provider ID: 775244Vital Energy Occupational Therapy

A163 Charter Oak RdLexington, SC 29072(803) 359-1551

Ages Seen: 00 Yrs/99 Yrs

MC Hale, Keli, OT "Provider ID: 772808Vital Energy Occupational Therapy163 Charter Oak RdLexington, SC 29072(803) 359-1551

Ages Seen: 00 Yrs/99 Yrs

Mathias, Madelyn, OT !"Provider ID: 774157Madelyn O Mathias221 Lockwood DrLexington, SC 29072(803) 429-1166

Ages Seen: 00 Yrs/03 Yrs

ORTHOPAEDIC SURGERY

Schaller, Stephanie, CNP !"Provider ID: 772541Midlands Orthopaedics2989 Sunset BlvdWest Columbia, SC 29169(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

PHYSICAL THERAPY

Buchholz, Terri, PT "Provider ID: 772850Active Therapeutics117 Eagle PointeChapin, SC 29036(803) 315-1001

Ages Seen: 00 Yrs/99 Yrs

Coetsee, Rhyno, PT "Provider ID: 773388Jumpstart Pediatrics955 Saint Peters Church RdChapin, SC 29036(803) 331-5620

Ages Seen: 00 Yrs/99 Yrs

Frederick, Heather, PT "Provider ID: 771475Chapin Rehabilitation Clinic1525 Chapin RdChapin, SC 29036(803) 345-3811

Ages Seen: 00 Yrs/99 Yrs

Kochert, Anthony, PT "Provider ID: 776774Vital Energy Occupational Therapy163 Charte Oak RdLexington, SC 29072(803) 359-1551

Ages Seen: 00 Yrs/99 Yrs

Poole, Kathleen, PT "Provider ID: 770264Active Therapeutics117 Eagle Pointe DrChapin, SC 29036(803) 315-1001

Ages Seen: 00 Yrs/99 Yrs

Roberts, Robert, MD !"Provider ID: 776332The Pain Center of Firstchoice

Healthcare3227 Sunset Blvd Ste FWest Columbia, SC 29169(803) 791-9200

Ages Seen: 00 Yrs/99 Yrs

Smarr, Eric, PT "Provider ID: 776279Vital Energy Occupational Therapy163 Charter Oak RdLexington, SC 29072(803) 359-1551

Ages Seen: 00 Yrs/99 Yrs

SPEECH THERAPY

Boozer, Caison, SLP "Provider ID: 776589Childrens Chatter28 Kitfox CtChapin, SC 29036(803) 622-7939

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LEE COUNTY (cont.)

LEXINGTON COUNTY

Page 103: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY98

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

SPEECH THERAPY (cont.)

Bozard, Heidi, SLP "Provider ID: 770479Kids Connections Therapy Services

L259 River Ridge WaySwansea, SC 29160(803) 622-4482

Ages Seen: 00 Yrs/05 Yrs

Cagle, Julia, SLP "Provider ID: 772225Kids Connections Therapy Services

L259 River Ridge WaySwansea, SC 29160(803) 622-4482

Ages Seen: 00 Yrs/05 Yrs

Coetsee, Melanie, SLP "Provider ID: 773928Jumpstart Pediatrics955 Saint Peters Church RdChapin, SC 29036(803) 331-5620

Ages Seen: 00 Yrs/99 Yrs

Combs, Susan, SLP "Provider ID: 774538Childrens Chatter28 Kitfox CtChapin, SC 29036(803) 622-7939

Ages Seen: 00 Yrs/99 Yrs

Cook, Quinessa, SLP "Provider ID: 776268Dynamic Speech Language

Therapy34 Woodcross DrApt 224Columbia, SC 29212(803) 614-0314

Ages Seen: 00 Yrs/99 Yrs

Long, Donna, SLP "Provider ID: 773778Wee Talk Therapy Services116 Musket RdGilbert, SC 29054(803) 429-7463

Ages Seen: 00 Yrs/10 Yrs

Pleming, Sarah, SLP "Provider ID: 772224Kids Connections Therapy Services

L259 River Ridge WaySwansea, SC 29160(803) 622-4482

Ages Seen: 00 Yrs/05 Yrs

Savidge, Margaret, SLP "Provider ID: 773996Kid Connections Therapy Services

LL259 River Ridge WaySwansea, SC 29160(803) 622-4482

Ages Seen: 05 Yrs/99 Yrs

Smith, Sarah, SLP "Provider ID: 770463Childrens Chatter28 Kitfox CtChapin, SC 29036(803) 622-7939

Ages Seen: 00 Yrs/99 Yrs

Willis, Heather, SLP "Provider ID: 777338Kid Connection Therapy259 River Ridge WaySwansea, SC 29160(803) 622-4482

Ages Seen: 05 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Newberry County Health Department "

Provider ID: 777480SC Dhec - Bureau of Finance2111 Wilson RdNewberry, SC 29108(803) 635-6424

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Goodwin, Kristen, CNP !"Provider ID: 767342Little Mountain Family Health

Center99 North Mill StLittle Mountain, SC 29075(803) 945-1005

Ages Seen: 00 Yrs/99 Yrs

Keller, Shana, CNP "Provider ID: 776272Newberry Co Mem Hospital2669 Kinard StNewberry, SC 29108(803) 276-2570

Ages Seen: 00 Yrs/99 Yrs

Little Mountain Family Health Center of "

Provider ID: 768037Little Mountain Family Health

Center99 North Mill StLittle Mountain, SC 29075(803) 945-1005

Ages Seen: 00 Yrs/99 Yrs

Newberry Family Health Center "

Provider ID: 7691272605 Kinard St Ste 200Newberry, SC 29108(803) 405-1900

Ages Seen: 00 Yrs/99 Yrs

Newberry Family Health Center "

Provider ID: 76912899 North Mill StLittle Mountain, SC 29075(803) 945-1005

Ages Seen: 00 Yrs/99 Yrs

Prosser, Debra, MD "Provider ID: 774765Newberry Co Mem Hospital2669 Kinard StNewberry, SC 29108(803) 732-8370

Ages Seen: 00 Yrs/99 Yrs

Rhodes, Ellen, CNP "Provider ID: 773456Newberry Co Mem Hospital2669 Kinard StNewberry, SC 29108(803) 276-7570

Ages Seen: 00 Yrs/99 Yrs

Rowan, Rebecca, CNP !"Provider ID: 768635Newberry Family Health Center2605 Kinard St Ste 200Newberry, SC 29108(803) 405-1900

Ages Seen: 00 Yrs/99 Yrs

Rowan, Rebecca, CNP !"Provider ID: 768636Newberry Family Health Center99 North Mill StLittle Mountain, SC 29075(803) 945-1005

Ages Seen: 00 Yrs/99 Yrs

PHYSICAL THERAPY

Carter, Melissa, PT "Provider ID: 773470Kid Connect Therapy154 Holland Shores LnProsperity, SC 29127(803) 429-9048

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Edisto Crs "Provider ID: 773805Bureau of Finance - Scdhec1550 Carolina AveOrangeburg, SC 29115(803) 898-0784

Ages Seen: 00 Yrs/99 Yrs

Orangeburg County Health Department "

Provider ID: 771160SC Dhec - Bureau of Finance1550 Carolina AveOrangeburg, SC 29115(803) 536-9060

Ages Seen: 00 Yrs/99 Yrs

NURSE MIDWIFE

Smith, Patricia, CNM "Provider ID: 776357Drs Williamson Gillespie1175 Cook Rd Ste 145Orangeburg, SC 29118(803) 531-2300

Ages Seen: 00 Yrs/99 Yrs

Witt, Victoria, CNM !"Provider ID: 771769Family Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Armstrong, Patricia, CNP !"Provider ID: 767797Family Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/17 Yrs

Branham, Elizabeth, CNP !"Provider ID: 769149Language: SpanishFamily Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Breazeale, Denise, CNP "Provider ID: 766883North Family Medicine4631 Savannah HwyNorth, SC 29112(803) 247-2428

Ages Seen: 00 Yrs/99 Yrs

Demonbreun, Kahlil, CRNA !"Provider ID: 767136Family Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-6936

Ages Seen: 12 Yrs/99 Yrs

Erhs James H Brunson Jr MD "Provider ID: 7689331170 Blvd St Ste AOrangeburg, SC 29115(803) 533-0042

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

NEWBERRY COUNTY

ORANGEBURG COUNTY

Page 104: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY99

NURSE PRACTITIONER (cont.)

Family Health Centers "Provider ID: 768286Vance Community Medical Center10278 Old 6 HwyVance, SC 29163(803) 492-3031

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers "Provider ID: 768288Robert E Howard Middle School1255 Belleville RdOrangeburg, SC 29115(803) 533-6534

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers "Provider ID: 768289Family Health Center At Orangeb3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers "Provider ID: 768292Family Health Center At Norfiel7061 Norway RdNeeses, SC 29107(803) 263-4086

Ages Seen: 00 Yrs/99 Yrs

Family Health Centers "Provider ID: 768293Family Health Center At Cook RoMedical Arts Center Ste 305Orangeburg, SC 29118(803) 536-9394

Ages Seen: 00 Yrs/99 Yrs

Hobson, Julia, CNP !"Provider ID: 768493Language: SpanishFamily Health Centers10278 Old 6 HwyVance Community Medical CenterVance, SC 29163(803) 492-3031

Ages Seen: 00 Yrs/99 Yrs

Hobson, Julia, CNP !"Provider ID: 773972Language: SpanishUrgent Care3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Kasko, Kirsten, CNP "Provider ID: 776342Trmc3000 St Matthews RdOrangeburg, SC 29118(803) 533-2257

Ages Seen: 00 Yrs/99 Yrs

Miller, Lucille, CNP !"Provider ID: 768426Erhs James H Brunson Jr MD1170 Blvd St Ste AOrangeburg, SC 29115(803) 533-0042

Ages Seen: 00 Yrs/99 Yrs

Moorer, Harriet, CNP !"Provider ID: 773453Palmetto Nephrology1175 Cook Rd Ste 115Orangeburg, SC 29118(803) 531-2677

Ages Seen: 00 Yrs/99 Yrs

Perry, Paula, CNP !"Provider ID: 769341Family Health Center At Vance10278 Old Number Six HwyVance, SC 29163(803) 492-3031

Ages Seen: 00 Yrs/99 Yrs

Perry, Paula, CNP !"Provider ID: 769343Robert E Howard Middle School1255 Belleville RdOrangeburg, SC 29115(803) 533-6534

Ages Seen: 00 Yrs/99 Yrs

Perry, Paula, CNP !"Provider ID: 769344Family Health Center At Orangeb3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Perry, Paula, CNP !"Provider ID: 769347Family Health Center At Norfiel7061 Norway RdNeeses, SC 29107(803) 263-4086

Ages Seen: 00 Yrs/99 Yrs

Tharp, Shonna, CNP !"Provider ID: 776961Trmc of Orangeburg3000 St Matthews StOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Tharp, Shonna, CNP !"Provider ID: 776961Trmc Santee Express Care111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Trmc FNP "Provider ID: 773293111 Lawson AveTrmc Santee Expy CareSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Trmc FNP "Provider ID: 7732933000 St Mathews RdTrmc HospitalistsOrangeburg, SC 29118(803) 395-4497

Ages Seen: 00 Yrs/99 Yrs

Trmc Hospitalists "Provider ID: 769888111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

Trmc Hospitalists "Provider ID: 7698883000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Watkins, Kesha, CNP !"Provider ID: 767059Family Health Center At Vance10278 Old Number Six HwyVance, SC 29163(803) 492-3031

Ages Seen: 00 Yrs/99 Yrs

Watkins, Kesha, CNP !"Provider ID: 767061Robert E Howard Middle School1255 Belleville RdOrangeburg, SC 29115(803) 533-6534

Ages Seen: 00 Yrs/99 Yrs

Watkins, Kesha, CNP !"Provider ID: 767062Family Health Centers3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Watkins, Kesha, CNP !"Provider ID: 767066Family Health Center At Norfiel7061 Norway RdNeeses, SC 29107(803) 263-4086

Ages Seen: 00 Yrs/99 Yrs

Williams-Bowens, Jean, CNP !"

Provider ID: 767967Family Health Center At Vance10278 Old Number Six HwyVance, SC 29163(803) 492-3031

Ages Seen: 00 Yrs/99 Yrs

Williams-Bowens, Jean, CNP !"

Provider ID: 767969Robert E Howard Middle School1255 Belleville RdOrangeburg, SC 29115(803) 533-6534

Ages Seen: 00 Yrs/99 Yrs

Williams-Bowens, Jean, CNP !"

Provider ID: 767970Family Health Center At Orangeb3310 Magnolia StOrangeburg, SC 29115(803) 531-6900

Ages Seen: 00 Yrs/99 Yrs

Williams-Bowens, Jean, CNP !"

Provider ID: 767973Family Health Center At Norfiel7061 Norway RdNeeses, SC 29107(803) 263-4086

Ages Seen: 00 Yrs/99 Yrs

Williams-Bowens, Jean, CNP !"

Provider ID: 767974Family Health Center At Cook RoMedical Arts Center Ste 305Orangeburg, SC 29118(803) 536-9394

Ages Seen: 00 Yrs/99 Yrs

OCCUPATIONAL THERAPY

Apple, Claire, OT "Provider ID: 771557Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Dieter, Sara, PT "Provider ID: 775122Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ORANGEBURG COUNTY (cont.)

Page 105: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY100

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013Floyd, Elaine, OT "

Provider ID: 771409Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

OCCUPATIONAL THERAPY (cont.)

Merritt, Rhonda, OT "Provider ID: 772228Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Vazquez, Nelson, OT "Provider ID: 771541Language: SpanishSports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

PHYSICAL THERAPY

Badaoui, Genevieve, PT "Provider ID: 774071Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Bolton, Paula, PT "Provider ID: 775713Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Bouchard, Kristen, PT "Provider ID: 776109Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Bowen II, Cary, PT "Provider ID: 771611Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Brangers, Jennifer, PT "Provider ID: 777276Sports Plus119 Office ParkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Burkert II, Stephen, PT "Provider ID: 772155Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Calub, Leslie, PT "Provider ID: 771760Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Cheek, Joel, PT "Provider ID: 773766Sports Plus119 Office ParkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Cheng, Vicki, PT "Provider ID: 775931Sports Plus119 OfficepartOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Chitty, Nina, PT "Provider ID: 770397Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Christiansen, Laura, PT "Provider ID: 775499Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Colbo, Kelson, PT "Provider ID: 773893Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Cole, James, PT "Provider ID: 776953Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Cumbie, Heather, PT "Provider ID: 771872Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Downey, Amy, PT "Provider ID: 771658Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Durst, Kimberly, PT "Provider ID: 775240Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Ekman, Cynthia, PT "Provider ID: 771711Sports Plus119 Office ParkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Fitzgerald, John, PT "Provider ID: 775670Sports Plus119 Office ParkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Fontanares, Roland, PT "Provider ID: 770337Sports Plus119 Office ParkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Graham, Megan, PT "Provider ID: 774411Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Grant, Lisa, PT "Provider ID: 772140Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Harward, Stacey, PT "Provider ID: 777349Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Haygood, Allison, PT "Provider ID: 771368Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Henderson, Jessica, PT "Provider ID: 771465Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Heniford, Mary, PT "Provider ID: 771445Sports Plus119 Office Park DrOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Horn, Rebekah, PT "Provider ID: 776005Sports Plus119 Office ParkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Hunter, Stuart, PT "Provider ID: 776883Sports Plus119 OficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Hyer, Eric, PT "Provider ID: 776378Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ORANGEBURG COUNTY (cont.)

Page 106: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY101

Ittenbach, Dennis, PT "Provider ID: 773903Sports Plus119 Office ParkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

PHYSICAL THERAPY (cont.)

Laing, Shannon, PT "Provider ID: 775797Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Lee, Matthew, PT "Provider ID: 776064Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Maggard, Ann, OT "Provider ID: 776839Sports Plus119 Office ParkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

McAlister, Suzanne, PT "Provider ID: 776152Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Meseck, Michael, PT "Provider ID: 773191Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Phillips, Kris, PT "Provider ID: 771372Sports Plus - Orangeburg119 Office Park DrOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Porada, Theodore, PT "Provider ID: 771644Sports Plus Orangeburg119 Officepark DrOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Richardson, Hagood, PT "Provider ID: 772503Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Rogan, Frances, PT "Provider ID: 775121Sports Plus119 OfficepartOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Schneider, Nicole, PT "Provider ID: 775911Sports Plus119 Office ParkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Snape, Kirsten, PT "Provider ID: 774413Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Stoker, James, PT "Provider ID: 774396Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Sullivan, Catherine, PT "Provider ID: 772653Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Turner, Allison, PT "Provider ID: 774317Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Vance, Darren, PT "Provider ID: 775251Sports Plus119 Office Park DrOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Welch, Erin, PT "Provider ID: 773487Sports Plus - Orangeburg119 Office ParkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

White, Amie, PT "Provider ID: 772813Sports Plus119 OfficeparkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Wiesner, Jessica, PT "Provider ID: 776426Sports Plus - Orangeburg119 Office Park DrOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Wooten, Jessica, PT "Provider ID: 769928Sports Plus119 Office ParkOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

Workman, Marlene, PT "Provider ID: 776421Sports Plus - Orangeburg119 Office Park DrOrangeburg, SC 29118(803) 536-5509

Ages Seen: 00 Yrs/99 Yrs

PHYSICIAN ASSISTANT

Hart, David, PA "Provider ID: 777041Trmc of Orangeburg3000 St Matthews RdOrangeburg, SC 29118(803) 395-2200

Ages Seen: 00 Yrs/99 Yrs

Hart, David, PA "Provider ID: 777041Trmc Santee Express Care111 Lawson AveSantee, SC 29142(803) 395-2090

Ages Seen: 00 Yrs/99 Yrs

SPEECH THERAPY

Berryman-Johnson, Nevera, 99999 "

Provider ID: 772741Berryman-Johnson Nevera2451 Bonneville DrOrangeburg, SC 29115(803) 539-9418

Ages Seen: 00 Yrs/99 Yrs

Boykin, Genea, SLP "Provider ID: 769929Carolina Therapy Services107 Jade CirOrangeburg, SC 29115(803) 533-8092

Ages Seen: 00 Yrs/99 Yrs

Bradley, Angela, SLP "Provider ID: 770021Communications Station1064 Oaklane DrOrangeburg, SC 29115(803) 707-3264

Ages Seen: 00 Yrs/99 Yrs

Buskey, Jacqueline, 99999 "Provider ID: 773116Buskey Jacqueline2379 Mall Terrace CtOrangeburg, SC 29118(803) 531-0366

Ages Seen: 00 Yrs/99 Yrs

Carr, Nikki, 99999 "Provider ID: 775603Professional Therapy Services895 Coleman AveOrangeburg, SC 29115(803) 707-9645

Ages Seen: 00 Yrs/99 Yrs

Cooper, Michelle, SLP "Provider ID: 772797Carolina Speech and Language

Associ3298 Hunter DrOrangeburg, SC 29116(803) 928-0369

Ages Seen: 00 Yrs/21 Yrs

Darby, Shirlain, 99999 "Provider ID: 775342Darby Shirlain J107 Guiomar RdCordova, SC 29039(803) 536-2154

Ages Seen: 00 Yrs/99 Yrs

Frishberg, Debra, SLP "Provider ID: 777029Tri County Speech Pathology

Service226 Waterford PkwyOrangeburg, SC 29118(803) 531-3459

Ages Seen: 00 Yrs/99 Yrs

Graham Jr, Henry, 99999 "Provider ID: 771240Carolina Therapy Services107 Jade CirOrangeburg, SC 29115(803) 533-8092

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ORANGEBURG COUNTY (cont.)

Page 107: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY102

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013Greene, Candice, SLP "

Provider ID: 771126Greene Candice M396 Livingston TerraceOrangeburg, SC 29118(803) 531-4258

Ages Seen: 00 Yrs/99 Yrs

SPEECH THERAPY (cont.)

Nash, Tawana, SLP "Provider ID: 776084Communication Solutions120 Cainhoy DrOrangeburg, SC 29118(803) 535-0013

Ages Seen: 01 Yrs/18 Yrs

Shafer, Janet, SLP "Provider ID: 776340Shafer Janet S510 Rivers Turn RdOrangeburg, SC 29115(803) 533-0078

Ages Seen: 00 Yrs/99 Yrs

Shaw, Shanita, SLP "Provider ID: 776326Sunshine Therapy Services264 Shadow Lawn DrOrangeburg, SC 29115(803) 531-6322

Ages Seen: 00 Yrs/99 Yrs

White, Denise, SLP "Provider ID: 776658Infinite SLP Services4802 Misty Pine LnOrangeburg, SC 29118(803) 536-9357

Ages Seen: 00 Yrs/99 Yrs

AUDIOLOGY

Fruth, Nicole, AuD "Provider ID: 776276South Carolina ENT Allergy and

Slee710 Rabon Raod Ste 202Columbia, SC 29203(803) 736-3277

Ages Seen: 00 Yrs/99 Yrs

Potts, Wendy, AuD "Provider ID: 776528Usc Speech and Hearing1601 St Julian PlColumbia, SC 29204(803) 777-2614

Ages Seen: 00 Yrs/99 Yrs

Waywood, Beth, AuD "Provider ID: 772039SE ENT Allergy and Sleep Disorder

I114 Gateway Corporate Blvd 120Columbia, SC 29203(803) 509-7200

Ages Seen: 00 Yrs/99 Yrs

Werle-Adams, Manda, AuD "Provider ID: 776973SC ENT Allergy and Sleep Medicine710 Rabon Rd Ste 202Columbia, SC 29203(803) 736-3277

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Hopikins Family Practice "Provider ID: 767839Eau Claire Coop Health Centers9019 Garners Ferry RdHopkins, SC 29061(803) 978-1848

Ages Seen: 00 Yrs/18 Yrs

Palmetto Crs "Provider ID: 770395Bureau of Finance - Scdhec2000 Hampton StColumbia, SC 29204(803) 898-0784

Ages Seen: 00 Yrs/99 Yrs

Richland County Health Department "

Provider ID: 774529SC Dhec - Bureau of Finance2000 Hampton StColumbia, SC 29204(803) 576-2900

Ages Seen: 00 Yrs/99 Yrs

LICENSED PROFESSIONAL COUNSELOR

Williams, Katrina, LMHC "Provider ID: 777252Connecting Dots Counseling

Services114 Gateway Corporate Bouelvard

Ste 320Columbia, SC 29203(803) 865-3034

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Baker, Linda, CNP "Provider ID: 776585University Specialty Clinics3 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-8323

Ages Seen: 00 Yrs/99 Yrs

Barnes, Nakita, CNP !"Provider ID: 773749Usc Sm Dept of Internal Medicine8 Medical ParkSute 410Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Berg, Elizabeth, ARNP "Provider ID: 767119Palmetto Childrens Urology9 Medical Park Ste 420Columbia, SC 29203(803) 434-2833

Ages Seen: 00 Yrs/18 Yrs

Blythewood Convenience Care Np Con "

Provider ID: 770334Palmetto Health738 University Village DrBlythewood, SC 29016(803) 461-0270

Ages Seen: 00 Yrs/99 Yrs

Burgess, Stephanie, APRN !"Provider ID: 768234Uscchildren and Family Healthcare

C2638 Two Notch Rd Ste 110Columbia, SC 29204(803) 256-2500

Ages Seen: 00 Yrs/99 Yrs

Caldwell, Toriah, CNP !"Provider ID: 773968Language: SpanishUniversity Specialty Clinic1400 Greene StColumbia, SC 29208(803) 777-5373

Ages Seen: 00 Yrs/99 Yrs

Cambron, Donna, CNP "Provider ID: 770490Providence Inpatient Medicine

Assoc2435 Forest DrColumbia, SC 29204(803) 864-4780

Ages Seen: 00 Yrs/99 Yrs

Chappell, Katherine, CRNA !"Provider ID: 776780Usc Department of Pediatrics9 Medical Park Ste 200 AColumbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/99 Yrs

Cox, Deanna, APRN !"Provider ID: 767138Primary Care Partners1400 Greene StColumbia, SC 29208(803) 777-5373

Ages Seen: 00 Yrs/99 Yrs

Cox, Deanna, APRN !"Provider ID: 767139Uscchildren and Family Healthcare

C2638 Two Notch Rd Ste 110Columbia, SC 29204(803) 256-2500

Ages Seen: 00 Yrs/99 Yrs

Cox, Deanna, APRN !"Provider ID: 770720Palmetto Richland5 Richland Medical ParkColumbia, SC 29203(803) 296-2548

Ages Seen: 00 Yrs/99 Yrs

Crossan, Joanne, CNP !"Provider ID: 771679Columbia Nephrology Associates121 Park Central Dr Ste 200Columbia, SC 29203(803) 252-9907

Ages Seen: 00 Yrs/99 Yrs

Dagostino, Meredith, ARNP !"Provider ID: 776513University Pediatrics9 Medical Park Ste 230Columbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/99 Yrs

Davis, Shean, CNP "Provider ID: 769494Sivad Primary Care and Associates9019 Garners Ferry RdHopkins, SC 29061(803) 695-8444

Ages Seen: 00 Yrs/99 Yrs

Dicesare, Jaclyn, CNP !"Provider ID: 769660Northeast Family Practice3000 NE Medical Park Ste 209Columbia, SC 29223(803) 736-6262

Ages Seen: 00 Yrs/99 Yrs

Ferrence, Carol, CNP "Provider ID: 772938Lexington Heart293 Greystone BlvdColumbia, SC 29210(803) 296-2281

Ages Seen: 00 Yrs/99 Yrs

Foster, Brandon, CNP !"Provider ID: 771094University Specialty Clinics8 Medical Park Ste 410Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

ORANGEBURG COUNTY (cont.)

RICHLAND COUNTY

Page 108: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY103

Freeman, Suzanne, CNP !"Provider ID: 777314University Specialty Clinic Int Med1 Medical Park Ste 420Columbia, SC 29203(803) 545-5350

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER (cont.)

Griffin, Kristen, ARNP !"Provider ID: 774957University Pediatrics9 Medical Park Ste 200Columbia, SC 29203(803) 434-7950

Ages Seen: 00 Yrs/99 Yrs

Hall, Barbara, CNP !"Provider ID: 775438Baptist Inpatient Medical AssociateTaylor At Marion StColumbia, SC 29220(803) 296-5579

Ages Seen: 00 Yrs/99 Yrs

Hardeman, Suzanne, APRN !"Provider ID: 772036Dept of Neuropsychiatry Behavioral15 Medical Park Ste 141Columbia, SC 29203(803) 434-4300

Ages Seen: 00 Yrs/99 Yrs

Hasan, Lois, CNP !"#Provider ID: 767517Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Head, Kathleen, APRN !"Provider ID: 776444Children and Family Healthcare

Center2638 Two Notch Rd Ste 110Columbia, SC 29204(803) 256-2500

Ages Seen: 00 Yrs/99 Yrs

Head, Patricia, CNP !"Provider ID: 767389Three Rivers Medical Associates1301 Taylor St Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Head, Patricia, CNP !"Provider ID: 767390Three Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Holdford, Sheila, CNP !"Provider ID: 776271University Specialty Clinics Depart9 Medical Park Ste 230Columbia, SC 29203(803) 434-7990

Ages Seen: 00 Yrs/99 Yrs

Holmes, Louise, CNP !"Provider ID: 767113Three Rivers Medical Associates1301 Taylor St Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Holmes, Louise, CNP !"Provider ID: 767114Three Rivers Medical Associates7430 College StIrmo, SC 29063(803) 732-4001

Ages Seen: 00 Yrs/99 Yrs

Huegel, Beverly, CNP "Provider ID: 768542Usc Dept of Obgyn Np4311 Hard Scrabble RdColumbia, SC 29229(803) 788-0923

Ages Seen: 00 Yrs/99 Yrs

Hutto, April, CNP "Provider ID: 775913Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

Jackson, Tonda, CNP !"Provider ID: 771159Midlands Care Consortium1 Richland Medical ParkSte 420 Dept Internal MedicineColumbia, SC 29203(803) 545-5350

Ages Seen: 00 Yrs/99 Yrs

Jackson, Tonda, CNP !"Provider ID: 771159University Specialty Clinic2 Medical Park Rd Ste 506Columbia, SC 29203(803) 252-2135

Ages Seen: 00 Yrs/99 Yrs

Jeffords, Ashley, CNP !"Provider ID: 771905Three Rivers Obgyn Associates1301 Taylor St Ste 7BColumbia, SC 29201(803) 254-9461

Ages Seen: 00 Yrs/99 Yrs

Lewis, Allison, CNP !"Provider ID: 771487Pediatric Surgery1 Medical Park Ste 230Columbia, SC 29203(803) 434-4555

Ages Seen: 00 Yrs/99 Yrs

Massey, Jean, CNP !"Provider ID: 768941Midlands Internal Medicine3000 NE Medical Park Ste 108Columbia, SC 29223(803) 462-9200

Ages Seen: 00 Yrs/99 Yrs

Masters, Kim, CNP !"#Provider ID: 768438First Care2406 Decker BlvdColumbia, SC 29206(803) 736-2530

Ages Seen: 00 Yrs/99 Yrs

McDill, Leslie, CNP "Provider ID: 772830SE ENT Allergy Sleep Disorders Ins114 Gateway Corporate Blvd 120Columbia, SC 29203(803) 509-7200

Ages Seen: 00 Yrs/99 Yrs

McDonagh-Zeigler, Patricia, CNP "

Provider ID: 772685Richland Hospital Internal Medicine14 Richland Medical Park Dr

Ste 320Columbia, SC 29203(803) 434-6771

Ages Seen: 00 Yrs/99 Yrs

McMurry, Russell, CNP !"Provider ID: 775730University Specialty Clinic Neurosu3 Richland Medical Park Dr Ste 310Columbia, SC 29203(803) 434-8283

Ages Seen: 00 Yrs/99 Yrs

Northeast Family Practice "Provider ID: 7688093000 NE Medical Park Ste 209Columbia, SC 29223(803) 736-6262

Ages Seen: 00 Yrs/99 Yrs

Palmer, Brandon, CNP "Provider ID: 771289Palmetto Health1400 Pickens StColumbia, SC 29201(803) 296-2726

Ages Seen: 00 Yrs/99 Yrs

Palmer, Brandon, CNP "Provider ID: 771290University Speciality Clinics Neuro3 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-8323

Ages Seen: 00 Yrs/99 Yrs

Palmetto Health "Provider ID: 7685059 Medical Park Ste 420Columbia, SC 29203(803) 434-2833

Ages Seen: 00 Yrs/99 Yrs

Palmetto Health Npc "Provider ID: 775021Lexington Heart293 Greystone BlvdColumbia, SC 29210(803) 296-2281

Ages Seen: 00 Yrs/99 Yrs

Palmetto Health Npc "Provider ID: 7750211400 Pickens StColumbia, SC 29201(803) 296-2726

Ages Seen: 00 Yrs/99 Yrs

Payne, Sandra, CNP !"Provider ID: 768267Dept of Family and Preventive

Medic3209 Colonial DrColumbia, SC 29203(803) 434-6113

Ages Seen: 00 Yrs/99 Yrs

Poyner, Phyllis, CNP !"Provider ID: 767132Children Family Healthcare Center2638 Two Notch Rd Ste 110Columbia, SC 29204(803) 256-2500

Ages Seen: 00 Yrs/99 Yrs

Rancy, John, CNP !"Provider ID: 771018University Specialty Clinic Neurosu3 Richland Medical Park Dr Ste 310Columbia, SC 29203(803) 434-8283

Ages Seen: 00 Yrs/99 Yrs

Reid, Taj, CNP !"Provider ID: 772199Blythewood Convenience Care738 University Village DrBlythewood, SC 29016(803) 461-0270

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 109: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY104

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013Ross, Lavon, CRNA !"

Provider ID: 770234University Specialty Clinic8 Richland Medical Park Ste 410Columbia, SC 29203(803) 799-5022

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER (cont.)

Sivad Primary Care and Associates "

Provider ID: 7694579019 Garners Ferry RdHopkins, SC 29061(803) 695-8444

Ages Seen: 00 Yrs/99 Yrs

Smith, Sabra, ARNP "Provider ID: 771054University Specialty Clinics1 Medical Park Ste 420Columbia, SC 29203(803) 545-5350

Ages Seen: 00 Yrs/99 Yrs

Stuck, Judy, CNP !"Provider ID: 771880Surgical Associates of South Caroli1850 Laurel St Ste 1-AColumbia, SC 29201(803) 376-5982

Ages Seen: 00 Yrs/99 Yrs

Szadek, Laura, ARNP !"Provider ID: 775465University Pediatrics9 Medical Park Ste 230Columbia, SC 29203(803) 434-7990

Ages Seen: 00 Yrs/99 Yrs

Three Rivers Medical Associates "

Provider ID: 7672741301 Taylor St Ste 8 AColumbia, SC 29201(803) 779-1922

Ages Seen: 00 Yrs/99 Yrs

Three Rivers Obgyn Associates "

Provider ID: 7759991301 Taylor St Ste 7 BColumbia, SC 29201(803) 254-9461

Ages Seen: 00 Yrs/99 Yrs

University Speciality Clinics Neurosurge "

Provider ID: 775512University Speciality Clinics Neuro3 Richland Medical Park Dr Ste 310Columbia, SC 29203(803) 434-8283

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics College of "

Provider ID: 766990Children Family Healthcare Center2638 Two Notch RdColumbia, SC 29204(803) 256-2500

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics College of "

Provider ID: 766991Thomson Student Health CenterGreene StThomson Student Center Rm 302Columbia, SC 29208(803) 777-3227

Ages Seen: 00 Yrs/99 Yrs

University Specialty Clinics Department "

Provider ID: 770439University Pediatrics9 Medical Park Ste 230Columbia, SC 29203(803) 434-7990

Ages Seen: 00 Yrs/99 Yrs

University Specitaly Clinics Im McC Clin "

Provider ID: 770856The Midlands Care Consortium1 Richland Medical Park Ste 420Columbia, SC 29203(803) 545-5350

Ages Seen: 00 Yrs/99 Yrs

University Specitaly Clinics Im McC Clin "

Provider ID: 770856University Specitaly Clinics Im McC2 Medical Park Dr Ste 501Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

University Specitaly Clinics Im McC Clin "

Provider ID: 770856University Specitaly Clinics Im McC8 Medical Park Ste 410Columbia, SC 29203(803) 540-1000

Ages Seen: 00 Yrs/99 Yrs

Vanduys, Linda, CNP "Provider ID: 770774Palmetto Health2739 Laurel St Ste 1AColumbia, SC 29204(803) 799-4800

Ages Seen: 00 Yrs/99 Yrs

Walker, Crystal, CNP "Provider ID: 777115Usc Department of Pediatrics9 Medical Park Dr Ste 110Columbia, SC 29203(803) 434-7961

Ages Seen: 00 Yrs/99 Yrs

Webb, Lee, CNP !"Provider ID: 775174Midlands Orthopaedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

OCCUPATIONAL THERAPY

Apple, Claire, OT "Provider ID: 771557Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Apple, Claire, OT "Provider ID: 771557Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Brumbach, Mary, OT "Provider ID: 773974Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Busch, Jennifer, OT "Provider ID: 776119Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Coyle, Michael, OT "Provider ID: 771272Charleston Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Crosby, English, OT "Provider ID: 771268Crosby English C101 King Charles RdColumbia, SC 29209(803) 776-0660

Ages Seen: 00 Yrs/99 Yrs

Crosby, English, OT "Provider ID: 771269Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Crouch, Mary, OT "Provider ID: 776275Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Dawkins-Mitchell, Haylee, OT "Provider ID: 788939325 Cabin DrIrmo, SC 29063(803) 319-7723

Ages Seen: 00 Yrs/99 Yrs

Dent, Andrea, OT "Provider ID: 777201Sunshine Pediatric Therapy303 Woodlake DrColumbia, SC 29229(803) 736-2092

Ages Seen: 00 Yrs/12 Yrs

Dieter, Sara, PT "Provider ID: 775122Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Dieter, Sara, PT "Provider ID: 775122Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Embry, Mary, OT "Provider ID: 773622Charleston Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Floyd, Elaine, OT "Provider ID: 771409Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 110: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY105

OCCUPATIONAL THERAPY (cont.)

Floyd, Elaine, OT "Provider ID: 771409Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Graham, Barbara, OT "Provider ID: 777473Health Tracks2537 Gervais StColumbia, SC 29204(803) 269-6091

Ages Seen: 00 Yrs/99 Yrs

Hartman, Cynthia, OT "Provider ID: 769944Hartman Cynthia L1013 Lake Murray BlvdIrmo, SC 29063(803) 749-2105

Ages Seen: 00 Yrs/99 Yrs

Hartman, Cynthia, OT "Provider ID: 769944Hartman Cynthia L1910 Blanding StColumbia, SC 29201(803) 253-6721

Ages Seen: 00 Yrs/99 Yrs

Johnson, Tonya, OT "Provider ID: 770192Charleston Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Merritt, Rhonda, OT "Provider ID: 772228Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Merritt, Rhonda, OT "Provider ID: 772228Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Milton, Latonya, OT "Provider ID: 773738Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Peeler, Kara, OT "Provider ID: 776267Easter Seals of SC2 Cobb Hall CtColumbia, SC 29223(803) 429-8474

Ages Seen: 00 Yrs/99 Yrs

Proffitt, Sherica, OT "Provider ID: 775731Babies First Therapeutics214 Faircrest WayColumbia, SC 29229(443) 722-1233

Ages Seen: 00 Yrs/99 Yrs

Rentz, Sarah, OT "Provider ID: 776642Columbia Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Roberts, Juliet, OT "Provider ID: 772798Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Smith, Elizabeth, OT "Provider ID: 777329Easter Seals of SC2 Cobb Hall CtColumbia, SC 29223(803) 429-8474

Ages Seen: 00 Yrs/99 Yrs

Vazquez, Nelson, OT "Provider ID: 771541Language: SpanishSports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 774-1535

Ages Seen: 00 Yrs/99 Yrs

Vazquez, Nelson, OT "Provider ID: 771541Language: SpanishSports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

ORTHOPAEDIC SURGERY

Schaller, Stephanie, CNP !"Provider ID: 772541Midlands Orthopaedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Schaller, Stephanie, CNP !"Provider ID: 772541Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

PHYSICAL THERAPY

Badaoui, Genevieve, PT "Provider ID: 774071Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 787-1153

Ages Seen: 00 Yrs/99 Yrs

Badaoui, Genevieve, PT "Provider ID: 774071Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Barton, Ann, PT "Provider ID: 775322Health Tracks2537 Gervais StColumbia, SC 29204(803) 269-6091

Ages Seen: 00 Yrs/99 Yrs

Benedetto, Michael, PT "Provider ID: 776483HPRC1013 Lake Murray BlvdIrmo, SC 29063(803) 749-2105

Ages Seen: 00 Yrs/99 Yrs

Benedetto, Michael, PT "Provider ID: 776483HPRC1910 Blanding StColumbia, SC 29201(803) 253-6721

Ages Seen: 00 Yrs/99 Yrs

Blocker, Kathryn, PT "Provider ID: 776640Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Bolton, Paula, PT "Provider ID: 775713Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Bolton, Paula, PT "Provider ID: 775713Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Bouchard, Kristen, PT "Provider ID: 776109Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Bouchard, Kristen, PT "Provider ID: 776109Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Bowen II, Cary, PT "Provider ID: 771611Sports Plus3010 Farrow RdColumbia, SC 29223(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Bowen II, Cary, PT "Provider ID: 771611Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Brangers, Jennifer, PT "Provider ID: 777276Clemson Sports Medicine Rehab12023 North Radio Station Rd Ste AIrmo, SC 29063(864) 985-0770

Ages Seen: 00 Yrs/99 Yrs

Brangers, Jennifer, PT "Provider ID: 777276Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 111: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY106

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PHYSICAL THERAPY (cont.)

Brangers, Jennifer, PT "Provider ID: 777276Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Burkert II, Stephen, PT "Provider ID: 772155Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Burkert II, Stephen, PT "Provider ID: 772155Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Calub, Leslie, PT "Provider ID: 771760Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Calub, Leslie, PT "Provider ID: 771760Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Calvert, Kari, PT "Provider ID: 772031Columbia Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Cheek, Joel, PT "Provider ID: 773766Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Cheek, Joel, PT "Provider ID: 773766Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Cheng, Vicki, PT "Provider ID: 775931Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Cheng, Vicki, PT "Provider ID: 775931Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Chitty, Nina, PT "Provider ID: 770397Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Chitty, Nina, PT "Provider ID: 770397Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Christiansen, Laura, PT "Provider ID: 775499Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Christiansen, Laura, PT "Provider ID: 775499Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Chung, Julie, PT "Provider ID: 771341Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Colbo, Kelson, PT "Provider ID: 773893Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Colbo, Kelson, PT "Provider ID: 773893Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Cole, James, PT "Provider ID: 776953Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Cole, James, PT "Provider ID: 776953Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Cumbie, Heather, PT "Provider ID: 771872Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Cumbie, Heather, PT "Provider ID: 771872Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Downey, Amy, PT "Provider ID: 771658Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Downey, Amy, PT "Provider ID: 771658Sports Plus - Irmo800 Columbiana DrIrmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Dukes, Laura, PT "Provider ID: 776129Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Dukes, Laura, PT "Provider ID: 776129Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Dunlap, Roy, PT "Provider ID: 772324Human Performance and Rehab

Blandin1910 Blanding StColumbia, SC 29201(706) 320-5482

Ages Seen: 00 Yrs/99 Yrs

Durst, Kimberly, PT "Provider ID: 775240Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Durst, Kimberly, PT "Provider ID: 775240Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Ekman, Cynthia, PT "Provider ID: 771711Clemson Sports Medicine Rehab12023 North Radio Station Rd Ste AIrmo, SC 29063(864) 985-0770

Ages Seen: 00 Yrs/99 Yrs

Ekman, Cynthia, PT "Provider ID: 771711Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Ekman, Cynthia, PT "Provider ID: 771711Sports Plus - Irmo800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Filler, Bruce, PT "Provider ID: 770162Columbia Rehab Clinic3000 North E Medical ParkColumbia, SC 29223(803) 736-4845

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 112: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY107

PHYSICAL THERAPY (cont.)

Filler, Bruce, PT "Provider ID: 770162Columbia Rehab Clinic428 McNulty St Ste 3Blythewood, SC 29016(803) 799-7007

Ages Seen: 00 Yrs/99 Yrs

Fitzgerald, John, PT "Provider ID: 775670Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Fitzgerald, John, PT "Provider ID: 775670Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Fontanares, Roland, PT "Provider ID: 770337Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Fontanares, Roland, PT "Provider ID: 770337Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Fordham, Marie, PT "Provider ID: 770032The Therapy Place3620 Covenant RdColumbia, SC 29204(803) 787-3033

Ages Seen: 00 Yrs/99 Yrs

Fordham, Marie, PT "Provider ID: 770033Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Gilbreth, Melissa, PT "Provider ID: 771616Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Graham, Megan, PT "Provider ID: 774411Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Graham, Megan, PT "Provider ID: 774411Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Grant, Lisa, PT "Provider ID: 772140Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Grant, Lisa, PT "Provider ID: 772140Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Harward, Stacey, PT "Provider ID: 777349Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Harward, Stacey, PT "Provider ID: 777349Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Haygood, Allison, PT "Provider ID: 771368Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Haygood, Allison, PT "Provider ID: 771368Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Henderson, Jessica, PT "Provider ID: 771465Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Henderson, Jessica, PT "Provider ID: 771465Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Heniford, Mary, PT "Provider ID: 771445Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Heniford, Mary, PT "Provider ID: 771445Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Horn, Rebekah, PT "Provider ID: 776005Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Horn, Rebekah, PT "Provider ID: 776005Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Hunter, Stuart, PT "Provider ID: 776883Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Hunter, Stuart, PT "Provider ID: 776883Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Hutchinson, Katherine, PT "Provider ID: 774170Palmetto Health Childrens Hospital

Spec14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Hyer, Eric, PT "Provider ID: 776378Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Hyer, Eric, PT "Provider ID: 776378Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Imperial, Michael, PT "Provider ID: 769898Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Ittenbach, Dennis, PT "Provider ID: 773903Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Ittenbach, Dennis, PT "Provider ID: 773903Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Jacobs, Jami, PT "Provider ID: 775733Jacobs Jami L1013 Lake Murray BlvdIrmo, SC 29063(803) 749-2105

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 113: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY108

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

PHYSICAL THERAPY (cont.)

Jacobs, Jami, PT "Provider ID: 775733Jacobs Jami L1910 Blanding StColumbia, SC 29201(803) 253-6721

Ages Seen: 00 Yrs/99 Yrs

Laing, Shannon, PT "Provider ID: 775797Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Laing, Shannon, PT "Provider ID: 775797Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Lambert, Melanie, PT "Provider ID: 771147Health Tracks2537 Gervais StColumbia, SC 29204(803) 269-6091

Ages Seen: 00 Yrs/99 Yrs

Lee, Matthew, PT "Provider ID: 776064Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Lee, Matthew, PT "Provider ID: 776064Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Lukker, Tracey, PT "Provider ID: 776495Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Maggard, Ann, OT "Provider ID: 776839Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Maggard, Ann, OT "Provider ID: 776839Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

McAlister, Suzanne, PT "Provider ID: 776152Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

McAlister, Suzanne, PT "Provider ID: 776152Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Meseck, Michael, PT "Provider ID: 773191Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Meseck, Michael, PT "Provider ID: 773191Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Morgan, Lindsey, PT "Provider ID: 771677Clemson Sports Medicine and

Rehab3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Phillips, Kris, PT "Provider ID: 771372Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Phillips, Kris, PT "Provider ID: 771372Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Porada, Theodore, PT "Provider ID: 771644Sports Plus Usc3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Redmond, Michael, MD "#Provider ID: 777345Midlands Orthopaedics1013 Lake Murray BlvdIrmo, SC 29063(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Redmond, Michael, MD "#Provider ID: 777345Midlands Orthopedics1910 Blanding StColumbia, SC 29201(803) 256-4107

Ages Seen: 00 Yrs/99 Yrs

Redmond, Michael, MD "Provider ID: 777346Baptist Pain and Orthopaedic Care223 Stoneridge DrColumbia, SC 29210(803) 296-7246

Ages Seen: 00 Yrs/99 Yrs

Richardson, Hagood, PT "Provider ID: 772503Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Richardson, Hagood, PT "Provider ID: 772503Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Rogan, Frances, PT "Provider ID: 775121Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Rogan, Frances, PT "Provider ID: 775121Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Samples, Terri, PT "Provider ID: 770034Columbia Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Schneider, Nicole, PT "Provider ID: 775911Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Schneider, Nicole, PT "Provider ID: 775911Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Snape, Kirsten, PT "Provider ID: 774413Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Snape, Kirsten, PT "Provider ID: 774413Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Sommer, Jenna, PT "Provider ID: 773224Charleston Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Stoker, James, PT "Provider ID: 774396Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Sullivan, Catherine, PT "Provider ID: 772653Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 114: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY109

PHYSICAL THERAPY (cont.)

Sullivan, Catherine, PT "Provider ID: 772653Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Sutton, Timothy, PT "Provider ID: 772266Human Performace and Rehab

Blanding1910 Blanding StColumbia, SC 29201(706) 320-5482

Ages Seen: 00 Yrs/99 Yrs

Turner, Allison, PT "Provider ID: 774317Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Turner, Allison, PT "Provider ID: 774317Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Twaddle, Carianna, PT "Provider ID: 773234Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Twaddle, Carianna, PT "Provider ID: 773234Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Vance, Darren, PT "Provider ID: 775251Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Vance, Darren, PT "Provider ID: 775251Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Vance, Robin, SLP "Provider ID: 774180Health Tracks2537 Gervais StColumbia, SC 29204(803) 269-6091

Ages Seen: 00 Yrs/99 Yrs

Wagner, Elizabeth, PTProvider ID: 788970Columbia Rehab Clinic2362 Two Notch RdColumbia, SC 29204(803) 799-7007

Ages Seen: 00 Yrs/99 Yrs

Welch, Erin, PT "Provider ID: 773487Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Welch, Erin, PT "Provider ID: 773487Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Westerkam, William, MD "Provider ID: 772487Rehab and Geriatrics Specialists2935 Colonial DrColumbia, SC 29203(803) 401-1369

Ages Seen: 00 Yrs/99 Yrs

White, Amie, PT "Provider ID: 772813Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

White, Amie, PT "Provider ID: 772813Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Whitney, Joshua, PT "Provider ID: 774964HPRC1013 Lake Murray BlvdIrmo, SC 29063(803) 749-2105

Ages Seen: 00 Yrs/99 Yrs

Whitney, Joshua, PT "Provider ID: 774964HPRC1910 Blanding StColumbia, SC 29201(803) 253-6721

Ages Seen: 00 Yrs/99 Yrs

Wooten, Jessica, PT "Provider ID: 769928Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Wooten, Jessica, PT "Provider ID: 769928Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

Workman, Marlene, PT "Provider ID: 776421Sports Plus3010 Farrow Rd Ste 100Columbia, SC 29203(803) 771-1535

Ages Seen: 00 Yrs/99 Yrs

Workman, Marlene, PT "Provider ID: 776421Sports Plus800 Columbiana Dr Ste 50Irmo, SC 29063(803) 732-9294

Ages Seen: 00 Yrs/99 Yrs

PHYSICIAN ASSISTANT

Mercier, Denise, PA "Provider ID: 770378Palmetto Health BaptistTaylor At Marion StColumbia, SC 29220(803) 296-5579

Ages Seen: 00 Yrs/99 Yrs

SPEECH THERAPY

Beaufort, Aretra, SLP "Provider ID: 771047Easter Seals of SC2 Cobb Hill CtColumbia, SC 29250(803) 429-8474

Ages Seen: 00 Yrs/99 Yrs

Boykin, Genea, SLP "Provider ID: 769930Palmetto Early Beginnings355 Ridge Run TrlIrmo, SC 29063(803) 271-2364

Ages Seen: 00 Yrs/99 Yrs

Brunson, Loretta, SLP "Provider ID: 776861Speech Language Pathways

Therapy SE708 Fair LnColumbia, SC 29210(803) 603-2252

Ages Seen: 00 Yrs/99 Yrs

Burnett, Sarah, SLP "Provider ID: 772374Burnett Sarah F1732 Maplewood DrColumbia, SC 29205(803) 530-8338

Ages Seen: 00 Yrs/99 Yrs

Cate, Katie, SLP "Provider ID: 775994Health Tracks2537 Gervais StColumbia, SC 29204(803) 269-6091

Ages Seen: 00 Yrs/99 Yrs

Dearing, Megan, SLP "Provider ID: 775604Columbia Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Farley, Alice, SLP "Provider ID: 775453Health Tracks2537 Gervais StColumbia, SC 29204(803) 269-6091

Ages Seen: 00 Yrs/99 Yrs

Gabriel, Megan, SLP "Provider ID: 770540Columbia Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Green-Carner, Brenda, SLP "Provider ID: 770749Kids Intervention Transition2144 Leesburg RdColumbia, SC 29209(803) 237-4343

Ages Seen: 00 Yrs/99 Yrs

Huggins, Dorinda, SLP "Provider ID: 770409Health Tracks2537 Gervais StColumbia, SC 29204(803) 269-6091

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 115: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY110

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

SPEECH THERAPY (cont.)

Kaufman, Susan, SLP "Provider ID: 775657Kaufman Therapy Services105 Fox Hill DrBlythewood, SC 29016(803) 530-2214

Ages Seen: 00 Yrs/99 Yrs

Kroll, Lezlee, OT "Provider ID: 774409Columbia Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Kuebler, Ronald, SLP "Provider ID: 774475Lingual Perfection6601 Ebrook RdColumbia, SC 29206(803) 483-6730

Ages Seen: 00 Yrs/99 Yrs

Likas, Lora, SLP "Provider ID: 776369Say and Play101 Kestrel LnIrmo, SC 29063(803) 528-3588

Ages Seen: 00 Yrs/99 Yrs

Loser, Mia, SLP "Provider ID: 770262Bullpen Partners5 Midgard CtColumbia, SC 29229(803) 463-9780

Ages Seen: 00 Yrs/99 Yrs

Lukker, Tracey, PT "Provider ID: 776492Health Tracks2537 Gervais StColumbia, SC 29204(803) 269-6091

Ages Seen: 00 Yrs/99 Yrs

Maranville, June, SLP "Provider ID: 775506Health Tracks2537 Gervais StColumbia, SC 29204(803) 269-6091

Ages Seen: 00 Yrs/99 Yrs

Morton, Ann, SLP "Provider ID: 777046Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Myers, Kathy, SLP "Provider ID: 771486Health Tracks2537 Gervais StColumbia, SC 29204(803) 269-6091

Ages Seen: 00 Yrs/99 Yrs

Page, Carol, SLP "Provider ID: 771893Columbia Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Perry, Kelley, SLP "Provider ID: 772139Columbia Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Powell, Marie, SLP "Provider ID: 772979Kristi Zoller MS Ccc SLP1732 Maplewood DrColumbia, SC 29205(803) 530-8338

Ages Seen: 00 Yrs/99 Yrs

Robinson, Kari, SLP "Provider ID: 774782Columbia Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Romine, Linda, SLP "Provider ID: 770548Easter Seals of SC2 Cobb Hall CtColumbia, SC 29223(803) 429-8474

Ages Seen: 00 Yrs/99 Yrs

Shakir, Nailah, 99999 "Provider ID: 774989Midlands Communication Services312 Curvewood RdColumbia, SC 29229(803) 318-8697

Ages Seen: 00 Yrs/99 Yrs

Shakir, Nailah, 99999 "Provider ID: 774989Midlands Communication Services7474 Garners Ferry Rd Ste 12Columbia, SC 29209(803) 318-8697

Ages Seen: 00 Yrs/99 Yrs

Stallings, Lisa, SLP "Provider ID: 770564Stallings Enterprise212 Wrenfield LnBlythewood, SC 29016(803) 754-4658

Ages Seen: 00 Yrs/99 Yrs

Stanford, Kerri, SLP "Provider ID: 773986Health Tracks2537 Gervais StColumbia, SC 29204(803) 269-6091

Ages Seen: 00 Yrs/99 Yrs

Swift, Jamie, SLP "Provider ID: 773926Columbia Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Thomas, Sherry, SLP "Provider ID: 773050Palmetto Early Beginnings355 Ridge Run TrIrmo, SC 29063(803) 271-2364

Ages Seen: 00 Yrs/99 Yrs

Thomas Bridges, Lashawn, SLP "

Provider ID: 776627Northeast Speech-Language

Pathology503 Summit SqColumbia, SC 29229(803) 423-2327

Ages Seen: 00 Yrs/99 Yrs

Varnedoe, Danielle, SLP "Provider ID: 774307Usc Speech and Hearing Center1601 St Julian PlColumbia, SC 29204(803) 777-2614

Ages Seen: 00 Yrs/99 Yrs

Wallart, Theresa, SLP "Provider ID: 775525Columbia Pediatric Rehab212 E Ohio Pl Ste 100Columbia, SC 29229(843) 769-0663

Ages Seen: 00 Yrs/99 Yrs

Ward, Elizabeth, SLP "Provider ID: 775359The Therapy Place3620 Covenant RdColumbia, SC 29204(803) 787-3033

Ages Seen: 00 Yrs/99 Yrs

Ward, Elizabeth, SLP "Provider ID: 775360Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Watson, Kenya, SLP "Provider ID: 773016Watson Kenya N307 Curvewood RdColumbia, SC 29229(803) 546-9272

Ages Seen: 00 Yrs/99 Yrs

Wilkes, Anna, SLP "Provider ID: 775832Ph Childrens Hospital Spec Care

Center Col14 Richland Medical Park Ste 310Columbia, SC 29203(803) 434-2300

Ages Seen: 00 Yrs/99 Yrs

Wilson, Tanya, SLP "Provider ID: 776499Easter Seals of SC2 Cobb Hill CtColumbia, SC 29223(803) 429-8474

Ages Seen: 00 Yrs/99 Yrs

Wisdom, Leslie, SLP "Provider ID: 776237Angelic Speech Therapy Services213 Cabin DrIrmo, SC 29063(803) 699-1142

Ages Seen: 00 Yrs/99 Yrs

Zoller, Kristi, SLP "Provider ID: 772274Kristi Zoller MS Ccc SLP1732 Maplewood DrColumbia, SC 29205(803) 530-8338

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Sumter County Health Department "

Provider ID: 769905SC Dhec - Bureau of Finance105 North Magnolia StSumter, SC 29150(803) 773-5511

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

SUMTER COUNTY

Page 116: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY111

COMMUNITY HEALTH CENTER (cont.)

Wateree Crs "Provider ID: 773200Bureau of Finance - Scdhec105 North Magnolia StSumter, SC 29150(803) 898-0784

Ages Seen: 00 Yrs/99 Yrs

LICENSED PROFESSIONAL COUNSELOR

Moise, Lucie, LMHC "Provider ID: 770025Sumter Family Health Center1278 N Lafayette DrSumter, SC 29150(803) 774-4541

Ages Seen: 06 Yrs/99 Yrs

Shaw, Renee, LMHC "Provider ID: 774722Sumter Family Health Center1278 N Layfayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

NURSE MIDWIFE

Chappell, Thomas, CNM !"Provider ID: 771329Sumter Family Health Center1278 North Lafayette DrSumter, SC 29154(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Collins, Jennifer, CRNA !"Provider ID: 775475Sumter Family Health Center1278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Day, Jessica, CNM "Provider ID: 772455Sumter Family Health Center1278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Pickering, Jaime, APRN "Provider ID: 770773Sumter Family Health Center1278 N Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 12 Yrs/99 Yrs

Steindorf, Elayne, CRNA !"Provider ID: 770331Sumter Family Health Center1278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Foley, Carla, CNP !"Provider ID: 770766Sumter Plastic and Reconstructive

S115 North Sumter St Ste 115Sumter, SC 29150(803) 774-7546

Ages Seen: 00 Yrs/99 Yrs

Lussier, Molly, CNP !"Provider ID: 769146Sumter Family Health Center1278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/99 Yrs

Porter, Cathy, APRN !"Provider ID: 767227Sandhills Medical Foundation6 Bernette DrSumter, SC 29150(803) 778-2442

Ages Seen: 00 Yrs/99 Yrs

Sandhills Medical Foundation "Provider ID: 7685266 Bernette DrSumter, SC 29150(803) 778-2442

Ages Seen: 00 Yrs/99 Yrs

Saunders, Katherine, ARNP !"#

Provider ID: 769780Sumter Family Health Center1278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/18 Yrs

Saunders, Katherine, ARNP !"#

Provider ID: 769781dba Pinewood Health Center25 E Clark StPinewood, SC 29125(803) 774-4541

Ages Seen: 00 Yrs/18 Yrs

Trzcinski, Patricia, CRNA !"#Provider ID: 769399Sumter Family Health Center1278 North Lafayette DrSumter, SC 29150(803) 774-4500

Ages Seen: 00 Yrs/18 Yrs

Trzcinski, Patricia, CRNA !"#Provider ID: 769400dba Pinewood Health Center25 E Clark StPinewood, SC 29125(803) 774-4541

Ages Seen: 00 Yrs/18 Yrs

OCCUPATIONAL THERAPY

Waganer, Melissa, OT "Provider ID: 773752Melissa B Waganer2135 Hobbit WaySumter, SC 29153(803) 883-6151

Ages Seen: 00 Yrs/99 Yrs

PHYSICAL THERAPY

Bitting, George, MD "Provider ID: 775812The Pain Center of Firstchoice

Healthcare220 Broad St Ste BSumter, SC 29150(803) 774-6500

Ages Seen: 00 Yrs/99 Yrs

Cooper, Jeffrey, MD !"Provider ID: 770890The Pain Center of Firstchoice

Healthcare220 Broad St Ste BSumter, SC 29150(803) 774-6500

Ages Seen: 00 Yrs/99 Yrs

Roberts, Robert, MD !"Provider ID: 776332The Pain Center of Firstchoice

Healthcare220 Broad St Ste BSumter, SC 29150(803) 774-6500

Ages Seen: 00 Yrs/99 Yrs

SPEECH THERAPY

High, Andrea, SLP "Provider ID: 774927Andrea B High MA Ccc SLP900 Breezybay LnSumter, SC 29150(803) 968-1224

Ages Seen: 00 Yrs/03 Yrs

Moses, Valerie, SLP "Provider ID: 775239Carolina Speech Therapy

Associates540 Bultman Dr Ste 4Sumter, SC 29150(803) 840-3089

Ages Seen: 00 Yrs/99 Yrs

Palmer, Wygelia, SLP "Provider ID: 770195Noteable Pathways Therapy340 Rast St Ste 2Sumter, SC 29150(803) 972-1945

Ages Seen: 00 Yrs/99 Yrs

Palmer, Wygelia, SLP "Provider ID: 770196Carolina Therapy Works340 Rast StSumter, SC 29150(803) 774-4757

Ages Seen: 00 Yrs/99 Yrs

Palmer, Wygelia, SLP "Provider ID: 770197Noteable Pathways Therapeutics340 Rast St Ste 2Sumter, SC 29150(803) 774-4757

Ages Seen: 00 Yrs/99 Yrs

Ramsey, Wanda, SLP "Provider ID: 770183Straight Talk1165 North Guignard Dr Ste 8Sumter, SC 29150(803) 506-4330

Ages Seen: 00 Yrs/99 Yrs

Singleton-Brown, Katrica, SLP "Provider ID: 775676Carolina Therapy Works143 Little John LnSumter, SC 29153(803) 774-4757

Ages Seen: 00 Yrs/99 Yrs

Singleton-Brown, Katrica, SLP "Provider ID: 775677Noteable Pathways Therapeutics340 Rast St Ste 2Sumter, SC 29150(803) 774-4757

Ages Seen: 00 Yrs/99 Yrs

White, Mary, SLP "Provider ID: 773525Mary H White SLP208 Mason Croft DrSumter, SC 29150(803) 773-1893

Ages Seen: 00 Yrs/99 Yrs

COMMUNITY HEALTH CENTER

Boyd Hill Pediatric Clinic "Provider ID: 768389Community Medicine Foundation313 Fargo StRock Hill, SC 29732(803) 325-8742

Ages Seen: 00 Yrs/99 Yrs

SOUTH CAROLINA (cont.)

SUMTER COUNTY (cont.)

YORK COUNTY

Page 117: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY112

ALLIED PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

COMMUNITY HEALTH CENTER (cont.)

York County Health Departmentn "

Provider ID: 776255SC Dhec - Bureau of Finance1070 Heckle BlvdRock Hill, SC 29732(803) 909-7300

Ages Seen: 00 Yrs/99 Yrs

NURSE PRACTITIONER

Boone Manuel, Donna, CNP "Provider ID: 769155Agape Senior Primary Care159 Sedgewood DrRock Hill, SC 29732(803) 454-3510

Ages Seen: 00 Yrs/99 Yrs

Catawba Care "Provider ID: 772668500 Lakeshore PkwyRock Hill, SC 29730(803) 909-6363

Ages Seen: 00 Yrs/99 Yrs

Clark, Wanda, CNP !"Provider ID: 770112Catawba Care500 Lakeshore PkwyRock Hill, SC 29732(803) 909-6363

Ages Seen: 00 Yrs/99 Yrs

Harrell, Diane, CNP !"#Provider ID: 768492Mackey Family Practice Np 28351 Charlotte Hwy Ste 200Ft Mill, SC 29707(803) 396-5333

Ages Seen: 00 Yrs/99 Yrs

Liaghat, Mary, CNP !"Provider ID: 767848Community Medicine Foundation1131 Saluda StRock Hill, SC 29731(803) 325-7744

Ages Seen: 00 Yrs/99 Yrs

Mackey Family Practice Np2 "#Provider ID: 7675698351 Charlotte Hwy Ste 200Ft Mill, SC 29707(803) 396-5333

Ages Seen: 00 Yrs/99 Yrs

OCCUPATIONAL THERAPY

Colebank, Lauren, OT "Provider ID: 776595Therapyworks 4 Kids1162 Fort Mill Hwy Ste AFt Mill, SC 29707(803) 548-9113

Ages Seen: 00 Yrs/99 Yrs

PHYSICAL THERAPY

Long, Corrie, PT "Provider ID: 772526Therapyworks 4 Kids1162 Fort Mill Hwy Ste AFt Mill, SC 29707(803) 548-9113

Ages Seen: 00 Yrs/99 Yrs

Winter, Jill, PT "Provider ID: 777322Stepping Stones Pediatric Therapy I3009 Mason CtClover, SC 29710(518) 461-1070

Ages Seen: 00 Yrs/05 Yrs

SPEECH THERAPY

Anslow-Myers, Barbara, SLP "Provider ID: 775909Barbara E Anslow-Myers530 Little Cove LnClover, SC 29710(803) 619-4075

Ages Seen: 00 Yrs/21 Yrs

Christison, Lori, SLP "Provider ID: 776659Kidspeak802 Coolwater CtFt Mill, SC 29715(803) 493-4575

Ages Seen: 00 Yrs/99 Yrs

Hope, Andrea, SLP "Provider ID: 773445Andrea Hope Speech Pathology1147 Ebenezer RdRock Hill, SC 29732(803) 230-1529

Ages Seen: 00 Yrs/99 Yrs

Irvin, Amber, SLP "Provider ID: 776568Chit Chat Speech Language

Therapy1670 Hwy 160 W Ste 201Ft Mill, SC 29708(800) 779-4089

Ages Seen: 00 Yrs/99 Yrs

Labarowski, Kathleen, SLP "Provider ID: 776000Therapyworks 4 Kids1162A Fort Mill HwyFt Mill, SC 29707(803) 548-9113

Ages Seen: 00 Yrs/99 Yrs

Price, Cheryl, SLP "Provider ID: 771554Priceless Therapy Services1746 Edge Park RdClover, SC 29710(803) 311-1560

Ages Seen: 00 Yrs/99 Yrs

Price, Cheryl, SLP "Provider ID: 771555Stepping Stones Pediatric Therapy I3009 Mason CtClover, SC 29710(518) 461-1070

Ages Seen: 00 Yrs/05 Yrs

SOUTH CAROLINA (cont.)

YORK COUNTY (cont.)

Page 118: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PHARMACY LOCATIONSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

" WHEELCHAIR ACCESSIBLE113

RETAIL

Aiken Drug Company "101 Laurens St SWAiken, SC 29801(803) 649-6286

CVSCVS Pharmacy1041 York St NEAiken, SC 29801(803) 649-0521

CVSCVS Pharmacy1638 Richland Ave WAiken, SC 29801(803) 648-3203

CVSCVS Pharmacy2062 Whiskey RdAiken, SC 29803(803) 648-2339

CVSCVS Pharmacy4295 Jefferson Davis HwyBeech Island, SC 29842(803) 593-5196

CVSCVS Pharmacy101 Edgefield RdNorth Augusta, SC 29841(803) 279-7470

Carolina Musculoskeletal Institute

721 Richland Ave W Ste 100Aiken, SC 29801(803) 644-4264

Center For Primary Care "105 E Hugh StNorth Augusta, SC 29841(803) 279-6800

Family Pharmacy333 Newberry St NWAiken, SC 29801(803) 649-1776

Family Pharmacy-South Aiken "110 Price AveAiken, SC 29803(803) 648-1776

Ingate Professional Pharmacy "400 Laurens St NWAiken, SC 29801(803) 648-8330

Kroger "Kroger Pharmacy1795 Whiskey RdAiken, SC 29803(803) 642-5371

KrogerKroger Pharmacy1284 Knox AveNorth Augusta, SC 29841(803) 442-4510

Langley Drug Company "2820 Augusta Rd Ste 102Langley, SC 29834(803) 593-3411

Lominicks Pharmacy "839 Richland Ave WAiken, SC 29801(803) 648-8328

Margaret J Weston CHC Pharmacy

4645 Augusta RdClearwater, SC 29822(803) 593-9283

Medical Center Pharmacy "410 University Pkwy Ste 2800Aiken, SC 29801(803) 648-2985

Parks Pharmacy "437 Georgia AveNorth Augusta, SC 29841(803) 279-7450

Publix "Publix Pharmacy250 Eastgate DrAiken, SC 29803(803) 643-7976

Publix "Publix Pharmacy334 East Martintown RdNorth Augusta, SC 29841(803) 441-3906

Rite Aid 11669 "Rite Aid Pharmacy 11669605 North Main StNew Ellenton, SC 29809(803) 652-2721

Rite Aid 11671 "Rite Aid Pharmacy 11671401 Martintown RdNorth Augusta, SC 29841(803) 279-1610

TLC Medical Centre "190 Crepe Myrtle CourtAiken, SC 29803(803) 648-7800

Target "Target Pharmacy2545 Whiskey RdAiken, SC 29803(803) 644-2711

The Medicine Mart "1020 Richland Ave WestAiken, SC 29801(803) 649-7437

Wagener Drug Co129 N Main StWagener, SC 29164(803) 564-5381

Wal Mart 10-0514 "Wal-Mart Pharmacy 10-05142035 Whiskey RdAiken, SC 29803(803) 648-7766

Wal Mart 10-1270 "Wal-Mart Pharmacy 10-12701201 Knox AveNorth Augusta, SC 29841(803) 279-1919

Wal Mart 10-4487Wal-Mart Pharmacy 10-44873581 Richland Ave SWAiken, SC 29803(803) 648-6464

Walgreens 105811228 Knox AveNorth Augusta, SC 29841(803) 279-3279

Walgreens 118491291 Whiskey RdAiken, SC 29803(803) 648-8155

Walgreens 127953510 Richland Ave WAiken, SC 29801(803) 641-6959

RETAIL

Fairfax Pharmacy "1275 Allendale Fairfax HwyFairfax, SC 29827(803) 632-2055

Low Country Health Care System333 Revolutionary TrailFairfax, SC 29827(803) 632-2533

Rite Aid 11670 "Rite Aid Pharmacy 11670137 Main St SouthAllendale, SC 29810(803) 584-7735

RETAIL

CVSCVS Pharmacy18252 Heritage HwyDenmark, SC 29042(803) 793-4213

Daniels Pharmacy "5036 Carolina HwyPO Box 27Denmark, SC 29042(803) 793-3804

Freds Pharmacy3606 Main StBamberg, SC 29003(803) 245-1054

Padgetts Drive IN Pharmacy540 North StBamberg, SC 29003(803) 245-4298

Rite Aid 11569 "Rite Aid Pharmacy 115693518 Main HwyBamberg, SC 29003(803) 245-7018

RETAIL

Berleys Pharmacy "16 Burr StBarnwell, SC 29812(803) 259-3541

CVSCVS Pharmacy9912 Dunbarton BlvdBarnwell, SC 29812(803) 259-3649

Daniels Pharmacy of Barnwell "178 Wren StBarnwell, SC 29812(803) 259-1234

Daniels Pharmacy of Blackville "

19354 Solomon Blatt Ave NBlackville, SC 29817(803) 284-3372

Rite Aid 11672 "Rite Aid Pharmacy 1167212845 Main StWilliston, SC 29853(803) 266-4345

Rivers Pharmacy "12927 Main StWilliston, SC 29853(803) 266-7010

SOUTH CAROLINAAIKEN COUNTY

ALLENDALE COUNTY

BAMBERG COUNTY

BARNWELL COUNTY

Page 119: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

" WHEELCHAIR ACCESSIBLE114

PHARMACY LOCATIONSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

RETAIL (cont.)

Wal Mart 10-0795 "Wal-Mart Pharmacy 10-079511391 Dunbarton BlvdBarnwell, SC 29812(803) 259-0066

RETAIL

Anderson Pharmacy "419 S Mill St PO Drawer 518Manning, SC 29102(803) 435-2212

Brunsons Pharmacy12 N Brooks Ste 206Manning, SC 29102(803) 435-2511

CVSCVS Pharmacy119 W Boyce StManning, SC 29102(803) 435-8804

Community Pharmacy of Turbeville "

942 Smith StTurbeville, SC 29162(843) 659-2204

Cypress Center Long Term Care Pharmacy

50 Hospital St Ste 1BManning, SC 29102(803) 435-5272

Cypress Center Pharmacy "50 East Hospital St Ste 1AManning, SC 29102(803) 435-5224

Cypress Family Medicine "1036 Professional CourtManning, SC 29102(843) 769-7633

Summerton Drugs "115 Main StSummerton, SC 29148(803) 485-2555

Summerton Drugs Compounding and Dispensa

Summerton Drugs Compounding and Dispensary

115 B Main StSummerton, SC 29148(803) 485-8586

Suprx Pharmacy36 Sunset DrManning, SC 29102(803) 433-2412

Wal Mart 10-1017 "Wal-Mart Pharmacy 10-10172010 Paxville HwyManning, SC 29102(803) 435-4381

RETAIL

CVSCVS Pharmacy27 US Hwy 321 By Pass SWinnsboro, SC 29180(803) 635-3012

Prices Prescription Shop "110 S Congress StWinnsboro, SC 29180(803) 635-3565

Wal Mart 10-2606 "Wal-Mart Pharmacy 10-2606721 US Hwy 321 Byp S Unit 1Winnsboro, SC 29180(803) 712-9299

RETAIL

CVSCVS Pharmacy2500 Broad StCamden, SC 29020(803) 432-5103

Elgin Pharmacy "1107 Ross StElgin, SC 29045(803) 438-5735

Freds Pharmacy1521 Jefferson Davis HwyCamden, SC 29020(803) 425-8240

Hawthorne Camden Pharmacy2534 Broad StCamden, SC 29020(803) 425-8378

Hawthorne Lugoff Pharmacy814 Hwy 1 South Ste 4Lugoff, SC 29078(803) 408-9589

Kmart Pharmacy4873 "2209 West DekalbCamden, SC 29020(803) 425-9527

Medi-Save Pharmacy "1023 A W Dekalb StCamden, SC 29020(803) 424-0064

Rite Aid 11570 "Rite Aid Pharmacy 11570811 West Dekalb StUnit 1Camden, SC 29020(803) 432-4646

Sandhills Medical Pharmacy40 Baldwin AveLugoff, SC 29078(803) 438-5537

Value Pak Discount Drugs "1032 Broad StCamden, SC 29020(803) 432-5851

Wal Mart 10-0634 "Wal-Mart Pharmacy 10-06342240 West Dekalb StCamden, SC 29020(803) 425-1691

Walgreens 9232 "2407 Broad StCamden, SC 29020(803) 424-0988

RETAIL

Barnett-Honeycutt Pharmacy "1228 Colonial CommonsLancaster, SC 29720(803) 286-8444

CVSCVS Pharmacy1728 Airport RdLancaster, SC 29720(803) 285-8491

CVSCVS Pharmacy333 Hwy 9 BypassLancaster, SC 29720(803) 286-8421

Lancaster Pharmacy Wellness108 N Woodland Dr Ste CLancaster, SC 29720(803) 286-6262

Lr Family Pharmacy "1755 Airport Rd Ste 100Lancaster, SC 29720(803) 289-0000

Mobley Drugs1073 W Meeting StLancaster, SC 29720(803) 285-2021

Rite Aid 11573 "Rite Aid Pharmacy 11573515 South Hampton StKershaw, SC 29067(803) 475-7370

Rite Aid 11664 "Rite Aid Pharmacy 11664201 North Main StLancaster, SC 29720(803) 285-2066

The Medicine Mart "302C North Main StLancaster, SC 29720(803) 286-8855

Thomas Drug Store "203 W MarionKershaw, SC 29067(803) 475-9665

Wal Mart 10-1030 "Wal-Mart Pharmacy 10-1030805 Hwy 9 Bypass WestLancaster, SC 29720(803) 286-5424

Walgreens 104481101 Hwy 9 Byp WLancaster, SC 29720(803) 289-1223

RETAIL

Bishopville Drug Company "302 S Main StBishopville, SC 29010(803) 484-3784

CVSCVS Pharmacy523 S Main StBishopville, SC 29010(803) 484-5485

McLeod Pharmacy127 N Main StBishopville, SC 29010(803) 484-6115

PHARMACY

Intramed Plus "112 Saluda Ridge Ct Ste 100West Columbia, SC 29169(803) 794-0200

RETAIL

Agape RX "615 Knox Abbott Dr Ste BCayce, SC 29033(803) 451-7289

Airport Pharmacy "3907 Edmund RdWest Columbia, SC 29170(803) 755-9600

SOUTH CAROLINA (cont.)

BARNWELL COUNTY (cont.)

CLARENDON COUNTY

FAIRFIELD COUNTY

KERSHAW COUNTYLANCASTER COUNTY

LEE COUNTY

LEXINGTON COUNTY

Page 120: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PHARMACY LOCATIONSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

" WHEELCHAIR ACCESSIBLE115

RETAIL (cont.)

Apothecare Pharmacy "134 E Columbia AveLeesville, SC 29070(803) 532-7222

Big S Drug "8073 Edmund HwyPelion, SC 29123(803) 894-4010

CVSCVS Pharmacy120 West Columbia AveBatesburg, SC 29006(803) 532-5564

CVSCVS Pharmacy2410 Charleston HwyCayce, SC 29033(803) 796-2586

CVSCVS Pharmacy500 Knox Abbott DrCayce, SC 29033(803) 796-3116

CVSCVS Pharmacy1071 South Lake DrLexington, SC 29073(803) 957-0605

CVSCVS Pharmacy5608 Sunset BlvdLexington, SC 29072(803) 957-5322

CVSCVS Pharmacy2401 Sunset BlvdWest Columbia, SC 29169(803) 796-8126

CVSCVS Pharmacy2908 Emmanual Church RdWest Columbia, SC 29170(803) 996-3625

CVS 02497CVS Pharmacy 024972373 Augusta HwyLexington, SC 29072(803) 951-0786

Chapin Pharmacy138A Amicks Ferry RdChapin, SC 29036(803) 345-1114

Discount Drug of Swansea290 W Third StSwansea, SC 29160(803) 568-3251

Freds Pharmacy of Tennessee106 Jimmy Martin CirGaston, SC 29053(803) 794-5233

Gaston Family Pharmacy "1118 Mack StGaston, SC 29053(803) 939-8489

Generx Pharmacy "429 E Boundary StChapin, SC 29036(803) 345-0708

Hawthorne Sunset Pharmacy2854 Sunset BlvdWest Columbia, SC 29169(803) 794-7990

Intramed Plus112 Saluda Ridge Crt Ste 100West Columbia, SC 29169(803) 794-0200

Kmart Pharmacy7616 "748 West Main StLexington, SC 29072(803) 957-6744

Lake Murray Pediatric "448 Old Cherokee RdLexington, SC 29072(803) 520-5800

Longs Drugs of Irmo "7163 Saint Andrews RdColumbia, SC 29212(803) 404-6700

Longs Drugs of Lexington "1216 West Main StLexington, SC 29072(803) 358-3030

Medicine Mart Pharmacy "1300 Sunset BlvdWest Columbia, SC 29169(803) 791-7043

Medicine Mart of Lexington "348 B Columbia AveLexington, SC 29072(803) 957-5969

Morgans Pharmacy "309 Broad StGilbert, SC 29054(803) 892-5572

Morgans Pharmacy "4079 Augusta Hwy Ste AGilbert, SC 29054(803) 892-5426

Owen Drug Company501 Railroad Ave WBatesburg, SC 29006(803) 532-6581

Palmetto RX Solutions8 Harbison WyColumbia, SC 29212(803) 454-2290

Pine Ridge Pharmacy "634 A Pine Ridge DrWest Columbia, SC 29172(803) 955-3404

Publix "Publix Pharmacy150 Harbison BlvdColumbia, SC 29212(803) 407-0923

Publix "Publix Pharmacy2732 North Lake DrColumbia, SC 29212(803) 407-2632

Publix "Publix Pharmacy100 Old Cherokee RdLexington, SC 29072(803) 951-1727

Publix "Publix Pharmacy847 Hwy 378 WestLexington, SC 29072(803) 996-6171

Rileys Drugs "304 Columbia AveLexington, SC 29072(803) 359-2587

Rite Aid 11571 "Rite Aid Pharmacy 115711401 Chapin RdChapin, SC 29036(803) 345-0146

Rite Aid 11574 "Rite Aid Pharmacy 11574500 West Main StLexington, SC 29072(803) 359-9146

Rite Aid 11579 "Rite Aid Pharmacy 115791618 Charleston HwyWest Columbia, SC 29169(803) 794-0888

Rite Aid 11581 "Rite Aid Pharmacy 11581702 Main StWest Columbia, SC 29170(803) 955-2302

Rite Aid 11590 "Rite Aid Pharmacy 115906118 St Andrews RdColumbia, SC 29212(803) 798-4010

Sams Pharmacy 10-6203 "350 Harbison BlvdColumbia, SC 29212(803) 749-4775

Springdale Pharmacy3315 Platt Springs RdWest Columbia, SC 29170(803) 796-4070

Sunrise Medications and Infusion Pharmac

Sunrise Medications and Infusion Pharmacy

171 B Monroe LaneLexington, SC 29072(803) 358-6765

Sunset Pharmacy101 Professional AveWest Columbia, SC 29169(803) 794-6440

Target "Target Pharmacy134 Harbison BlvdColumbia, SC 29212(803) 407-0328

TargetTarget Pharmacy5119 Sunset BlvdLexington, SC 29072(803) 520-2859

Triangle Pharmacy "1239 D AveWest Columbia, SC 29169(803) 794-4840

United Pharmacy Services of Lexington

328 Riverchase WayLexington, SC 29072(803) 739-4949

Wal Mart 10-0881 "Wal-Mart Pharmacy 10-08815556 Sunset BlvdLexington, SC 29072(803) 808-3747

Wal Mart 10-1164 "Wal-Mart Pharmacy 10-1164360 Harbison BlvdColumbia, SC 29212(803) 732-0617

Wal Mart 10-1183 "Wal-Mart Pharmacy 10-11832401 Augusta RdWest Columbia, SC 29169(803) 791-8114

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

Page 121: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

" WHEELCHAIR ACCESSIBLE116

PHARMACY LOCATIONSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

RETAIL (cont.)

Wal Mart 10-4521Wal-Mart Pharmacy 10-45211780 South Lake DrLexington, SC 29073(803) 957-1321

Walgreens 102301537 Charleston HwyWest Columbia, SC 29169(803) 796-3392

Walgreens 1073 "1010 Old Barnwell RdWest Columbia, SC 29170(803) 358-0601

Walgreens 113621903 S Lake DrLexington, SC 29073(803) 356-1001

Walgreens 118511532 Lake Murray BlvdColumbia, SC 29212(803) 732-1975

Walgreens 12163127 W Columbia AveBatesburg, SC 29006(803) 532-2586

Walgreens 125125220 Sunset BlvdLexington, SC 29072(803) 358-0318

Walgreens 6137 "2224 Augusta RdWest Columbia, SC 29169(803) 791-3586

Walgreens 7399 "423 W Main StLexington, SC 29072(803) 957-3689

RETAIL

CVSCVS Pharmacy1210 Wilson RdNewberry, SC 29108(803) 276-6350

Longs Drugs of Newberry "1729 Main StNewberry, SC 29108(803) 276-2936

Lorex Medical SVS "1233 Wilson RdNewberry, SC 29108(803) 276-0990

Peak Pharmacy "22 River StPeak, SC 29122(803) 345-1707

Prosperity Drug Company "101 N Main StProsperity, SC 29127(803) 364-2310

Rite Aid 11575 "Rite Aid Pharmacy 115752723 Main StNewberry, SC 29108(803) 276-7582

Roche Pharmacy303 Main StWhitmire, SC 29178(803) 694-2445

Wal Mart 10-0624 "Wal-Mart Pharmacy 10-06242812 Main StNewberry, SC 29108(803) 276-2211

RETAIL

Boland Pharmacy7107 Charlston HwyBowman, SC 29018(803) 829-2547

Boland Pharmacy "2732 Cleveland StElloree, SC 29047(803) 897-2133

Branchville Pharmacy7615 Freedom RdBranchville, SC 29432(803) 274-8585

CVSCVS Pharmacy8523 Old State RdHolly Hill, SC 29059(803) 496-3954

CVSCVS Pharmacy1535 John C Calhoun DrOrangeburg, SC 29115(803) 534-0521

CVSCVS Pharmacy2195 Magnolia StOrangeburg, SC 29115(803) 533-1390

CVSCVS Pharmacy8910 Old Hwy 6Santee, SC 29142(803) 854-2824

Delta of Elloree "2611 ClevelandElloree, SC 29047(803) 897-2131

Delta of Eutawville "226 Porcher AveEutawville, SC 29048(803) 492-9201

Family Health Centers Pharmacy3310 Magnolia NEOrangeburg, SC 29115(803) 531-6940

Giant Discount Pharmacy "6611 Savannah HwyNeeses, SC 29107(803) 247-2135

Grove Park Pharmacy "1324 Grove Park NEOrangeburg, SC 29115(803) 536-0007

Holly Hill Pharmacy "904 Holly StHolly Hill, SC 29059(803) 496-0007

Jamisons Pharmacy1225 Goff AveOrangeburg, SC 29115(803) 536-2165

Kmart Pharmacy3621 "1470 Chestnut North EastOrangeburg, SC 29115(803) 536-3850

Medicap Pharmacy3160 North RdOrangeburg, SC 29118(803) 539-0694

Morgans Pharmacy7300 Festival Trail RdSpringfield, SC 29146(803) 258-3356

Orange Cut Rate Drugs "1144 Russell StOrangeburg, SC 29115(803) 534-5931

Orange Nursing Home Services145 Smoak AlleyOrangeburg, SC 29115(803) 534-5931

Orangeburg Pharmacy "1425 Russell StOrangeburg, SC 29115(803) 534-5727

R J Drugs "4633 Savannah HwyNorth, SC 29112(803) 247-2133

RMC Pharmacy "3000 Saint Matthews RdOrangeburg, SC 29118(803) 395-2200

Sup-RX Pharmacy9092 Old Number Six HwySantee, SC 29142(843) 554-9880

The Foot Institute718 Broughton StOrangeburg, SC 29115(803) 531-2888

The Hfm Cntr For Cancer Care1161 Cook RdOrangeburg, SC 29118(803) 395-2730

The Prescription Shoppe "991 Summers AveOrangeburg, SC 29115(803) 536-1000

Wal Mart 10-0616 "Wal-Mart Pharmacy 10-06162795 North RdOrangeburg, SC 29115(803) 533-7300

Walgreens 7506 "1290 Chestnut StOrangeburg, SC 29115(803) 531-0426

Walgreens 98791106 John C Calhoun DrOrangeburg, SC 29115(803) 531-2079

PHARMACY

Critical Care Systems Columbia "

128 Suber Rd Ste A-EColumbia, SC 29210(803) 551-4199

SC Dhec - Hemophilia Program "

SC Dhec - Bureau of Finance1751 Calhoun StColumbia, SC 29201(803) 898-0784

RETAIL

Blythewood Pharmacy West "428 McNulty Rd Ste 4Blythewood, SC 29016(803) 786-0331

SOUTH CAROLINA (cont.)

LEXINGTON COUNTY (cont.)

NEWBERRY COUNTY

ORANGEBURG COUNTY

RICHLAND COUNTY

Page 122: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PHARMACY LOCATIONSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

" WHEELCHAIR ACCESSIBLE117

RETAIL (cont.)

Blythewood Pharmacy and Home Medical Equ "

Blythewood Pharmacy and Home Medical Equipment

420B McNulty RdBlythewood, SC 29016(803) 786-8110

CVSCVS Pharmacy1330 Dutch Fork RdBallentine, SC 29002(803) 749-1666

CVSCVS Pharmacy100 Outlet Point BlvdColumbia, SC 29210(803) 772-0403

CVSCVS Pharmacy1013 Broad River RdColumbia, SC 29210(803) 750-6930

CVSCVS Pharmacy121 Clemson RdColumbia, SC 29229(803) 419-4002

CVSCVS Pharmacy2571 Forest DrColumbia, SC 29204(803) 254-2376

CVSCVS Pharmacy3055 Broad River RdColumbia, SC 29210(803) 612-2841

CVSCVS Pharmacy3312 Devine StColumbia, SC 29205(803) 748-8588

CVSCVS Pharmacy3595 Harden StColumbia, SC 29203(803) 799-1217

CVSCVS Pharmacy3700 Two Notch RdColumbia, SC 29204(803) 786-0158

CVSCVS Pharmacy4310 Hardscrabble RdColumbia, SC 29229(803) 865-6684

CVSCVS Pharmacy4627 N Main StColumbia, SC 29203(803) 786-1106

CVSCVS Pharmacy4711 5 Forest DrColumbia, SC 29206(803) 787-0186

CVSCVS Pharmacy7749 Garners Ferry RdColumbia, SC 29209(803) 776-6605

CVSCVS Pharmacy900 Assembly StColumbia, SC 29201(803) 212-7016

CVSCVS Pharmacy9712 Two Notch RdColumbia, SC 29223(803) 788-8582

CVSCVS Pharmacy1008 Lake Murray BlvdIrmo, SC 29063(803) 781-1135

Careplus CVSCareplus CVS Pharmacy3250 Harden St Ext Ste 300Columbia, SC 29203(803) 551-1030

Carolina Pediatrics and Adolescent Care

2113 Adams Grv Ste 101Columbia, SC 29203(803) 256-0531

Columbia Medical Associates2750 Laurel St Ste 303Columbia, SC 29204(803) 252-1953

Cooperative Health Pharmacy4605 Monticello RdColumbia, SC 29203(803) 252-3770

Coram Healthcarecarolina Home Therapeuti

Coram Healthcarecarolina Home Therapeutics

720 Gracern Rd Ste 123Columbia, SC 29210(803) 731-5076

Finklin Pharmacy "4100 N Main St 100Columbia, SC 29203(803) 735-0525

Hawthorne Laurel Pharmacy2761 Laurel StColumbia, SC 29204(803) 254-2761

Hawthorne Pharmacy1520A Taylor StColumbia, SC 29201(803) 227-4451

Irmo Drug1009 Lake Murray Blvd Ste BIrmo, SC 29063(803) 749-7485

Kmart Pharmacy4319 "7325 Two Notch RdColumbia, SC 29223(803) 788-4820

Kroger "Kroger Pharmacy10136 Two Notch RdColumbia, SC 29229(803) 788-4141

Kroger "Kroger Pharmacy7467 St Andrews Rd Ste 6Irmo, SC 29063(803) 732-0426

Longs Closed Door Pharmacy "454 Berry Hill RdColumbia, SC 29210(803) 254-8775

Longs Drugs Garners Ferry9019 Garners Ferry RdHopkins, SC 29061(803) 227-6890

Longs Kilbourne Rd Pharmacy "

630 Kilbourne RdColumbia, SC 29205(803) 254-4619

Longs Medical Park Pharmacy "115 Blarney Dr Ste 105 Ste 105Columbia, SC 29223(803) 788-9608

Longs Millwood Drugs "2801 Millwood AveColumbia, SC 29205(803) 256-7481

Longs Pharmacy At Gateway "8810 Farrow Rd Ste CColumbia, SC 29203(803) 736-5975

Medicine Mart Pharmacy "3729 Rosewood DrColumbia, SC 29205(803) 231-2003

Midlands Orthopaedics "1910 Blanding StColumbia, SC 29201(803) 256-4107

Midlands Physical Medicine4531 Hard Scrabble RdColumbia, SC 29229(803) 419-8700

Palmetto Health Pharmacy 10mp10 Richland Medical Park DrColumbia, SC 29203(803) 434-6482

Palmetto Long Term Care Pharmacy

317 Zimalcrest DrColumbia, SC 29210(803) 731-0203

Palmetto Pain Management1655 Bernardin AveColumbia, SC 29204(803) 779-3263

Publix "Publix Pharmacy10128 Two Notch RdColumbia, SC 29223(803) 788-1655

Publix "Publix Pharmacy2800 Rosewood DrColumbia, SC 29205(803) 799-0801

Publix "Publix Pharmacy4611 Hard Scrabble RdColumbia, SC 29229(803) 736-9599

Publix "Publix Pharmacy4840 Forest Dr Ste 10Columbia, SC 29206(803) 790-4929

Publix "Publix Pharmacy7320 Broad River RdIrmo, SC 29063(803) 407-0436

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

Page 123: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

" WHEELCHAIR ACCESSIBLE118

PHARMACY LOCATIONSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

RETAIL (cont.)

Rite Aid 06588 "Rite Aid Pharmacy 065881215 Longreen PkwyColumbia, SC 29229(717) 761-2633

Rite Aid 11572 "Rite Aid Pharmacy 115727338 Broad River RdIrmo, SC 29063(803) 749-8110

Rite Aid 11582 "Rite Aid Pharmacy 115825900 North Main StColumbia, SC 29203(803) 691-1690

Rite Aid 11583 "Rite Aid Pharmacy 11583818 Harden StColumbia, SC 29205(803) 799-0043

Rite Aid 11584 "Rite Aid Pharmacy 115842708 Rosewood DrColumbia, SC 29205(803) 799-0036

Rite Aid 11585 "Rite Aid Pharmacy 115852300 Decker BlvdColumbia, SC 29206(803) 788-3728

Rite Aid 11586 "Rite Aid Pharmacy 115864730 Forest DrColumbia, SC 29206(803) 787-7362

Rite Aid 11587 "Rite Aid Pharmacy 115876500 Garners Ferry RdColumbia, SC 29209(803) 695-6015

Rite Aid 11588 "Rite Aid Pharmacy 115887900 Garners Ferry RdColumbia, SC 29209(803) 695-1116

Rite Aid 11589 "Rite Aid Pharmacy 115891501 Broad River RdColumbia, SC 29210(803) 561-0515

Rite Aid 11592 "Rite Aid Pharmacy 115928921 Two Notch RdColumbia, SC 29223(803) 736-4945

SC Oncology Retail Pharmacy "166 Stoneridge DrColumbia, SC 29210(803) 461-3709

Sams Pharmacy 10-8283 "5426 Forest DrColumbia, SC 29206(803) 790-7284

Sandhill Family Pharmacy301 Rice Meadow Way Ste 5Columbia, SC 29229(803) 708-1229

Stowes Family Pharmacy "1316 Leesburg RdColumbia, SC 29209(803) 783-5611

Target "Target Pharmacy10204 Two Notch RdColumbia, SC 29229(803) 788-0951

Target "Target Pharmacy6090A Garners Ferry RdColumbia, SC 29209(803) 783-3752

Tucker Human Resources Center Phy

2200 Harden StColumbia, SC 29203(803) 737-5339

Wal Mart 10-1286 "Wal-Mart Pharmacy 10-12867520 Garners Ferry RdColumbia, SC 29209(803) 783-1664

Wal Mart 10-1339 "Wal-Mart Pharmacy 10-133910060 Two Notch RdColumbia, SC 29223(803) 699-1100

Wal Mart 10-2214 "Wal-Mart Pharmacy 10-22145420 Forest DrColumbia, SC 29206(803) 782-8428

Wal Mart 10-4379Wal-Mart Pharmacy 10-43791326 Bush River RdColumbia, SC 29210(803) 750-3284

Wal Mart 10-4440Wal-Mart Pharmacy 10-44401180 Dutch Fork RdIrmo, SC 29063(803) 781-7877

Wal Mart 10-4506Wal-Mart Pharmacy 10-4506321 Killian RdKillian, SC 29203(803) 754-9999

Walgreens 102261251 Dutch Fork RdIrmo, SC 29063(803) 749-7099

Walgreens 10227175 Forum DrColumbia, SC 29229(803) 699-7067

Walgreens 102282725 Clemson RdColumbia, SC 29229(803) 678-4887

Walgreens 113797801 Garners Ferry RdColumbia, SC 29209(803) 647-7638

Walgreens 114331941 Blossom StColumbia, SC 29205(803) 212-1015

Walgreens 124789001 Two Notch RdColumbia, SC 29223(803) 419-3664

Walgreens 126774520 Hard Scrabble RdColumbia, SC 29229(803) 419-7507

Walgreens 6136 "4467 Devine StColumbia, SC 29205(803) 787-0916

Walgreens 6262 "3501 Forest DrColumbia, SC 29204(803) 743-4362

Walgreens 9487 "1223 Saint Andrews RdColumbia, SC 29210(803) 731-2369

Walgreens 98057412 Broad River RdIrmo, SC 29063(803) 749-3046

Welvista "2700 Middleburg Dr Ste 108Columbia, SC 29204(803) 779-3042

RETAIL

Alderman Drug Co40 N MainSumter, SC 29150(803) 773-8666

CVSCVS Pharmacy1080 Alice DrSumter, SC 29150(803) 778-0460

CVSCVS Pharmacy41 E Calhoun StSumter, SC 29150(803) 418-0919

Colonial RX325 Broad St Ste 100Sumter, SC 29150(803) 774-2126

Medical Court Pharmacy776 W Liberty StSumter, SC 29150(803) 773-5605

Phillips Pharmacy1087C Alice DrSumter, SC 29150(843) 659-4600

Prescriptions "240 Church StSumter, SC 29150(803) 778-5005

Rite Aid 11576 "Rite Aid Pharmacy 115761077 Broad StSumter, SC 29150(803) 778-6551

Rite Aid 11577 "Rite Aid Pharmacy 11577375 Pinewood RdSumter, SC 29154(803) 775-5356

Rite Aid 11578 "Rite Aid Pharmacy 11578225 North Washington StSumter, SC 29150(803) 778-5436

Sandhills Medical Pharmacy425 N Salem AveSumter, SC 29150(803) 778-2442

Siberts Drug Store35 W Liberty StSumter, SC 29150(803) 773-7283

SOUTH CAROLINA (cont.)

RICHLAND COUNTY (cont.)

SUMTER COUNTY

Page 124: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

PHARMACY LOCATIONSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

" WHEELCHAIR ACCESSIBLE119

RETAIL (cont.)

Sumter Cut Rate Drugs "32 S Main StSumter, SC 29150(803) 773-8432

Sumter Family Health Center Pharmacy

1278 N Lafayette DrSumter, SC 29150(803) 774-4547

Sup RX Pharmacy "1011 Broad StSumter, SC 29150(803) 773-6378

Sup RX Pharmacy1455 S Guignard PkwySumter, SC 29150(803) 778-5758

Suprx Pharmacy114 E Calhoun StSumter, SC 29150(803) 775-3020

Wal Mart 10-0511 "Wal-Mart Pharmacy 10-05111283 Broad StSumter, SC 29150(803) 905-5510

Walgreens 11724201 N Lafayette DrSumter, SC 29150(803) 773-4959

Walgreens 6074 "1000 Broad StSumter, SC 29150(803) 773-7302

Walgreens 9276 "1990 McCrays Mill RdSumter, SC 29150(803) 418-5212

PHARMACY

Yorkville Pharmacy "822 B E Liberty StYork, SC 29745(803) 628-7934

RETAIL

Ascension Behavioral Health452 Lakeshore Pkwy Ste 105Rock Hill, SC 29730(803) 329-1915

CVSCVS Pharmacy4724 Charlotte HwyClover, SC 29710(803) 831-1911

CVSCVS Pharmacy690 Bethel StClover, SC 29710(803) 222-1383

CVSCVS Pharmacy1740 Hwy 160 WFt Mill, SC 29708(803) 802-4424

CVSCVS Pharmacy1746 Heckle BlvdRock Hill, SC 29732(803) 366-9400

CVSCVS Pharmacy2707 Celanese RdRock Hill, SC 29732(803) 366-4157

CVSCVS Pharmacy609 Cherry RdRock Hill, SC 29732(803) 328-6111

Carolina Pharmacy "725 Cherry Rd Suit 103Rock Hill, SC 29732(803) 327-1640

Catawba Indian Health Center Pharmacy "

2893 Sturgis RdRock Hill, SC 29730(803) 366-9090

Community Medicine "1131 Saluda StRock Hill, SC 29730(803) 412-3352

Family Care Specialty Pharmacy "

2760 Celanese RdRock Hill, SC 29732(803) 981-5330

Food Lion Pharmacy "1260 E Main StRock Hill, SC 29730(803) 327-2049

Fort Mill Pharmacy601 Springcrest DrFt Mill, SC 29715(803) 548-2851

Good Pharmacy1237 Ebenezer RdRock Hill, SC 29732(803) 327-2081

Harris Teeter Pharmacy1750 Hwy 160 WFt Mill, SC 29708(803) 396-0450

Harris Teeter Pharmacy867 Stockbridge DrFt Mill, SC 29708(803) 548-6610

Harris Teeter Pharmacy "2750 Celanese RdRock Hill, SC 29730(803) 329-6262

Infinite Wellness1698 Hwy 160 W Ste 200Ft Mill, SC 29708(803) 547-4343

Kmart Pharmacy7043 "2302 Cherry RdRock Hill, SC 29730(803) 366-6168

Lake Wylie Pharmacy "221 Latitude Ln Ste 109Lake Wylie, SC 29710(803) 831-2044

Medcare Pharmacy723 Bethel StClover, SC 29710(843) 676-5115

Medicap Pharmacy1007 Creekside Medical DrYork, SC 29745(803) 684-9096

Metrolina Medical Associates "2670 Mills Park DrRock Hill, SC 29732(803) 985-3939

Pain Medicine Specialists of Fort Mill

111 Clebourne St Ste 130Ft Mill, SC 29715(803) 802-7100

Palmetto Family Pharmacy1030 Oakland Ave Ste 101Rock Hill, SC 29732(803) 980-7272

Peoples Pharmacy134 S Main StClover, SC 29710(803) 222-3784

Piedmont Retail Pharmacy "222 S Herlong AveRock Hill, SC 29732(803) 329-6794

Publix "Publix Pharmacy928 Gold Hill RdFt Mill, SC 29708(803) 548-7917

Rite Aid 11663 "Rite Aid Pharmacy 116632907 West Hwy 160Ft Mill, SC 29708(803) 548-6495

Rite Aid 11665 "Rite Aid Pharmacy 116651295 East Main StRock Hill, SC 29730(803) 324-7563

Rite Aid 11666 "Rite Aid Pharmacy 116661705 Ebenezer RdRock Hill, SC 29730(803) 366-3114

Rite Aid 11667 "Rite Aid Pharmacy 11667630 East Liberty StPO Box 645York, SC 29745(803) 684-6931

South End Pharmacy "1401 Albright RdRock Hill, SC 29730(803) 366-3784

Target "Target Pharmacy1900 Springsteen RdRock Hill, SC 29730(803) 985-3888

Tega Cay Family Pharmacy729 Crossroads PlazaFt Mill, SC 29708(803) 547-6100

Wal Mart 10-0585 "Wal-Mart Pharmacy 10-05852377 Dave Lyle BlvdRock Hill, SC 29730(803) 366-8191

Wal Mart 10-1144 "Wal-Mart Pharmacy 10-1144970 East Liberty StYork, SC 29745(803) 684-5282

Wal Mart 10-3733Wal-Mart Pharmacy 10-37331151 Stonecrest BlvdTega Cay, SC 29708(803) 578-4140

Wal Mart 10-4593Wal-Mart Pharmacy 10-45934875 Old York RdRock Hill, SC 29732(803) 323-2091

SOUTH CAROLINA (cont.)

SUMTER COUNTY (cont.)

YORK COUNTY

Page 125: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

" WHEELCHAIR ACCESSIBLE120

PHARMACY LOCATIONSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

RETAIL (cont.)

Walgreens1645 Cranium DrRock Hill, SC 29732(803) 325-2792

Walgreens 10614997 E Liberty StYork, SC 29745(803) 684-3358

Walgreens 108385220 Hwy 557Clover, SC 29710(803) 631-4144

Walgreens 112102000 Celanese RdRock Hill, SC 29732(803) 980-0095

Walgreens 119681250 Tom Hall StFt Mill, SC 29715(803) 548-4699

Walgreens 4842 "1008 Oakland AveRock Hill, SC 29732(803) 980-1320

Walmart Pharmacy 10-5745175 Hwy 274Lake Wylie, SC 29710(803) 831-5078

Yorkville Pharmacy822 B East Liberty StYork, SC 29745(803) 628-7934

SOUTH CAROLINA (cont.)

YORK COUNTY (cont.)

Page 126: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

121

AAbdalla, Jehad, MD .....................................45Abdel-Ghani, Saaid, MD .............................56Abdulrahman, Amjad, MD ..........................15Abell, Brian, DO ...........................................68Abraham, Angela, OD .................................47Abraham, Koshy, MD ..................................61Abrams, Mark, MD ......................................80Abu Ata, Mahmoud, MD ..............................46Access Home Medical ................................90Ackerman III, Riddick, MD ...........................28Ackerman, Mary, MD ..................................60Active Therapeutics ...................................88Adams, Chad, PT ........................................92Adebajo, Adelero, MD .............................6, 56Adkins, Elijah, MD .......................................70Advanced Care Prosthetics and Orthotics ......................................................................91Advanced Home Care ................................88Aerocare ......................................................88Aftercare Medical Equipment and Supplies ......................................................................87Aftercare Medical Equipment Supplies IN ......................................................................87Agape RX ..................................................114Agape Senior Primary Care Fp .................84Agocha, Augustine, MD ...............................49Agrawal, Vishal, MD ....................................45Ahders, William, OD ..................40, 47, 66, 67Ahmadani, Ikramullah, MD ........................................26, 32, 37, 45, 56, 77Ahuja, Divya, MD ...................................22, 55Aiken Cardiovascular Associates .............25Aiken Chiropractic .....................................25Aiken County Health Department .............92Aiken Dialysis .............................................87Aiken Drug Company ...............................113Aiken Pediatrics .........................................27Aiken Pulmonary Associates ....................27Aiken Regional Medical Center .................86Aiken Regional Psychiatric Services .......27Aiken Surgical Associtaes ........................25Aiken Urological Assocaites .....................27Airport Pharmacy .....................................114Akande, Adewunmi, MD ..............................83Akintunde, Oluyemisi, MD ..........................13Akkineni, Madhavi, MD .................................6Alala .............................................................89Alan, Carol, MD ...........................................77Alanis, Mark, MD .........................................62Albert, Ruby, MD ...............................9, 12, 17Albrecht, Helmut, MD ..................................55Alderman Drug Co ....................................118Alejo, Carlos, MD .........................................30Alexander, Milton, MD ...........................30, 49Algood, Denise, MD ....................................48Al-Hasan, Majdi, MD ....................................15Alhatou, Mohammed, MD ...........................46Alia, Richard, MD .........................................51All Medical ...................................................89All, Allison, CNP ...........................................94Allendale County Dialysis .........................87Allendale County Health Department .......94Allendale County Hospital ...................28, 86Allergy Asthma and Sinus Center ............75Allergy Asthma Care ..................................35Allergy Partners of The Midlands .......31, 35

Allison III, James, MD ................................ 15Altman, Renee, DPM ............................ 41, 72Amarnath, Rathna, MD ............................... 69Amarnath, UMA, MD ............................ 37, 60Amato, Victor, MD ................................. 32, 81American Home Patient ............................ 89American Homepatient ............................. 88Amin, Vimal, MD ................................... 33, 81Amoah-Apraku, Bismarck, MD ........ 5, 13, 45Amrol, David, MD ....................................... 49Amrol, Jennifer, MD .................................... 17Anderson III, William, MD ........................... 13Anderson Pharmacy ................................ 114Anderson, Jonathan, MD ........................... 28Anderson, Julie, MD ................................... 17Andrea Hope Speech Pathology .............. 91Andrews, David, OD ................................... 35Angelic Speech Therapy Services ........... 90Angus, Floyd, MD ....................................... 76Ansani, Monica, MD ................................... 56Ansley, John, MD ....................................... 43Anslow-Myers, Barbara, SLP ................... 112Antley, Rufus, OD ................................. 26, 40Apogee Medical Group ............................. 33Apothecare Pharmacy ............................. 115Apple, Claire, OT .......................... 92, 99, 104Arabi, Arash, DPM ................................ 41, 72Arain, Shazia, MD ....................................... 24Arana, Julia, MD ......................................... 48Armsey II, Thomas, MD .............................. 74Armstrong, Brent, MD ................................ 28Armstrong, Patricia, CNP ........................... 98Arora, Sri, MD ..................................... 6, 8, 15Arroyo, Julio, MD ........................................ 56Arscott, Melissa, MD .................................. 23Arthur, Ansermo, MD .................................. 25Ascension Behavioral Health ................. 119Ashley, Kimberly, MD ................................. 23Associates IN Gastroenterology .............. 53Associates IN Internal Medicine ......... 53, 56Atkinson, Katherine, MD .............................. 9Atkison, James, MD ................................... 75Atrium Ridge Internal Medicine ................ 56Atrium Ridge Internal Medicine Speciali . 56Augustine Health Group ............... 37, 56, 72Augustine, Melissa, MD ............................. 13Ayodele, Ayotunde, MD .............................. 24

BBabb, Julius, MD ......................................... 44Babcock, Williams, MD ............................... 55Bachus-Keith, Beryl, MD .............................. 6Badalamenti, Vito, MD ............................... 33Badalyan, Rupal, MD .................................. 24Badaoui, Genevieve, PT ............. 92, 100, 105Baggett, Teresa, MD .............................. 9, 17Bagley, Tyler, MD ....................................... 17Bailey, Asha, DO ........................................ 61Bailey, Joel, OD .................................... 31, 40Bailey, Luna, MD ........................................ 80Bair, Curtis, MD ..................................... 29, 56Baker, Kenneth, MD ................................... 33Baker, Linda, CNP .................................... 102Baki, Talal, MD ............................................ 79Baldwin, Phillip, MD .................................... 55Ballance, Julia, MD ..................................... 18Ballentine Pediatrics ................................. 70Ballou, Christopher, MD ............................. 56

Bamberg County Health Department ....... 94Bamberg County Hospital and Nursing Cent ...................................................................... 85Bamberg County Memorial Hospital ........ 86Bamberg Medical Equipment Supplies Unif ...................................................................... 87Banish, William, MD .................................... 44Bannister, Thomas, MD .............................. 70Baptist Pain and Orthopaedic Care ......... 68Barbara E Anslow-Myers .......................... 91Barber, Jason, MD ...................................... 56Barker Jr, Michael, MD ........................... 9, 18Barker, Derek, MD ................................ 39, 65Barnes, Nakita, CNP ................................. 102Barnett Medical Supply ............................. 88Barnett, Steven, MD ............................... 6, 31Barnett-Honeycutt Pharmacy ................. 114Barnwell County Health Department ....... 95Barnwell County Hospital ......................... 86Barrett, Bob, OD ......................................... 29Barrineau, Devonne, MD ............................ 42Bartlett, Emilie, MD ................................. 9, 18Bartley, John, MD ................................. 37, 60Barton, Ann, PT ........................................ 105Bass, James, MD ........................................ 60Battiata, Andrew, MD ............................ 31, 52Baugh, John, MD .................................. 30, 36Bauknight, Gerald, MD ............................... 36Baxley, Elizabeth, MD ........................... 13, 62Beard, John, MD ......................................... 49Beaufort, Aretra, SLP ............................... 109Bedrick, James, MD ................................... 82Bell, Gary, MD ....................................... 15, 56Bell, Jennifer, CNP ................................ 92, 95Bell, Myron, MD .......................................... 49Bell, Richard, MD ........................................ 54Bell, Woodrow, MD ................... 6, 8, 9, 15, 16Belton, Darniya, MD ...................................... 7Bendeck, John, MD .................................... 60Benedetto, Michael, PT ............................ 105Bennett, Antionette, MD .............................. 12Benraouane, Fethi, MD .............................. 29Benton, Michael, DC ................................... 36Berdecia, Mila, MD ..................................... 53Berg, Elizabeth, ARNP .............................. 102Berkeley Endoscopy Center ..................... 52Berleys Pharmacy ................................... 113Bernard, Maria, PhD ................................... 73Bernardo, Darly, MD ................................... 12Bernardo, Michael, MD ......................... 12, 42Berryman-Johnson, Nevera, 99999 ........ 101Bertollo, Suzanne, MD ............................... 72Besson, William, MD ..................................... 4Bharadia, Mohamed, OD ................ 40, 47, 67Bhaskaran, Dharmendra, MD ................. 7, 24Big S Drug ................................................ 115Biggers, Frank, MD ..................................... 28Birchmore, Carolyn, CNP ........................... 97Birdsong, Claire, MD .................................... 8Bishopville Drug Company ..................... 114Bitting, George, MD .................................. 111Black River Healthcare - Manning ............ 29Black, Christopher, DC ............................... 80Black, Jonathan, MD ................. 35, 41, 49, 69Black, Kristin, MD ......................................... 7Blackburn, Melanie, MD ....................... 18, 48Blackville Medical Center ........................... 5Blake, Sally, CNP .................................. 92, 95

Page 127: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

122

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013Bland, James, MD .........................................4Blocker, Kathryn, PT .................................105Blotnick, Charles, MD .................................82Blu Bird Medical .........................................87Blue, Brian, MD ......................................34, 82Blythewood Convenience Care Np Con .102Blythewood Covenience Care ...................53Blythewood Pharmacy and Home Medical Equ .............................................................117Blythewood Pharmacy West ...................116Bodison, Dan, MD ...................................9, 18Boehner, James, MD ...................................26Bogan, Richard, MD ..............................42, 74Boland Pharmacy .....................................116Boltin, Megan, MD .......................................48Bolton, Paula, PT ........................92, 100, 105Bonham Jr, James, DC ...............................36Bonner Jr, Walter, MD ..........................27, 42Bonnett IV, Arthur, MD ..................................9Boone Manuel, Donna, CNP .....................112Boone, Robert, MD ......................................26Boone, Tasha, MD ...................................8, 53Boozer, Caison, SLP ...................................97Bott, Stephen, MD .......................................81Bouchard, Kristen, PT .................92, 100, 105Bouknight, Daniel, MD ................................49Bouknight, James, MD ...............................72Boulware, Raleigh, MD ...............................74Bowen II, Cary, PT ......................92, 100, 105Bowers, Ryan, DC .......................................36Boyd Hill Pediatric Clinic .........................111Boyd, Clifton, OD .........................................27Boyd, Willie, MD ..........................................65Boykin, Genea, SLP ..........................101, 109Boyles Jr, Richard, MD .................................5Bozard, Heidi, SLP ......................................98Bradberry, Thomas, MD ........................12, 42Bradford, Linwood, MD ...............................76Bradley, Angela, SLP ................................101Bradley, Anika, MD ................................39, 65Bradley, Blair, DC ........................................25Bradshaw-Graham, Electra, MD ...........38, 62Branch, Robert, OD .........................40, 43, 67Branchville Pharmacy ..............................116Brandt, Philip, MD .......................................75Brangers, Jennifer, PT ........92, 100, 105, 106Branham, Elizabeth, CNP ...........................98Brannigan Jr, Joseph, MD ..........................61Brannon, Dorothy, PT .................................92Brant, Russell, MD .......................................23Braswell, William, MD .................................12Braun, Kenneth, OD ....................................27Breazeale, Denise, CNP ..............................98Brett, Allan, MD ...........................................57Bridgers, David, MD ....................................16Brigman, Shelly, MD ...................................41Brings, Hans, MD ........................................79Brinkley, John, OD ..........................40, 47, 67Britton, John, MD ........................................77Broadhead, Alfred, MD ................................13Brookland Cayce Medical Practice ...........85Brookland Community Pediatrics .............85Brown III, David, MD ...................................73Brown, Brandon, MD ...................................50Brown, Daniel, MD ......................................73Brown, John, MD .........................................43Brown, Whitney, MD ....................................69Browne, Paul, MD .......................................59

Browning, Rosalie, MD .............................. 16Brumbach, Mary, OT ................................ 104Brunson, Chris, MD .................................... 46Brunson, James, MD ............................ 13, 44Brunson, Loretta, SLP .............................. 109Brunsons Pharmacy ................................ 114Bryan, Charles, MD .................................... 56Bryan, Gasnel, MD ..................................... 26Buchanan, Allison, MD ............................... 25Buchholz, Terri, PT .................................... 97Buck, Stephen, OD ..................................... 78Buckaloo, Jerrold, MD ................................ 47Buerkert, John, MD .................................... 61Bull, Steven, MD ......................................... 12Bunch, Robert, MD ............................... 37, 54Burgess, Stephanie, APRN ...................... 102Burgis, Judith, MD ...................................... 62Burke, James, MD ...................................... 75Burkert II, Stephen, PT ............... 92, 100, 106Burnett, Sarah, SLP ................................. 109Burt, Paul, OD ............................................. 82Busch, Jennifer, OT .................................. 104Buschor, Teresa, MD ................................. 23Buskey, Jacqueline, 99999 ...................... 101Busse, Charles, MD ...................................... 8Butler, William, MD ..................................... 55Butterfield, Lee, MD ............................. 29, 36Butterworth, Michelle, DPM ....................... 30Bykowsky, Michael, MD ....................... 35, 49Bynoe, Raymond, MD ................................. 54

CCabiness, Barry, MD .............................. 9, 18Cagle, Julia, SLP ........................................ 98Cagle-Richardson, Nicole, MD .................. 34Cahanap-Mercado, Sonia, MD ................... 81Cain Jr, William, MD ............................. 39, 65Cain, James, MD ......................................... 77Calco Medical Supplies ............................. 88Caldwell, Toriah, CNP .............................. 102Calhoun County Health Department ........ 95Callis, Robert, MD ....................................... 13Calub, Leslie, PT ......................... 92, 100, 106Calvert, Kari, PT ....................................... 106Cambron, Donna, CNP ............................. 102Camden Bone and Joint ........................... 32Cammisa, Katryne, OT ............................... 92Campbell, Linda, MD .......................... 6, 9, 16Campbell, Robert, MD ................................ 68Camps, Juan, MD ....................................... 70Cannon Jr, Jimmie, MD .............................. 75Capital City OB GYN .................................. 62Capital Prosthetics and Orthotics ............ 90Cardiovascular Care Group ...................... 50Cardiovascular Diagnostic Services ....... 50Cardiovascular Institute ............................ 43Care Heatlh Center Care Net .................... 32Careplus CVS ........................................... 117Carepro Home Health ................................ 90Caresouth Carolina ............................... 8, 85Carew, Joseph, DC ..................................... 51Carew, Karen, DC ....................................... 36Carey, Bruce, OD ........................................ 29Caring Neighbors Home Health ............... 87Carnes, James, MD .................................... 61Carney, Scott, MD ....................................... 18Carol Hutto OT ........................................... 88

Carolina Allergy and Asthma Consultants ................................................................ 35, 49Carolina Blood Cancer Care Associates ................................................................ 33, 81Carolina Cardiac Surgery .......................... 75Carolina Cardiovascular Associates ....... 36Carolina Colon Rectal Surgeons .............. 51Carolina Diabetic Family Pharmacy Servic ...................................................................... 89Carolina Digestive Disease ....................... 53Carolina Home Respiratory ...................... 91Carolina Kidney Specialists ...................... 61Carolina Medical Equipment ..................... 88Carolina Musculoskeletal Institute ... 27, 113Carolina Orthopaedic Surgery Associates ................................................................ 34, 83Carolina Pediatrics and Adolescent Care .................................................................... 117Carolina Pharmacy .................................. 119Carolina Podiatry Group ..................... 35, 84Carolina Sleep Diagnostics ...................... 91Carolina Speech and Language Associates ...................................................................... 89Carolina Surgical Clinic ............................ 42Carolina Therapy Services ....................... 89Carolina Therapy Works ........................... 91Carolina Urology Center ..................... 35, 84Carr, Nikki, 99999 ..................................... 101Carroll, John, MD ........................................ 70Carson, Lee, MD ......................................... 52Carter, Charles, MD .................................... 14Carter, Lucretia, MD ...................................... 7Carter, Melissa, PT ..................................... 98Carter, Ty, MD ............................................ 27Carzoli, Thomas, MD .................................. 62Cassone, Rocco, MD ............................ 29, 43Castles III, Charles, MD .............................. 18Castles III, Joe, MD .................................... 18Caston, Sakesha, OD ................................. 82Castro, George, MD .................................... 43Catawba Care ........................................... 112Catawba Crs ............................................... 96Catawba Gastroenterology ................. 33, 81Catawba Indian Health Center Pharmacy .................................................................... 119Cate, Katie, SLP ........................................ 109Cato, Lamar, DPM ....................................... 48Center For Primary Care ......................... 113Center For Prosthetics .............................. 88Central Bamberg Dialysis ......................... 87Central Carolina Ear Nose Throat and AuD ................................................................ 32, 80Central Columbia Dialysis ........................ 89Certified Pedorthic Orthotics .................... 90Champion-Martin, Jean, OD ...................... 67Chandler, David, DC ................................... 36Chandler, Giselle, MD ................................. 77Chandler, John, DC .................................... 51Chang, Eugene, MD ................................... 60Chapin Pediatrics ...................................... 41Chapin Pharmacy .................................... 115Chappell, Katherine, CRNA ...................... 102Chappell, Thomas, CNM .................... 95, 111Charles, James, MD ................................... 81Charleston Neuroscience Institute .......... 47Charleston Pediatric Rehabilitation ......... 90Charlotte Pain Associates ........................ 83Chase, Frank, MD ....................................... 25

Page 128: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

123

Chaudhary, Ayaz, MD .................................25Cheek, Joel, PT ...........................92, 100, 106Cheeseman, Edward, MD .....................39, 65Chen, Elliott, MD ..........................................71Cheng, Vicki, PT ..........................92, 100, 106Cherni, Terri, PT ..........................................92Chetty, Prishal, MD ............................9, 12, 18Children First Medical Center ...................34Childrens Chatter .......................................88Chillag, Shawn, MD ...............................16, 57Chit Chat Speech and Language Therapy ......................................................................91Chitty, Nina, PT ...........................92, 100, 106Chockalingam, Siva, MD ............................53Christiansen, Laura, PT ..............92, 100, 106Christison, Lori, SLP .................................112Chung, Julie, PT ........................................106Cieza, Octavio, MD ......................................28Ciminelli, Mark, MD ...............................32, 79Clarendon Cardiovascular Associates .....29Clarendon County Health Department .....95Clarendon Memorial Home Health ............87Clarendon Memorial Hospital ....................86Clarendon Surgical Specialists .................30Clark III, William, MD .................................4, 5Clark, Matthew, MD .....................................25Clark, Wanda, CNP ...................................112Clark, William, MD .................................39, 65Clarke, Erika, PT ....................................92, 95Clayton, Bradley, MD ..................................72Claytor, Susan, MD .....................................18Clemson Sports Medicine and Rehab ..........................................................87, 89, 90Coates, Eric, MD ....................................37, 60Coe, Evelyn, CNP ........................................96Coetsee, Melanie, SLP ................................98Coetsee, Rhyno, PT ....................................97Cohen, Gerald, OD ......................................40Coker Jr, Clarence, MD .................................5Colbo, Kelson, PT ........................92, 100, 106Colby, Randall, MD ......................................18Cole, Hope, SLP ....................................94, 95Cole, James, PT ..........................92, 100, 106Cole, Robert, MD .........................................14Colebank, Lauren, OT ...............................112Coleman, Dewitt, MD .............................31, 36Coleman, Janice, MD ..................................62Colletto, Brian, OD ......................................82Collins III, Arvie, MD ....................................77Collins III, Hampton, MD .......................30, 50Collins, Jennifer, CRNA ............................111Collins, Jonathan, MD ...................................4Colonial RX ...............................................118Colorectal Associates ................................51Columbia Eye Clinic .............................39, 65Columbia Foot Clinic .................................72Columbia Heart Clinic ................................50Columbia Medical Associates .................117Columbia Nephrology Associates ............61Columbia Womens Healthcare ..................62Combs, Susan, SLP ....................................98Community Medicine ...............................119Community Pharmacy of Turbeville .......114Cone, David, MD ..........................................14Connor, Susan, MD .....................................46Connors Healthcare For Women ..............46Cook, Michael, MD ......................................61Cook, Quinessa, SLP ..................................98

Cooler, Arthur, MD ...................................... 54Cooper, Jeffrey, MD .................................. 111Cooper, Kayla, DC ...................................... 36Cooper, Michelle, SLP .............................. 101Cooperative Health Pharmacy ................ 117Cope, Bruce, MD ..................................... 9, 18Coram Healthcarecarolina Home Therapeuti ................................................................... 117Corey, Stephen, DPM ................................. 30Cothran, Katherine, PT ............................... 93Coulter Clinic ............................................. 44Coulter, Franklin, MD ............................ 12, 44Covenant Family Allergy ........................... 25Cowling, Jurgen, PT ................................... 93Cox, Deanna, APRN ................................. 102Coyle, Michael, OT ................................... 104Crabbe, Mark, MD ....................................... 76Craft, Roland, MD ....................................... 54Craig, Lucius, MD ....................................... 47Cress, Robert, OD ...................................... 47Cribbs, Floyd, MD ......................................... 8Crisp, Jeremy, MD .................................. 6, 14Critical Care Systems Columbia ............ 116Crook, Theodore, OD ................................. 32Crosby, English, OT ................................. 104Crossan, Joanne, CNP ............................. 102Crosswell III, Hal, MD ........................... 39, 65Crosswell Jr, Hal, MD .......................... 39, 65Crosswell, William, MD ........................ 39, 65Crouch, Mary, OT ..................................... 104Crouch, Timothy, MD .................................. 75Crutcher, Samuel, MD ................................ 53Cruz, Carmina, MD ....................................... 7Cuce, Frank, MD ......................................... 78Culbertson, Gary, MD ................................ 79Culp, Steven, MD .................................... 7, 23Cumbie, Heather, PT .................. 93, 100, 106Cundey, David, MD ..................................... 25Cunningham, Joseph, MD ......................... 29Cunningham, Kent, MD .............................. 76Cunningham, Kievers, MD ........................... 5Curl, Anita, CNP .......................................... 96Cuturic, Miroslav, MD ................................. 61CVS ........... 113, 114, 115, 116, 117, 118, 119CVS 02497 ................................................ 115Cypress Center Long Term Care Pharmacy ................................................................... 114Cypress Center Pharmacy ...................... 114Cypress Family Medicine ........................ 114Cypress Medical Supply ........................... 87

DDagostino, Meredith, ARNP ..................... 102Daily, Linda, DO ............................................ 7Dalal, Hima, OT ........................................... 97Daniel, Roosevelt, MD .................................. 8Daniels Pharmacy ................................... 113Daniels Pharmacy and DME ............... 87, 89Daniels Pharmacy of Barnwell ............... 113Daniels Pharmacy of Blackville .............. 113Daniels, Brandon, MD ................................. 26Daniels, Damon, MD ................................... 14Daniels, Lloyd, MD ...................................... 26Daniels, Mary, CNP .................................... 95Darby, Shirlain, 99999 .............................. 101Dash, Sangita, MD ...................................... 56Dasilva, Robert, MD .................................... 74David, George, MD ..................................... 33

Davis, Danielle, MD .......................... 9, 12, 18Davis, Deborah, MD ........................ 31, 38, 62Davis, Gregory, DPM .................................. 72Davis, Karl, DC ........................................... 31Davis, Kevin, MD ........................................ 42Davis, Mark, MD ......................................... 12Davis, Myles, MD ........................................ 62Davis, Rachel, OD ...................................... 82Davis, Shean, CNP ................................... 102Davis, William, OD ...................................... 40Davis-Gordan, Rosemary, CNP ................. 95Dawkins-Mitchell, Haylee, OT ................. 104Day, Jessica, CNM .................................... 111Dayrit, Francis, MD ..................................... 35Dean, Steven, OD ....................................... 78Dearing, Megan, SLP ............................... 109Deholl, Paul, MD ......................................... 78Delaine, Brenna, MD ..................................... 6Delaney, Joseph, MD .............................. 9, 13Deleon, Merry, MD ...................................... 27Delphia Jr, Robert, MD ............................... 50Delta of Elloree ........................................ 116Delta of Eutawville ................................... 116Delverme Silva, Rosanna, DO ..................... 7Demarco, Lucinda, MD ............................... 48Demonbreun, Kahlil, CRNA ........................ 98Dennis, Ronnie, MD .................................... 77Denny, Richard, MD .................................... 22Dent, Andrea, OT ...................................... 104Depina, Manuel, MD ............................. 25, 36Derrick Jr, Charles, MD .............................. 18Devine, John, MD ....................................... 68Dewar, James, MD .................................. 9, 18Diabetic Supply Source ............................. 89Dial, Burke, MD ..................................... 61, 62Dibona, Francis, MD ................................... 26Dicesare, Jaclyn, CNP .............................. 102Dickerson, Gene, MD ................................. 76Dickerson, Maria, OD ..................... 40, 43, 67Dieter, Sara, PT ............................ 92, 99, 104Digestive Disease Associate of York Coun ...................................................................... 81Dipette, Donald, MD .................................... 57Discount Drug of Swansea ..................... 115Dixon Jr, Woodward, MD .............................. 6Djolic, Dejan, DC ........................................ 25Dogra, Atul, MD ...................................... 6, 22Dollison, Clarence, MD ............................... 18Dominici, Raymond, MD ............................. 30Dong, Ankang, DC ...................................... 32Dougherty, Laura, MD ................................ 36Douglas, Leonard, MD ................................ 14Douglas, Thomas, MD .......................... 35, 84Douglass, Janet, CNP ................................ 96Downey, Amy, PT ....................... 93, 100, 106Dr J Daulton Dubose Medical Center ....... 30Drakeford, Michael, MD .............................. 78Drs Williamson and Gillespie ................... 46Dubose, Theodore, MD ..................... 9, 18, 19Duffus, Wayne, MD ..................................... 56Dukes, Johnny, OD ..................................... 34Dukes, Laura, PT ................................ 93, 106Duncan, Joel, MD ....................................... 36Dunlap, Roy, PT ....................................... 106Durant Jr, James, MD ................................. 23Durham, John, MD ................................ 28, 46Durrett, William, MD .................................... 27Durst, Kimberly, PT ..................... 93, 100, 106

Page 129: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

124

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013Duvall, Lance, MD .................................25, 36Dwight, Francis, MD ......................................5Dyke, Stephen, DO ......................................42Dynamic Speech Language Therapy ........89

EEar Nose Throat Audiology Assoc ...........80East Clarendon Medical Center ..................5East Coast Optometric ...................32, 39, 66Eastover Family Practice ...........................85Eau Claire Coop Health Ct .............31, 41, 70Eau Claire Cooperative Health Center Obg ..........................................................31, 38, 63Eaves, Gregory, MD ....................................25Edelson, Mary, MD ......................................60Edelson, Richard, MD .................................50Eden, Sharon, MD .......................................63Edford-Davis, Kim, DO .......................6, 9, 16Edgar-Zarate, Courtney, MD .......................57Edisto Crs ...................................................98Edwards, Elizabeth, MD ..............................16Edwards, Nicole, DO ...............................5, 12Edwards, Robert, MD ..................................34Edwards, Thomas, MD ................................57Efron, Marvin, OD ........................................40Ehreth, Jeffrey, MD ......................................70Eisenberg, Richard, MD ..............................26Ekman, Cynthia, PT .....................93, 100, 106Ekman, Evan, MD ........................................68Ekunsanmi, Bamidele, MD ..........................24El Geneidy, Mohamed, MD .........................55Elgin Pharmacy ........................................114Elgin Podiatry Institute ..............................72Ellett, James, MD ........................................76Elliott, Samuel, MD ......................................14Ellis, Renee, MD ..........................................61Ellis, Sharon, MD ...................................60, 81Ellison, Jody, MD ........................................14Embry, Mary, OT .......................................104Emery, James, MD ......................................19Emmanuel Family Clinic ............................42Emmer, Michael, MD ...................................57Engelen, Megan, DO ...................................45Ergul, Sitki, MD ............................................26Erhs Edisto Family Practice ......................12Erhs James H Brunson Jr MD ...................98Erhs William D Glenn IV MD ......................94Eskridge, Carolyn, MD ................................33Espinoza, Paul, MD .....................................36Esselman, Gregory, MD ..............................25Esteemcare .................................................88Evangelisti, Paul, MD ............................76, 79Ewing, Gary, MD .........................................65Eye Physicians and Surgeons of Columbia ......................................................................65Ezekiel, Mark, MD ............................27, 43, 74Ezell, Terry, MD .....................................35, 84

FF Marion Dwight MD .....................................5Faber, Theodore, MD .............................38, 61Fairfax Pharmacy .....................................113Fairfield County Health Department .........96Fairfield Medical Associates .....................31Fairfield Memorial Hospital .......................86Family Care Specialty Pharmacy ............119Family Health Care .......................................4

Family Health Centers ....... 29, 48, 94, 95, 99Family Health Centers Obgyn ...... 28, 29, 46Family Health Centers PCP .................. 5, 13Family Health Centers Pharmacy ........... 116Family Pharmacy ..................................... 113Family Pharmacy-South Aiken ............... 113Family Practice Assoc of Holly Hill .......... 44Fann, Stephen, MD ..................................... 54Fant, James, MD ......................................... 74Farley, Alice, SLP ..................................... 109Farmer, Jason, DC ...................................... 36Feldman, Barry, MD ........................ 30, 36, 50Feldman, Jennifer, MD ......................... 30, 36Ferguson, James, MD ................................ 63Ferguson, John, MD ............................. 12, 14Ferrence, Carol, CNP ......................... 97, 102Fields, James, MD ...................................... 57Filler, Bruce, PT ................................ 106, 107Filler, Lilly, MD ............................................ 63Finch Jr, Michael, MD ............................. 9, 19Finklin Pharmacy ..................................... 117Finley, Charles, MD .............................. 39, 65First Care .................................................... 57First Care Medical Clinic ........................... 84Fisher Foot Clinic ...................................... 48Fisher, Dana, DPM ..................................... 48Fites, Brandon, MD ..................................... 78Fitzgerald, John, PT ................... 93, 100, 107Fitzgibbon II, Rodney, MD ......................... 14Five Points Walk-IN & Pediatrics ............. 85Five Points Walk-IN Care .......................... 85Floyd, Dean, MD ................................. 6, 8, 14Floyd, Elaine, OT ................ 92, 100, 104, 105Flynn, Philip, OD ......................................... 67Fogelson, Nicholas, MD ............................. 63Foley, Carla, CNP ..................................... 111Fontanares, Roland, PT ............. 93, 100, 107Food Lion Pharmacy ............................... 119Ford, Danny, MD ......................................... 78Fordham, Marie, PT .................................. 107Forest Drive Physicians dba Doctors Expr ..................................................................... 90Fort Mill Dialysis ........................................ 91Fort Mill Pharmacy .................................. 119Foster, Brandon, CNP .............................. 102Fowble, Coleman, MD ................................ 68Fraij, Ghassan, MD ..................................... 45Franco, Mark, MD ................................... 8, 16Franga, Dion, MD .................................. 44, 54Franks, Sherri, MD ................................ 38, 63Frederick, Heather, PT ............................... 97Freds Pharmacy .............................. 113, 114Freds Pharmacy of Tennessee ............... 115Freeman, Suzanne, CNP .......................... 103Frei, Wayne, MD ......................................... 25Friedman, Harold, MD ................................ 71Frishberg, Debra, SLP ............................. 101Fruth, Nicole, AuD .............................. 96, 102Fry, Judy, CNM ........................................... 95Frye, Courtney, MD ..................................... 19Fullen, Ryan, OD ........................................ 30Fyffe, Deborah, MD ..................................... 65

GGabriel, Megan, SLP ................................ 109Gaffney, Thomas, MD ................................. 16Gallman, Burnett, MD ................................. 53Galphin, Robert, MD ............................. 42, 74

Gamage, Anoma, MD ................................. 57Gamble, Yvette, MD .............................. 37, 60Gantt, Tonja, MD ......................................... 97Garber, Matthew, MD .................................. 19Garcellano, Miriam, DO ................................ 7Garcia, Jorge, MD ....................................... 12Garma, Reynald, MD .................................... 6Garretson, Bret, MD ................................... 81Gary, Bettina, OD ........................................ 67Gasper, Fulton, MD ..................................... 47Gaston Family Pharmacy ........................ 115Gastroenterology Associates of Orangebur ...................................................................... 44Gatti, David, MD .......................................... 75General Surgical Services of Ncmh ......... 43Generx Pharmacy .................................... 115George, Charmaine, MD ............................. 57Getz, Alexander, MD ................................... 72Geurkink, Deanne, MD ............................... 19Ghent, William, MD ..................................... 42Giant Discount Pharmacy ....................... 116Gibbs, Caroline, MD .................................... 65Gibbs, David, MD ........................................ 25Gibson, Henry, MD ....................................... 5Gibson, Todd, AuD ..................................... 97Giddings, Allison, MD ................................. 63Gifford, Robert, MD .................................... 54Gilbreth, Melissa, PT ................................ 107Gill, Ahmad, MD .......................................... 26Gillespie, David, MD ................................... 46Girault, Gisele, MD ......................... 41, 69, 78Glasser, James, MD ................................... 70Glenn IV, William, MD ............................. 5, 28Glenn, Lynn, CNP ....................................... 94Goetzl, Laura, MD ....................................... 59Goins, Amanda, MD ................................... 57Goins, Wendell, MD .................................... 33Goldberg, Susan, MD ................................... 4Goldstein, Francis, MD ............................... 16Gonzalez, Alberto, MD ................................ 48Gonzalez, M, MD .................................. 55, 77Good Pharmacy ....................................... 119Good Vital Care .......................................... 91Goode, Kimberlee, MD ................................ 63Goodwin, Kristen, CNP ............................... 98Gopani, Tu-Anh, OD ................................... 67Gor, Asutosh, MD .................................. 33, 81Gottlieb, Jack, MD ...................................... 16Gould III, John, DO ..................................... 16Grabowski, Gregory, MD ............................ 68Grace Medical Group ................................ 57Graham Jr, Henry, 99999 ......................... 101Graham, Barbara, OT ............................... 105Graham, Lalonda, MD ................................. 23Graham, Megan, PT ................... 93, 100, 107Graham, Stacy, MD .................................... 50Grainger, Terry, MD .................................... 50Grant, Lisa, PT ............................ 93, 100, 107Grantham, Richard, MD .............................. 26Greater Columbia Obgyn .......................... 63Green, Michael, MD .................................... 74Greenberg, Stanley, MD ............................. 75Green-Carner, Brenda, SLP ..................... 109Greene, Candice, SLP .............................. 102Greene, Jennifer, MD .................................. 63Greene, Lynne, MD ....................................... 7Greene, Michael, MD .................................. 45Greenhouse, David, MD ............................. 14

Page 130: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

125

Greenhouse, Deborah, MD ...................10, 19Greenwood Ear Nose Throat .....................42Gregory H Esselman MD ...........................25Grier, Jason, MD ..........................................23Griffin, Kristen, ARNP ...............................103Gripaldo, Ria, MD ........................................73Grooms, Sarah, MD ..............................10, 19Grove Park Pharmacy ........................89, 116Grubb, Larry, MD .........................................79Gunnlaugsson, Chad, MD ..........................52Gunter, Timothy, MD ...................................19Gupta, Avinash, MD .....................................48Gupta, Monika, MD ......................................77Guy, Jefferey, MD ........................................68Guyton, Richard, MD .............................10, 13

HHaas, Melvyn, MD ........................................26Haddock, Kristin, CNP ...........................92, 95Haile, Elizabeth, MD ..............................10, 19Hall, Barbara, CNP ....................................103Hall, Jeffrey, MD ..........................................14Hall, Rachel, MD ..........................................14Hamad, Abdullah, MD ............................28, 46Hamada, Allison, MD ...................................14Hamilton, Laura, MD ...................................16Hamilton, Stuart, MD .............................10, 19Hammer, Michael, MD .................................45Hamvay, Steven, DC ...................................51Hamzy, Nada, MD ..................................10, 19Hancock, Linda, CNM .................................97Hanz, Kevin, MD ..........................................79Harbison Family Practice ..........................97Hardeman, Suzanne, APRN ......................103Harden, Oliver, MD ......................................57Harder-Smith, Donna, DO .....................39, 65Harding, Richard, MD ..................................72Harkey, Jason, DC .......................................76Harman, William, MD .........................8, 14, 53Harrell, Diane, CNP .............................96, 112Harrell, Rhona, MD ......................................57Harris Teeter Pharmacy ...........................119Harris, Marcia, SLP .....................................94Harrison, Kimberly, PhD ..............................73Harrison, Rodney, MD .................................50Hart, David, PA ..........................................101Hartley, Alan, DC .........................................80Hartman, Cynthia, OT ................................105Hartshorne, Wendy, MD .............................63Harward, Stacey, PT ...................93, 100, 107Hasan, Lois, CNP ......................................103Haskill-Strowd, Rebecca, MD .......................5Hawkey, Thomas, DO ............................23, 75Hawn, Jason, MD .........................................19Hawn, Leigh, MD .........................................57Hawthorne Camden Pharmacy ...............114Hawthorne Laurel Pharmacy ...................117Hawthorne Lugoff Pharmacy ..................114Hawthorne Medical Equipment .................90Hawthorne Pharmacy ...............................117Hawthorne Sunset Pharmacy ..................115Hayden Jr, John, MD .............................12, 28Haygood, Allison, PT ...................93, 100, 107Head, Kathleen, APRN ..............................103Head, Patricia, CNP ...................................103Head, Sonya, MD .........................................10

Healing Hands Physical Therapy Center IN ..................................................................... 87Health Tracks ............................................. 90Healthcare Etc ........................................... 90Heath Mathis, Gossie, MD ......................... 13Heath, Barbara, PT ..................................... 93Heath, Jennifer, MD .................................... 72Heebner, Carol, MD .................................... 19Heinig, Michael, MD .............................. 34, 83Heinke, Blair, MD ........................................ 14Helwig, Jane, MD ........................................ 33Henderson, Jessica, PT ............. 93, 100, 107Henderson, Nathan, MD ............................. 57Hendricks, Charles, MD ....................... 30, 50Hendrix, John, MD ...................................... 57Heniford, Mary, PT ..................... 93, 100, 107Hensley, Jessica, OT .................................. 97Hensley, Kay, SLP ...................................... 96Hepfer, Thomas, MD ............................. 63, 77Herbert, John, MD ...................................... 63Hernandez, Johan, MD ............................... 14Herzog, Katherine, MD ............................... 19Hess, Daniel, MD ........................................ 57Hess, Paul, ARNP ....................................... 96Hesse, Raymond, MD ................................... 4Hewett, Jonathan, MD .......................... 36, 50Heyer, Gayle, DC ........................................ 51Hibbits, John, MD ....................................... 43Hicklin III, Harry, MD .................................. 79Hicks II, John, MD ................................ 29, 36Hicks Jr, James, MD .................................. 53Hicks-Snoddy, Lynn, MD ..................... 39, 65Hidden, Glen, MD ......................................... 5High, Andrea, SLP .................................... 111Hill, Michael, MD ......................................... 44Hines Jr, Marcono, MD ............................... 61Hite, Louis, MD ............................................ 16Hobson, Julia, CNP .............................. 95, 99Hodge, Michael, MD ................................... 77Holdford, Sheila, CNP .............................. 103Holford, Doulgas, MD ................................. 27Holleman, Robert, MD ................................ 70Hollins, William, MD ................................... 50Holloway, Jeffrey, MD ................................ 19Holly Hill Pharmacy ................................. 116Holmes, Louise, CNP ............................... 103Holmstrom, Valerie, PhD ........................... 48Holtzman, Ronald, MD ............................... 81Home Care of Lancaster ........................... 88Home Care of The Regional Medical Center ..................................................................... 89Home Medical ............................................ 87Hook, Jeffrey, MD ....................................... 16Hoover, Judith, MD ..................................... 26Hope, Andrea, SLP ................................... 112Hopehealth ................................................. 30Hopikins Family Practice ........................ 102Hopla, Deborah, CNP ................................. 95Hoppmann, Richard, MD ............................ 74Horchak, Alex, MD ...................................... 49Horn, Rebekah, PT ..................... 93, 100, 107Horvath, Joseph, MD .................................. 56Houchins, Rachel, MD ............................... 72Howington, Jed, MD ................................... 27HPRC .................................................... 88, 90Hucks, Jennifer, MD ................................... 73Hudson, Deidre, MD ..................................... 8Hudspith, Louann, OT ................................ 92

Huegel, Beverly, CNP ............................... 103Huffman, Dawn, SLP .................................. 94Huffman, Leroy, MD .................................... 57Huggins, Dorinda, SLP ............................. 109Hummel, Melissa, MD ................................. 16Humphrey, Albert, MD ................................ 16Humphrey, Steven, MD .............................. 30Hunt, Leon, MD ............................................. 8Hunter, Stuart, PT ....................... 93, 100, 107Hurley, Brian, MD ....................................... 57Hutchinson, Christopher, MD ..................... 63Hutchinson, Katherine, PT ....................... 107Hutchinson, Manly, MD .............................. 63Hutchison, Ann, MD ................................... 55Hutto, April, CNP ....................................... 103Hutto, Carol, OT .......................................... 97Hutto, Eric, MD .............................................. 8Hutto, John, MD .......................................... 43Hwang, Te, MD ........................................... 62Hyer, Eric, PT .............................. 93, 100, 107

IIaquinto, John, MD ..................................... 68Ibrahim, Nadia, MD ..................................... 24Iftikhar, Imran, MD ...................................... 73Ilsley, Jeffery, MD ....................................... 28Imperial, Michael, PT ................................ 107Incare Home Health ................................... 88Infinite Wellness ...................................... 119Ingate Professional Pharmacy ............... 113Ingram, James, MD ..................................... 22Intramed Plus ................................... 114, 115Irmo Drug ................................................. 117Irvin, Amber, SLP ...................................... 112Isbell, David, MD ......................................... 50Iseman, Daniel, MD .............................. 37, 53Isenhower Jr, William, MD ......................... 42Iskersky, Victor, MD ............................. 38, 60Ismaili, Saima, DPM ................................... 48Ittenbach, Dennis, PT ................. 93, 101, 107Izard, Stephen, MD ..................................... 16

JJack H Gottlieb MD .................................... 57Jackson, Lisa, MD .......................... 29, 46, 47Jackson, Malaka, MD ................................. 71Jackson, Tonda, CNP .............................. 103Jacobs, Dean, MD .......................... 47, 65, 78Jacobs, Jami, PT .............................. 107, 108Jacocks IV, Charles, MD ............................ 75Jacocks, Mitchell, MD ................................. 75Jagdale, Deepa, MD ..................................... 4Jakubs Jr, Edward, MD .............................. 25James III, Walter, MD ........................... 34, 83James III, William, MD ................................ 68Jamison, Cynthia, MD .................................. 7Jamisons Pharmacy ................................ 116Jayagopalan, Ramkumar, MD .............. 10, 19Jeffords, Ashley, CNP .............................. 103Jenkins, George, MD .................................. 53Jenkins, Spencer, MD ................................ 53Jerge, Larry, OD ......................................... 82Jesion, Leo, DO .......................................... 45Jewell Vision Care ..................................... 34Jewell, Vickie, OD ....................................... 34John A Martin Primary Healthcare ........... 31John, Trent, MD .......................................... 24

Page 131: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

126

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013Johnson Sr, William, MD ............................66Johnson, Bradlee, MD ..........................35, 84Johnson, David, MD ..............................39, 47Johnson, Donna, MD ............................59, 60Johnson, Endia, MD ....................................45Johnson, Graeme, MD ................................61Johnson, Jack, MD .....................................47Johnson, James, MD ..................................63Johnson, Ronald, MD .................................52Johnson, Samuel, MD .................................33Johnson, Tonya, OT .................................105Johnson, William, MD ...........................39, 66Jokerst, Michael, DC ...................................51Jones, Ashley, MD .......................................72Jones, Benjamin, MD ............................31, 50Jones, Christopher, MD .........................32, 80Jones, Conigliaro, MD .................................53Jones, George, MD .....................................55Jones, Kadijah, MD .............................6, 8, 14Jones, Mark, MD .........................................54Jones, Rebecca, CNP .................................94Jones, Robert, MD .................................28, 76Jones, Thomas, MD ....................................68Joseph, Thomas, MD ..................................32Josiah-Howse, Dara, MD ............................83Joy, Annarosan, MD ....................................14Jumpstart Pediatrics ..................................89Juneja, Avinash, MD ....................................33

KKaminer, Sharon, MD ..................................69Kan, Leo, DO .........................................39, 66Kapp, Lloyd, MD ........................10, 19, 20, 71Kashyap, Sona, MD ....................................81Kasko, Kirsten, CNP ....................................99Kaufman Therapy Service .........................90Kaufman, Susan, SLP ...............................110Kaun, Majeed, MD .......................................29Keane, William, MD .....................................61Keeshan, Susan, MD ...................................63Keisler Jr, David, MD ..................................25Keisler, Brian, MD .................................14, 74Keisler, David, MD .......................................14Keisler, Nikki, MD ........................................14Keller, Jessica, DO ......................................26Keller, Shana, CNP .....................................98Kelley, Melinda, CNP ...................................96Kelly, Mary, CNP .........................................97Kelly, Nicholas, MD .....................................20Kelly, Timothy, MD ................................32, 80Kendall, Brian, MD ......................................45Keroson, Robert, DC ...................................31Kerrison, John, MD .....................................47Kershaw County Health Department ........96Kershawhealth ............................................96Kessler, Chad, MD ......................................80Key, Timothy, MD ........................................23Khan, Tooba, MD .........................................33Khandekar, Suresh, MD ........................33, 81Khokhar, Belal, MD .....................................45Kid Connections Therapy Services ..........89Kilgore, Charles, MD ...................................48Kim, Sylvia, MD .....................................51, 54Kimble, Mark, DC ........................................80Kimbrough, Edward, MD ............................53Kincade, Tessa, MD ....................................77King, Samuel, MD ........................................43Kinsey, Timothy, MD .....................................4

Kirkley, William, MD ............................. 41, 68Kirol, Bernard, MD ................................ 41, 68Kleckley, Julianne, OD ............................... 40Kleinau, Karl, OD ........................................ 82Kleppe Bach, Renee, OT ........................... 97Kmart Pharmacy3621 .............................. 116Kmart Pharmacy4319 .............................. 117Kmart Pharmacy4873 .............................. 114Kmart Pharmacy7043 .............................. 119Kmart Pharmacy7616 .............................. 115Kneece, Robert, MD ................................... 16Knight, Lisa, MD ......................................... 69Kochert, Anthony, PT ................................. 97Kondapaneni, Usha, MD .................. 5, 13, 45Koon, David, MD ......................................... 68Koon, James, MD ......................................... 7Kotchmar, George, MD .............................. 70Koukos, Dean, DO ....................................... 5Kozlowski, Jeffrey, OD ............................... 27Kraebber, David, MD .................................. 49Krebs, Kevin, MD ........................................ 73Kristi Zoller MS Ccc SLP ........................... 90Kroger ............................................... 113, 117Kroll, Lezlee, OT ....................................... 110Krzyston, Mark, MD .................................... 43Ksor, John, DPM ......................................... 32Kudchadkar, Shubhalaxmi, MD ................... 6Kudrik, Fred, MD ........................................ 60Kuebler, Ronald, SLP ............................... 110Ky, Mol, DO ............................................. 5, 28

LLabarowski, Kathleen, SLP ...................... 112Laffitte Warren Medical Center ................. 28Laing, Shannon, PT .................... 93, 101, 108Lake Murray Hearing Associates ............. 88Lake Murray Pediatric ............................. 115Lake Murray Pediatrics ............................. 41Lake Wylie Pharmacy .............................. 119Lakeview Family Medicine .................. 36, 97Lal, Chitra, MD ............................................ 73Lall, Ritu, MD ........................................ 38, 60Lalla, Sunil, MD ........................................... 33Lally, Davinder, MD .............................. 17, 57Lamar, Charles, MD .................................... 14Lamba, Jaydeep, MD .................................. 57Lambert Falls, Rosemary, MD ................... 42Lambert, Melanie, PT ............................... 108Lamotta, Ivan, MD ...................................... 68Lancaster Clinic Corp ................... 34, 35, 84Lancaster County Health Department ..... 96Lancaster Endocrinology ......................... 81Lancaster Orthopaedics Sports Medicine ............................................................... 34, 83Lancaster Pediatrics ................................. 35Lancaster Pharmacy Wellness ............... 114Lancaster SC Dialysis ............................... 87Lance, Billy, MD .......................................... 53Langley Drug Company .................... 87, 113Langley, Michael, MD ................................. 49Latham, Helen, MD ............................... 77, 78Lau, Conrad, OD ......................................... 40Laurel Medical Practice ............................. 85Lauzon, Steven, MD ................................... 76Lazaro, Andrea, MD .................................... 20Ledlie, Laura, MD ................................. 10, 20Lee County Health Department ................ 96Lee, David, MD ...................................... 41, 68

Lee, Jason, OD ........................................... 35Lee, Matthew, PT ........................ 93, 101, 108Lee, Misty, DPM .......................................... 72Lee, Robert, MD .......................................... 79Lehman, William, MD ............................ 34, 83Lemon, Edward, OD ................................... 29Lencke, Mark, MD ....................................... 38Level Four Orthotics and Prosthetics ...... 90Levin, Philip, MD ......................................... 38Lewis, Allison, CNP .................................. 103Lexington County Health Department ..... 97Lexington Heart Clinic ............................... 36Lexington Prosthetics and Orthotics ....... 88Li, Yongxin, MD ........................................... 77Liaghat, Mary, CNP .................................. 112Liberty Home Care ..................................... 87Lifland, Howard, MD ................................... 61Likas, Lora, SLP ....................................... 110Lilavivat, Usah, MD .................................... 76Lin, Tu, MD ................................................. 52Lincare .................................................. 87, 89Lincare Aiken ............................................. 87Lincare Rock Hill ....................................... 91Lincare Sumter .......................................... 90Lindler, Charlotte, MD ................................. 20Lindsey, Sara, MD ...................................... 20Lindsey, William, MD .................................. 57Linfert, Jennifer, MD ................................... 63Linkia .................................. 87, 88, 89, 90, 91Lint, Annette, SLP ....................................... 94Little Mountain Family Health Center of .. 98Little Mountaina Family Health Center .... 43Little, Sherri, AuD ....................................... 92Liu, Jonathan, MD ....................................... 23Livingston III, Robert, MD .......................... 43Livingston, Timothy, MD ............................ 51Livingston, Wilbur, MD ......................... 35, 84Lloyd, Stephen, MD .................................... 57Locke, Mark, MD ......................................... 68Loftis, Clarence, OD ............................. 40, 67Lofton, Kiersten, MD ....................... 10, 12, 20Loging, James, MD ..................................... 43Lominicks Pharmacy ............................... 113Long, Corrie, PT ........................................ 112Long, Donna, SLP ...................................... 98Longcreek Family Practice ....................... 53Longs Closed Door Pharmacy ............... 117Longs Drugs Garners Ferry .................... 117Longs Drugs of Irmo ............................... 115Longs Drugs of Lexington ...................... 115Longs Drugs of Newberry ....................... 116Longs Home Medical ................................. 90Longs Kilbourne Rd Pharmacy .............. 117Longs Medical Park Pharmacy ............... 117Longs Millwood Drugs ............................ 117Longs Pharmacy At Gateway ................. 117Looks Like U .............................................. 91Lord, Lori, MD ....................................... 45, 57Lorex Medical SVS .................................. 116Loser, Mia, SLP ........................................ 110Louis, Willie, MD ......................................... 13Love Jr, Joseph, MD ................................... 57Lovice, David, MD ................................ 76, 79Low Country Health Care System ........................................................ 28, 29, 113Low Country Health Care System Nps ................................................................ 94, 95Low Country Pain Center .......................... 48

Page 132: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

127

Lower Savannah Crs ..................................92Lowman, Anthony, MD ..........................37, 53Lowman, Philip, MD ....................................57Lr Family Pharmacy .................................114Luberoff, Susan, MD ...................................71Ludington, Sarah, MD .................................45Luis, Jose, MD ...............................................4Lukker, Tracey, PT ............................108, 110Lussier, Molly, CNP ...................................111Luther, Paula, MD .........................................4Lynch, Ross, MD .........................................69Lynn, Annette, MD .......................................52Lyon, Michelle, MD ......................................26Lyons, Colleen, CNP ...................................96

MMackey Family Practice .......................33, 96Mackey Family Practice 2 ..........................81Mackey Family Practice Np2 ...................112Macnevin, Ryan, MD .............................36, 50Madden, Steven, MD ...................................42Maduro, Lissette, MD ..................................23Maggard, Ann, OT .......................93, 101, 108Magun, Jeffrey, OD ......................................67Magura, Christian, MD ...........................35, 84Mahr, Christopher, MD .................................76Makhuli, Mark, MD ................................35, 84Mandell, Howard, MD ............................33, 82Maniam, Prakash, MD .................................28Mann, Joshua, MD .......................................72Manning Medicine ........................................5Maranville, June, SLP ...............................110Mardesich, Patrick, MD ...............................66Mareska, Michael, MD .................................62Margaret J Weston CHC Pharmacy ........113Margaret J Weston Community Health Cen-ter ...................................................................4Markham, Roy, MD ................................31, 36Markowitz, Bethany, MD .......................39, 66Markowitz, Jay, MD .......................................9Marro, James, MD .......................................47Marsch Chiropractic Clinic ........................43Marsh, Thomas, MD ....................................60Marshall II, Ted, MD ....................................58Marshall, Amber, MD ...................................58Martin, Jeffrey, MD ......................................75Martinez De Andino, Edwin, MD ................27Maryanov, Timothy, MD ..............................62Mason, John, OD .........................................67Mason, Katherine, OD .................................67Massey, Jean, CNP ...................................103Massie, Richard, MD ...................................27Masters, Kim, CNP ..............................97, 103Mathias, Madelyn, OT .................................97Matthews, Betsy, SLP .................................94Matthews, Curtis, MD ............................35, 84Matthews-Betts, Cynthia, MD .....................17Mattox, Thomas, MD ...................................63Mauldin, Jill, MD ..........................................63Maxwell, Crystal, MD ...............................6, 22Mayson, Mark, MD ......................................73Mazoue, Christopher, MD ............................74Mazzei Jr, Walter, MD .................................50Mbadinuju, Adanma, MD ............................23MC Hale, Keli, OT ........................................97McAlhaney, Danette, MD ..............................5McAlister, Suzanne, PT ..............93, 101, 108McBryde Jr, Angus, MD ..............................69

McCallum, Brown, MD ................................ 58McCarron, David, MD ................................. 45McCarthy, William, MD ......................... 34, 83McClerklin, Patricia, MD ....................... 43, 52McCollough, Wilmot, MD ........................... 76McCray, Bonita, CNP .................................. 96McCullough, Thomas, MD ........................... 4McCutcheon, Monica, MD .......................... 20McDill, Leslie, CNP ................................... 103McDonagh-Zeigler, Patricia, CNP ............ 103McDowell, James, OD ................................ 34McDuffie, Scott, MD .................................... 76McElmurray, Charles, MD ............................ 6McElveen, Leland, MD ................................ 55McGannon, Mark, MD ................................ 47McGuire, Franklin, MD ................................ 73McIntyre, Benjamin, MD ............................. 72McKissick, Janet, MD ............................. 5, 28McLain, William, MD ............................. 42, 73McLaughlin, Niall, MD ................................ 61McLeod Cardiology Associates II ............ 76McLeod Pharmacy ................................... 114McMurry, Russell, CNP ............................ 103McNair, Rebecca, MD ................................... 6McNamara, Erin, MD .................................. 49McQueen, Donald, MD ......................... 34, 83McRedmond, Kevin, MD ............................ 70Mecklenburg Eye Associates ................... 82Medcare Pharmacy .................................. 119Medfirst Diabetic Shoes and Supplies .... 88Medi Home Infusion .................................. 88Medi Source Home Medical ...................... 88Medical Assay Laboratory ........................ 90Medical Center of Santee .......................... 44Medical Center Pharmacy ....................... 113Medical Comfort Systems ................... 88, 91Medical Court Pharmacy ......................... 118Medical Endoscopy Professionals .... 53, 54Medical Park Pediatrics and Adolescence ..................................................................... 71Medical Select ............................................ 90Medicap Pharmacy .......................... 116, 119Medicine Mart of Lexington .................... 115Medicine Mart Pharmacy ................ 115, 117Medi-Save Pharmacy ............................... 114Medpro ....................................................... 88Medsource ................................................. 88Medtrex ....................................................... 88Medxpress .................................................. 88Meier, Gerald, MD ....................................... 30Meka, Praveen, MD ..................................... 33Mendiratta, Prateek, MD ............................ 55Menon, Seema, MD .................................... 63Mercier, Denise, PA .................................. 109Meredith, Phillip, OD ....................... 32, 40, 67Meriwether, Rebecca, MD .......................... 14Merriman, Hugh, MD .................................. 49Merritt, Rhonda, OT .................... 92, 100, 105Merritt, William, MD .................................... 55Meseck, Michael, PT ................... 93, 101, 108Metrolina Medical Associates ................ 119Metrolina Neurodiagnostic Center ........... 82Metrolina Neurological Associates .......... 82Metropol, Stephen, MD ........................ 37, 54Meyer, Theodore, MD ................................... 4Michels, Philip, PhD .................................... 73Midlands Gastroenterology Associates .. 54Midlands Internal Medicine ....................... 58

Midlands Neurology Pain Associates ...... 62Midlands Obgyn ......................................... 38Midlands Orthopaedics ........................... 117Midlands Pediatrics ................................... 71Midlands Physical Medicine ................... 117Midlands Surgical Associates .................. 75Milatz, Laurie, DO ....................................... 58Milestones Speech and Language ........... 88Miller, Catherine, MD ............................ 10, 20Miller, Henry, OD ........................................ 67Miller, Lucille, CNP ............................... 94, 99Mills, Melissa, MD ....................................... 10Millus, Donald, MD ..................................... 15Millwood III, Charles, MD ..................... 15, 53Milton, Latonya, OT .................................. 105Mincey, MacKenzie, MD ............................. 10Minhas, Meha, MD .................................. 6, 23Minto, Oletha, MD ....................................... 26Mintz, Edward, MD ................................ 39, 66Mirra, Martin, MD .................................. 37, 54Miszkiewicz, Steve, MD ............................... 5Mitchell, Carl, MD ....................................... 17Mitchell, Edwin, OD ........................ 40, 47, 67Mitchell, Kenneth, MD ................................ 66Mitchiner, John, MD ................................... 23Mizelle, Donna, MD ..................................... 22Mobley Drugs ........................................... 114Modesto, Maria, MD ................................... 17Modi, Ankita, MD ......................................... 24Moise, Lucie, LMHC .................................. 111Molnar, Angela, DPM .................................. 27Monteith, Ragin, MD ............................. 10, 20Montenegro, Carlos, MD ............................ 28Montgomery, Stefan, MD ..................... 12, 49Mooneyham, Richard, DC .......................... 51Moore, Clark, MD ........................................ 27Moore, Dorwin, MD ..................................... 30Moore, John, MD ........................................ 63Moore, Kathryn, MD .................................... 62Moore, Kay, MD .................................... 10, 20Moore, Leslie, MD ................................. 36, 52Moore-Bowens, Stacie, MD ....................... 58Moorer, Harriet, CNP .................................. 99Morales, Juan, MD ...................................... 73Moran, Joseph, DPM .................................. 72Moreno-Hussey, Sandra, MD ....................... 6Morgan, Alan, MD ....................................... 38Morgan, Harley, MD .................................... 51Morgan, Lindsey, PT ................................. 108Morgans Pharmacy ......................... 115, 116Mori, Naresh, MD ........................................ 79Morphis Pediatrics of Lancaster .............. 35Morphis, Elizabeth, MD ................................ 7Morris, Ronald, OD ..................................... 40Morrison III, Sidney, MD ....................... 36, 52Morton, Ann, SLP ..................................... 110Moses, Henry, MD ...................................... 77Moses, Valerie, SLP ................................. 111Moss, Charles, MD ...................................... 79Mostafa, Mahmoud, MD .............................. 63Mouratev, Gueorgui, MD ............................ 58Moustafa, Moustafa, MD ....................... 28, 46Mrelashvili, Davit, MD ................................ 62Mubarak, Philip, MD .............................. 20, 71Mullins, Julie, DO ................................. 38, 63Muniz, Leopoldo, MD .................................... 4Muniz, Margo, MD ....................................... 26Munoz, Andres, MD .................................... 52

Page 133: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

128

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013Murali, Narayanachar, MD ...........................44Muschik, Jeffery, DC ...................................80Mushtaq, Chaudhry, MD .......................31, 55Mutinga, Nzisa, MD .....................................61Myat, Win, MD .............................................77Myers, Kathy, SLP .....................................110

NNadkarni, Adhijeet, MD ...............................33Naidu, Sashi, MD ...................................33, 81Nair, Jyothi, MD ...........................................24Nairn, Dana, MD ....................................17, 58Nash, Tawana, SLP ...................................102Nassri, Mohammad, MD ........................28, 46Nathwani, Niyati, MD ...................................33Naylor, Michael, MD ....................................79Ncmh Womens Health Center ...................43Neal, Green, MD ....................................17, 58Nedrow, Amy, DC ........................................80Neff, Kristiana, MD .................................39, 66Negash, Yohannes, MD ...............................58Neglia, William, MD .....................................74Nelson, Elizabeth, MD .................................45Neuberg, Ronnie, MD ..................................70Neuffer, Mary, MD .......................................63New Beginnings Diabetic and Homecare .89New Day Family Practice ...........................32Newberry County Health Department .......98Newberry County Memorial Hospital ........86Newberry Family Health Center ................98Newberry III, William, MD ............................37Newberry Obgyn .........................................43Newman, Rudolph, MD ..........................39, 66Newsome, Brandi, MD .................................73Nichols, James, DO ....................................32Nixon, Kezia, CNP .......................................97Nobles, Michelle, MD ...................................44North Family Medicine ...............................44North Jr, Robert, DO .............................41, 70North Orangeburg Dialysis ........................89Northeast Columbia Dialysis .....................89Northeast Dermatology ..............................52Northeast Family Practice .......................103Northeast Speech-Language Pathology ..90Noteable Pathways Therapeutics .............91Nottingham, James, MD .............................54Ntukogu, Kenechukwu, MD .........................45Nusz, Kevin, MD ..........................................34Nwanagu, Jonathan, MD .............................63Nxe ...............................................................89

OO Leary, James, MD ..............................74, 75Obgyn Associates of Sumter ....................78Odom, Albert, MD ........................................64Odom, Jerry, DC ..........................................25Ogburu-Ogbonnaya, Eleanya, MD .............62Ogunleye, Oluseyi, MD ...................31, 38, 64Okeefe, Raymond, MD ................................52Okwara, Benedict, MD .................................24Oladipo, Tiamiyu, MD ..................................58Olatosi, Akinwale, MD .................7, 23, 32, 77Oleary, Melinda, MD ..............................10, 20Oliver, Barry, MD .........................................69Oliver, Hance, MD .........................................8Oliver, Keshia, DPM ....................................48Olson, Thomas, DPM ..................................84

Omalley, Aran, MD ............................... 34, 83Omoigui, Nowanagbe, MD ......................... 50Oneill, Cara, MD ......................................... 20Oquinn, William, MD ................................... 13Orange Cut Rate Drugs ........................... 116Orange Nursing Home Services ............. 116Orangeburg County Health Department .. 98Orangeburg Eye Center ............................ 47Orangeburg Pharmacy ............................ 116Orangeburg Surgical Associates ............. 44Orcutt, Darlene, CNP .................................. 95Orr, Reuben, MD ......................................... 80Orthopaedic and Spine Surgeons of SC . 69Osterman, Juraj, MD .................................. 52Ott, Lannie, LMHC ...................................... 97Owen Drug Company ........................ 88, 115Owens, William, MD .................................... 42

PPadgetts Drive IN Pharmacy ................... 113Padma, Hymavathi, MD .............................. 33Page, Carol, SLP ...................................... 110Pain Medicine Specialists of Fort Mill ... 119Painter, Lauren, MD .................................... 64Painter, William, MD ....................... 10, 11, 20Pakalnis, Vytautas, MD ........................ 39, 66Pal Med ....................................................... 88Palliative Care ............................................ 70Palmer, Brandon, CNP ............................. 103Palmer, Wygelia, SLP ............................... 111Palmetto Crs ............................................ 102Palmetto Early Beginnings ....................... 90Palmetto Family Medicine of Kershaw .... 32Palmetto Family Pharmacy ..................... 119Palmetto Gastroenterology and Hepatology ..................................................................... 29Palmetto Health ....................................... 103Palmetto Health Childrens Hospital Spec Care ........................................................... 71, 73Palmetto Health Diagnostic ...................... 89Palmetto Health Homecare ....................... 90Palmetto Health Infectious Disease ......... 56Palmetto Health Npc .......................... 97, 103Palmetto Health Pharmacy 10mp ........... 117Palmetto Health Private Services ............. 90Palmetto Health Psychiatry ...................... 73Palmetto Health Richland ......................... 86Palmetto Health Specialist Ortho Trauma 69Palmetto Heart ........................................... 50Palmetto Infusion Services Augusta ....... 87Palmetto Infusion Services Columbia ..... 88Palmetto Long Term Care Pharmacy ..... 117Palmetto Medical Group ........................... 81Palmetto Nephrology .......................... 28, 46Palmetto Obgyn Associates ............... 38, 64Palmetto Orthopaedic and Sports Medicine ..................................................................... 78Palmetto Pain Management .................... 117Palmetto Pediatric Adolescent Clinic ......................................................... 11, 41, 71Palmetto Pediatrics ................................... 27Palmetto Podiatry Associates .................. 72Palmetto Preferred Obgyn ........................ 33Palmetto Primary Care .............................. 29Palmetto Pulmonary .................................. 74Palmetto RX Solutions ............................ 115Palmetto Surgical Associates ............ 37, 54

Palmetto Womens Healthcare .................. 30Panse, Sagar, MD ....................................... 46Parker, Harris, MD ...................................... 54Parkridge Convenience Care .................... 36Parks Pharmacy ....................................... 113Parks, Amanda, MD .................................... 45Parkside Womens Center ......................... 26Parrish, Mary, MD ................................. 11, 20Parrott, John, MD ....................................... 69Parsons, David, MD .................................... 80Parsons, Gregory, MD ................................ 80Parsons, Scott, MD ..................................... 20Passo, Murray, MD ..................................... 70Pate Jr, John, MD ......................................... 8Pate Medical Associates ........................... 35Patel, Devesh, MD ................................ 26, 29Patel, Kashyap, MD .............................. 33, 81Patel, Nimish, MD ........................................ 24Patel, Nirav, MD .................................... 70, 81Patel, Nitin, MD ........................................... 58Patel, Sejan, MD ......................................... 61Patel, Shephali, MD .................................... 24Patel, Subhash, MD .................................... 69Patel, Vasant, MD ....................................... 79Pathak, Nirav, MD ....................................... 53Patheja, Nini, MD ........................................ 26Patrick, Elizabeth, MD ................................ 17Patrick, Harmon, MD .................................... 6Payne, Ralph, DPM ..................................... 72Payne, Sandra, CNP ................................. 103Paysinger, Alan, MD ............................. 12, 42Peak Pharmacy ........................................ 116Pediatric After Hours Care .................. 41, 71Pediatric Associates ................................. 71Pediatric Oncology .................................... 70Pediatric Surgery ....................................... 70Pediatric Therapy of Aiken ....................... 87Pediatrics of Batesburg Leesville ............ 85Pediatrics of Newberry ........................ 43, 85Pediatrix Medical Grp of South Carolina ........................................ 38, 41, 60, 71, 82, 84Pee Dee Foot Center .................................. 30Peele, Robert, MD ....................................... 75Peeler, Kara, OT ................................. 92, 105Pennington III, Weems, MD ....................... 25Pennington, Don, MD ................................. 29Pennington, Larry, MD ............................... 81Peoples Pharmacy ................................... 119Percival, Brandon, DPM ....................... 35, 84Percival, Julie, DPM ............................. 35, 84Perera, Nimal, MD ......................................... 7Perez, Diana, PT ......................................... 93Performance Medical Supply .................... 87Perkins, Linda, MD ..................................... 74Perrick, David, MD ................................ 36, 49Perry, Kelley, SLP ..................................... 110Perry, Paula, CNP ........................... 94, 95, 99Perumal, Shankar, MD ............................... 82Petit, Charles, MD ....................................... 53Petit, Scott, MD ........................................... 75Pezzella, Andrea, MD ................................. 38Phillips Pharmacy .................................... 118Phillips, Helen, CNM ............................ 95, 96Phillips, James, MD .............................. 31, 50Phillips, Kris, PT ......................... 93, 101, 108Physical Medicine Devices ....................... 88Piasecki, Andrew, MD ................................ 32Picard, Jonathan, MD ................................. 30

Page 134: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

129

Pickering, Jaime, APRN ............................111Piedmont Medical Equipment ...................91Piedmont Retail Pharmacy ......................119Piehl, Frederick, MD ....................................69Pierce, Angela, MD ........................................8Pietrobono, Tara, DPM ...............................72Pillai, Mohan, MD ........................................84Pine Ridge Pharmacy ...............................115Pineda, Guillermo, MD ...........................36, 50Pinewood Health Center ............................22Pinner Clinic ...............................................42Pinner III, Carroll, MD ..................................12Pinner, Benjamin, MD ............................12, 53Pinto, Vijay, MD ...........................................79Pirich, Laura, MD .........................................70Planned Parenthood Health Systems .......64Platt, Tan, MD ..............................................15Plaxico, Brent, OD .................................32, 67Pleming, Sarah, SLP ...................................98Pockl, Jeffrey, OD ........................................47Pollock, Karen, MD .....................................20Pollock, Ralph, MD ......................................73Poole, Kathleen, PT .....................................97Porada, Theodore, PT .................93, 101, 108Porter, Cathy, APRN ...........................96, 111Porter, Mark, MD ...................................33, 82Posey, William, PhD ....................................73Postic, Georges, MD .............................37, 54Poston, Mary, MD ..................................17, 58Potts, Wendy, AuD ....................................102Powell, Caroline, MD .............................17, 58Powell, Eugene, MD ..............................34, 83Powell, Marie, SLP ....................................110Powell, Stephen, OD ...................................47Powell, Thomas, MD ...................................61Powers, Heather, MD ..................................58Poyner, Phyllis, CNP .................................103Prabhu, Prakash, MD ..................................61Pratt, David, OD ...........................................40Premier Clinics of Rock Hill ......................81Premier Clinics of York ..............................81Prescriptions ............................................118Prestige Diabetic ........................................91Price, Anna, MD .....................................12, 13Price, Cheryl, SLP .....................................112Prices Prescription Shop .........................114Prickett, Dalton, MD ....................................37Pridgen, Cynthia, MD ..................................64Pridgen, Kaoru, MD .....................................37Prier, Ronald, MD ........................................73Prioleau, Trenten, DPM ...............................72Priority Home Medical ................................89Proffitt, Sherica, OT ..................................105Prosperity Drug Company .......................116Prosser, Debra, MD .....................................98Prosser, Leverne, MD ...........................31, 50Prosthetic and Orthotic Institute ..............91Providence EKG Physicians .....................50Providence Family Medicine Lexington ...37Providence Foot Institute ..........................72Providence Internal Medicine Northeast ..58Providence Northeast Family Care At Lake ......................................................................53Providence Surgery Center .......................89Providence, Kathryn, MD ................31, 38, 64Pruitt, James, MD ......................11, 12, 20, 21Publix .................................113, 115, 117, 119Puchalski, Robert, MD ................................31

Puher, Melissa, DO ............................... 45, 58Pye, Wesley, MD ......................................... 58

QQadeer, Adnan, MD ........................ 11, 12, 21Quadir, Zafar, MD ................................... 7, 23Quang, David, DO ....................................... 30Quinlan, Maureen, DPM ....................... 41, 72

RR J Drugs ........................................... 89, 116Radiation Oncology Center of Aiken ....... 27Radwan, Mohamed, MD ............................. 58Raine Jr, Charles, MD ................................ 45Ramasamy, Poornema, MD ....................... 58Rameshbabu, Alagusivakumari, MD ............ 7Ramsey, Bonnie, MD ............................ 70, 73Ramsey, Wanda, SLP .............................. 111Rancy, John, CNP .................................... 103Randolph, Lilly, MD .................................... 17Ransom, Joel, MD ...................................... 45Rao, Ambika, MD ........................................ 52Rao, Promila, MD ........................................ 58Rao, Raviprasad, MD ...................... 38, 60, 82Ravenell, Dianna, MD ..................... 31, 38, 64Ravenell, Orson, MD .................................. 64Ravindran, Haran, MD ................................ 45Ray, Donna, MD .......................................... 58Ray, Kevin, DPM ................................... 48, 72Ray, Maggie, MD ......................................... 64Raynor, Jeffrey, MD .................................... 73Reaves, Alvin, MD ....................................... 45Redcross, Joseph, DO ............................... 44Reddy, Pingle, MD ...................................... 70Redmond, Michael, MD ............................ 108Reed, John, MD .......................................... 15Reed, Julie, MD ........................................... 64Reed, Michael, MD ...................................... 15Reeves, Jeremy, MD ................................... 54Rehab and Geriatrics Specialists ............. 90Reid, Taj, CNP .......................................... 103Reliable Medical Equipment ..................... 90Reliant Medical Products .......................... 88Rentz, James, MD ................................. 34, 83Rentz, Sarah, OT ...................................... 105Renza-Stingone, Elizabeth, MD ................. 54Reyland Medical ........................................ 88Reynolds, Freddie, MD ............................... 38Rhame, Robert, MD .................................... 12Rhinehart, Rodney, MD ........................ 42, 50Rhodes, Ellen, CNP .................................... 98Rhoe, Jandrette, MD ................................. 6, 8Rice, Carryn, MD ............................. 11, 12, 21Richardson, Hagood, PT ............ 93, 101, 108Richardson, Richard, MD ........................... 47Richardson, Scott, MD ............................... 81Richeson, Nancy, MD ........................... 17, 59Richland Community Health Care ............ 64Richland Community Healthcare Associates ................................................................. 6, 21Richland County Health Department ..... 102Richland Hospital Internal Medicine ........ 59Rickenmann, Laura, MD ...................... 11, 21Riddle III, Samuel, MD ................................ 78Riddle, Samuel, MD .................................... 78Rider, John, MD .................................... 11, 21Ridgeway Family Practice ........................ 85

Ridgeway, Robert, MD ................................ 30Rileys Drugs ............................................. 115Risinger, Jennifer, MD ................................ 64Risinger, Patricia, MD ........................... 11, 71Rite Aid 06588 .......................................... 118Rite Aid 11569 .......................................... 113Rite Aid 11570 .......................................... 114Rite Aid 11571 .......................................... 115Rite Aid 11572 .......................................... 118Rite Aid 11573 .......................................... 114Rite Aid 11574 .......................................... 115Rite Aid 11575 .......................................... 116Rite Aid 11576 .......................................... 118Rite Aid 11577 .......................................... 118Rite Aid 11578 .......................................... 118Rite Aid 11579 .......................................... 115Rite Aid 11581 .......................................... 115Rite Aid 11582 .......................................... 118Rite Aid 11583 .......................................... 118Rite Aid 11584 .......................................... 118Rite Aid 11585 .......................................... 118Rite Aid 11586 .......................................... 118Rite Aid 11587 .......................................... 118Rite Aid 11588 .......................................... 118Rite Aid 11589 .......................................... 118Rite Aid 11590 .......................................... 115Rite Aid 11592 .......................................... 118Rite Aid 11663 .......................................... 119Rite Aid 11664 .......................................... 114Rite Aid 11665 .......................................... 119Rite Aid 11666 .......................................... 119Rite Aid 11667 .......................................... 119Rite Aid 11669 .......................................... 113Rite Aid 11670 .......................................... 113Rite Aid 11671 .......................................... 113Rite Aid 11672 .......................................... 113Rittenberg, Charles, MD ............................. 64Rivers Pharmacy ..................................... 113Rivers, Cedric, MD ...................................... 59Rizvi, Ali, MD ............................................... 52RMC Internal Medicine and Gastroenterolo ................................................................ 28, 44RMC Pharmacy ........................................ 116Roberts, Carla, MD ..................................... 60Roberts, Juliet, OT .................................... 105Roberts, Robert, MD ........................... 97, 111Robertson, Tracy, MD ................................ 17Robinson, Kari, SLP ................................. 110Robinson, Ronald, MD ............................... 87Robinson, William, MD ............................... 17Roche Pharmacy ..................................... 116Rodrigue, Randolph, MD ............................ 81Rogan, Frances, PT .................... 93, 101, 108Rojas, Michelle, MD .................................... 15Roland, Evelyn, DO .................................... 64Romine, Linda, SLP .................................. 110Rosa, Olga, MD ........................................... 71Ross, John, MD .................................... 28, 45Ross, Lavon, CRNA .................................. 104Rotech ........................................................ 90Rotech Columbia ....................................... 90Rouse, Kelle, MD .................................. 17, 59Rowan, Rebecca, CNP ............................... 98Rowe III, John, MD ...................................... 23Rowe, David, MD ........................................ 79Rubin, Chad, MD .................................. 37, 54Rucker, Ellen, DC ....................................... 32Rusher, Robert, MD .................................... 74

Page 135: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

130

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013Russo, Tanya, DO .................................21, 71Rust, Kevin, MD ...........................................42Ruth, Natasha, MD ......................................70Ryder-Cook, Allan, MD ...............................82Rye, Anna, MD .............................................70

SSaavedra, Roland, MD ............................5, 13Sachdev, Simi, MD ......................................27Safdar, Mohammad, MD ..............................59Salcedo, Jose, MD ......................................79Samies, John, MD .......................................45Samples, Terri, PT .....................................108Sampson, Donald, MD ................................59Sams Pharmacy 10-6203 .........................115Sams Pharmacy 10-8283 .........................118Sanders, Michael, MD .............................5, 13Sandhill Family Pharmacy .......................118Sandhills Medical Foundation ........................................6, 22, 32, 77, 96, 111Sandhills Medical Pharmacy ...........114, 118Sandhills Obgyn Associates .....................64Sandhills Pediatrics .............................41, 71Sanito, Nicholas, DO ...................................27Santee Cooper OB GYN Associates P A ..30Santee Dialysis ...........................................89Santee Express Care ..................................89Santee Family Medical Center ...................46Saunders, Katherine, ARNP ......................111Savidge, Margaret, SLP ..............................98Sawyer, Ondria, ARNP ................................96Say and Play ...............................................90SC Dhec - Hemophilia Program ..............116SC Dhec Bureau of Laboratories ..............90SC Dhec Region 3 Home Health Services ..........................................................87, 88, 89SC Dhec Region 4 East Home Health Servic ................................................................87, 88SC Dhec Region 5 Home Health Services 87SC Medical Endoscopy ..............................89SC Nephrology and Hypertension ......28, 46SC Oncology Retail Pharmacy ................118SC Orthopaedic Institute ...........................89Schaefer, Catherine, MD .............................15Schaller, Stephanie, CNP ....................97, 105Scheele, Larry, OD ......................................78Scheuer-Smith, Abigail, MD ..................38, 64Schlueter, Eric, MD .......................................4Schneider, Nicole, PT .................93, 101, 108Schock, Winslow, DC ..................................80Schultz Jr, Jack, SLP ..................................94Schultz Speech Therapy Services ............87Schulze, Robert, MD .............................50, 51Schwartz, Matthew, MD ........................34, 83Schwartz-Watts, Donna, MD ......................73Schwarz, Eugene, MD .................................51Scott, Todd, MD ...........................................34Scouten, Susan, CNP .................................96Seibert, Jennifer, OD .............................40, 67Seidel, Amy, MD ..........................................51Selph, James, MD .......................................62Sen, Souvik, MD ..........................................62Setzler Brown, Rachel, MD .........................15Shafer, Janet, SLP .....................................102Shaffer, Loretta, CNP ..................................96Shafi, Nusrat, MD ........................................15Shah, Amit, MD ............................................24Shah, Deepak, MD .................................32, 79

Shah, Gaurang, MD .................................... 24Shah, Gopi, MD ..................................... 31, 51Shah, Jugalkishor, MD ................................ 80Shah, Khyati, MD ........................................ 24Shah, Vipul, MD .................................... 32, 80Shakir, Nailah, 99999 ............................... 110Shannon, Timothy, MD ............................... 27Shapiro, Arnold, OD ................................... 47Sharaf, Idris, MD ......................................... 25Sharma, Deovyaas, MD .......................... 7, 24Sharma, Ramesh, MD ................................ 35Sharp, Frank, MD .................................... 7, 24Shaw, Renee, LMHC ................................ 111Shaw, Shanita, SLP .................................. 102Shay, Dennis, DC ........................................ 43Shealy, Carl, MD ......................................... 61Shealy, Jerri, MD ........................................ 11Shealy, Keith, MD ................................... 7, 24Sheldon, Martin, MD ................................... 59Shelver, Lyle, MD ....................................... 46Shenoy, Naren, MD .............................. 11, 21Shenoy, Rajeev, MD ................................... 61Shepard, Gary, OD ..................................... 27Shockney, Sara, OD ................. 40, 47, 67, 68Shoes Etc ................................................... 90Shrouds, Richard, MD .................... 11, 21, 71Shuler, C, MD ....................................... 48, 69Shuler, Vannbeth, MD .......................... 13, 44Shure, David, MD ........................................ 61Siberts Drug Store ................................... 118Sides, Andrew, MD ..................................... 59Siegel, Lawrence, MD ................................. 71Siegmann, James, MD ........................... 6, 22Simmons, Oliver, MD ........................... 31, 52Sims, Kerry, MD .......................................... 64Singh, Pradeep, MD ................................... 80Singhi, Sushil, MD ...................................... 80Single, Daniel, MD ...................................... 41Singleton Health Center ............................ 44Singleton, Monnieque, MD ......................... 13Singleton-Brown, Katrica, SLP ................ 111Sirinvaravong, Sirinart, MD ........................ 52Sisters of Charity Providence Hospitals . 86Sivad Primary Care and Associates ...... 104Sizemore, Patrick, MD ................................ 33Sleep RX ..................................................... 42Sleepmed ....................................... 42, 43, 74Slota, Paul, MD ..................................... 32, 80Small Talk Speech Pathology Services ... 87Smarr, Eric, PT ........................................... 97Smith II, Jeffrey, MD ................................... 77Smith Jr, Lenwood, MD .............................. 62Smith Jr, Robert, MD ............................ 31, 60Smith, Brian, MD ......................................... 74Smith, Daniel, MD ....................................... 26Smith, Elizabeth, OT ................................. 105Smith, George, MD ..................................... 78Smith, Gregory, MD .................................... 61Smith, Kate, MD ............................................ 6Smith, Leah, MD ......................................... 21Smith, Marie, MD .................................. 38, 64Smith, Nakia, MD ........................................ 13Smith, Patricia, CNM .................................. 98Smith, Sabra, ARNP ................................. 104Smith, Sarah, MD ....................................... 64Smith, Sarah, SLP ...................................... 98Smith, Sidney, MD ...................................... 55Smith, Triz, MD ........................................... 78

Smith, Walter, MD ......................................... 5Smp Medical Products .............................. 90Smyth, Michael, MD .................................... 43Smythe II, Alexander, MD ........................... 64Snape, Kirsten, PT ...................... 93, 101, 108Snell, Cynthia, MD ...................................... 66Solaja, Mojibola, MD ................................... 21Solnick, Mark, PhD ..................................... 73Sommer, Jenna, PT .................................. 108Sommers, Scott, MD .................................. 55Sonek, Mojmir, MD ...................................... 64Soroos, Jennifer, MD .................................. 21Soto, Carlos, MD ......................................... 53South Carolina ENT Allergy and Sleep Med ................................................................ 31, 52South Carolina Neurological Clinical . 38, 62South Carolina Oncology Associates ...... 60South Carolina Orthopaedic Institute ...... 47South Carolina Urological Consultants ... 75South End Pharmacy ............................... 119South Lake Obgyn ..................................... 38South Orangeburg Dialysis ...................... 89Southeastern ENT Allergy and Sleep Disor ...................................................................... 52Special Care Medical of SC West Colu .... 88Specialized Mobility .................................. 88Speechworks ............................................. 90Spencer Jr, Thomas, MD ............................ 79Spiers, Jason, MD ...................................... 74Spiryda, Lisa, MD ....................................... 64Spittler, Michelle, OD ............................ 40, 68Spittler, Shane, OD .................................... 47Springdale Pharmacy .............................. 115Springs Memorial Hospital ....................... 86Sprout Pediatrics ....................................... 90Sribnick, Wayne, MD .................................. 17Srikantiah, Saraswati, MD .......................... 59Srinivasan, Shilpa, MD ............................... 73St Andrews Chiropractic Clinic ................ 51St Matthews Family Practice .................... 29Stacy, Jason, MD .................................. 15, 75Stafford, Timothy, OD ..................... 41, 43, 68Stahura, Douglas, DO ........................... 26, 29Stallings, Lisa, SLP .................................. 110Stallworth, James, MD ............................... 21Stanfield, Robin, MD ................................... 21Stanford, Kerri, SLP .................................. 110Stavrou, William, MD .................................. 76Steindorf, Elayne, CRNA .......................... 111Stephens, Sandra, MD ............................... 13Stephenson, Kathryn, MD .......................... 21Stepping Stones Pediatric Therapy ......... 91Sterling Ear Nose and Throat ................... 44Stewart, Ada, MD ........................................ 15Still Boylston, Elizabeth, PT ...................... 95Stinson, Michael, MD .................................. 59Stoeppler, Victoria, MD ................................. 4Stoker, James, PT ...................... 94, 101, 108Stone, Judy, MD ......................................... 45Story, Frances, MD ..................................... 34Stowes Family Pharmacy ....................... 118Strayer, Scott, MD ...................................... 15Stroebel, Kurt, MD ...................................... 78Strohecker, James, MD .............................. 37Stuck, Craig, MD ......................................... 62Stuck, Deborah, MD ..................................... 6Stuck, Judy, CNP ...................................... 104Stuck, William, MD ................................ 42, 51

Page 136: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

131

Studnicka, Benedict, MD .............................17Sturgis III, Nelson, MD ................................23Suber, Dealva, MD ......................................54Suber, James, DPM .....................................72Suchinda, Pusadee, MD .............................77Sullivan, Catherine, PT .......94, 101, 108, 109Sullivan, Scott, MD ......................................60Summerton Drugs ..............................87, 114Summerton Drugs Compounding and Dis-pensa .........................................................114Summit Plastic and Hand Surgery ............84Sumter County Health Department .........110Sumter Cut Rate Drugs ............................119Sumter Family Health Center ..............23, 85Sumter Family Health Center Pharmacy 119Sumter Family Medicine ............................76Sumter Internal Medical Associates .........77Sumter Medical Supplies ...........................90Sumter Obgyn .............................................78Sumter Pediatrics .......................................79Sumter Plastic and Reconstructive Surger ......................................................................79Sumter Surgical ..........................................77Sumter Urological ......................................79Sunrise Medications and Infusion Pharmac ....................................................................115Sunset Pharmacy .....................................115Sup RX Pharmacy ....................................119Sup-RX Pharmacy ....................................116Suprx Pharmacy ...............................114, 119Surgical Associates of South Carolina ................................................................37, 54Sussman, Hy, MD .................................26, 29Sutton, Timothy, PT ...................................109Sweatman, Carl, MD ...................................54Sweet, Raymond, MD ..................................62Swift, Jamie, SLP ......................................110Sycamore Health Care ...............................94Szadek, Laura, ARNP ................................104

TT Rhett Spencer MD ...................................79Taber, Scott, MD ....................................37, 54Tafari, Gashaw, MD .....................................24Talente, Gregg, MD ...............................21, 59Tam, Henry, MD .............................................4Tarasidis, Gregory, MD ...............................42Tarekegne, Mulugeta, MD ...........................59Target ................................113, 115, 118, 119Taylor, Charis, MD .......................................17Taylor, Jill, SLP ............................................95Taylor, Margaret, CNP .................................94Taylor, Roger, MD .......................................21Taylor, Scarlet, MD ........................................8Taylor, William, MD ...............................11, 21Team Therapy SC .......................................90Tega Cay Family Pharmacy .....................119Terry, Robert, MD ........................................25Thapa, Nita, MD .........................31, 38, 39, 64Tharp, Shonna, CNP ...................................99The Center For Orthopaedic Surgery .......91The Eye and Laser Center .........................34The Foot Institute .....................................116The Forms Boutique ..................................90The Hfm Cntr For Cancer Care ................116The Medicine Mart ............................113, 114The Neurology and Pain Clinic .................46

The Pain Center of First Choice Healthca ....................................... 41, 69, 79, 88, 90, 91The Prescription Shoppe ........................ 116The Regional Medical Center Orangeburg ..................................................................... 86The Therapy Place ..................................... 90The University of South Carolina ............. 89Thoma, Whitney, MD .................................. 47Thomas Bridges, Lashawn, SLP ............. 110Thomas Drug Store ........................... 88, 114Thomas, Christie, MD ........................... 11, 22Thomas, Derek, MD .................................... 76Thomas, Mathew, MD ................................. 28Thomas, Sherry, SLP ............................... 110Thomas, Sidney, OD .................................. 47Thompson, Catherine, DO ......................... 30Thompson, John, MD ........................... 12, 42Thompson, Sarah, MD ............................... 11Thorp, James, MD ...................................... 82Threatt, Deanna, MD .............................. 7, 24Three Rivers Medical Associates ..... 59, 104Three Rivers Obgyn Associates ...... 64, 104Thurmond, Carl, MD ................................... 51Tiedt, Douglas, MD ..................................... 34Tiffany, John, MD ......................................... 4Tildon, Toni, MD ................................... 41, 71TLC Medical Centre ................................. 113Todd, Marc, MD .......................................... 22Toliver-Dingle, Peggy, MD ......................... 17Tollison, Steven, MD .................................. 30Toomer, Catherine, MD ................................ 4Torian, Cruddie, MD ................................... 72Total Foot Care .......................................... 48Toussaint, Charles, MD .............................. 62Towns, Danielle, MD ..................................... 7Townsend, Richard, MD ............................. 34Trakas, Erin, MD ............................. 11, 12, 22Tri County Home Health ................ 88, 90, 91Tri County Pediatrics ................................ 84Tri County Speech Pathology Services ... 89Triangle Pharmacy .................................. 115Tribble, David, MD ...................................... 54Tribble, James, MD .............................. 37, 54Tribble, Reid, MD ........................................ 75Trident Medical Center .............................. 86Trmc ECG EKG .......................................... 46Trmc FNP ................................................... 99Trmc Hospitalists .................... 46, 48, 49, 99Truesdale, Diane, MD ................................. 74Truesdale, Lakisha, SLP ............................ 96Trzcinski, Patricia, CRNA ......................... 111Tsai, Enoch, MD ......................................... 26Tucker Human Resources Center Phy .. 118Tucker, Michael, MD ................................... 69Tuomey Gastroenterology Services ........ 76Tuomey Healthcare Center ....................... 91Tuomey Obgyn Services ........................... 78Tuomey Regional Home Health ................ 91Tuomey Regional Medical Center ............ 86Turner, Allison, PT ...................... 94, 101, 109Twaddle, Carianna, PT ....................... 94, 109Twelve Mile Creek Family Medicine ......... 37

UUgino, Michael, MD .................................... 75Ulrich, Robert, DO ...................................... 77Um, Chansina, DPM .............................. 41, 72Umeh, Uchenna, MD ..................................... 7

United Pharmacy Services of Lexington 115University Family Medicine ....................... 59University Pediatrics ........................... 71, 73University Primary Care ............................ 71University Speciality Clinics Neurosurge .................................................................... 104University Specialty Clinics College of . 104University Specialty Clinics Department .................................................................... 104University Specialty Clinics Dept of Sur . 55University Specialty Clinics Int Med ........ 51University Specialty Clinics Neurology ... 62University Specialty Clinics Neurosurger 62University Specialty Clinics Obgyn ......... 64University Specialty Clinics Ophthalmolo ................................................................ 39, 66University Specialty Clinics Orthopaedic 69University Specialty Clinics-Endocrinolo 52University Specitaly Clinics Im McC Clin .................................................................... 104Usc Department of Family and Preventive ...................................................................... 53Usc School of Medicine Dpt of Internal M 73Usmani, Abdul, MD ............................... 59, 61

VVakani, Rajesh, MD .................................... 51Valpey, Jack, MD ........................................ 65Value Pak Discount Drugs ...................... 114Van Horn Jr, Stephen, MD ......................... 51Vance, Darren, PT ...................... 94, 101, 109Vance, Robin, SLP .................................... 109Vande Stouwe, Robert, MD .................. 36, 49Vandorsten, James, MD ............................. 65Vanduys, Linda, CNP ............................... 104Varnedoe, Danielle, SLP .......................... 110Varughese, Beena, MD .............................. 15Vascular Solutions .................................... 35Vastis, Brook, OD ....................................... 68Vaughters III, Ray, MD ............................... 25Vaughters Jr, Ray, MD ................................. 4Vazquez, Nelson, OT .................. 92, 100, 105Velasco, Juan, MD ...................................... 33Veys, Joseph, MD ....................................... 49Vidal, Rachel, MD ....................................... 59Vidrine, David, MD ................................ 31, 32Villamor, Shelaila, DO ................................ 24Villaret, Douglas, MD .................................. 80Vismara, Vince, MD .................................... 51Vital Energy Occupational Therapy and We ...................................................................... 88VNA of Greater Bamberg .......................... 87Vonbuedingen, Richard, MD ...................... 28Voss, Frank, MD ......................................... 69

WWaddell, Lisa, MD ....................................... 72Waganer, Melissa, OT .............................. 111Wagener Drug Co .................................... 113Wagener Medical Center ............................. 4Wagner, Elizabeth, PT .............................. 109Wagner, Virginia, MD ............................ 13, 48Wahler, Suzanne, DC ................................. 80Wal Mart 10-0511 ..................................... 119Wal Mart 10-0514 ..................................... 113Wal Mart 10-0585 ..................................... 119Wal Mart 10-0616 ..................................... 116

Page 137: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

132

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013Wal Mart 10-0624 ......................................116Wal Mart 10-0634 ......................................114Wal Mart 10-0795 ......................................114Wal Mart 10-0881 ......................................115Wal Mart 10-1017 ......................................114Wal Mart 10-1030 ......................................114Wal Mart 10-1144 ......................................119Wal Mart 10-1164 ......................................115Wal Mart 10-1183 ......................................115Wal Mart 10-1270 ......................................113Wal Mart 10-1286 ......................................118Wal Mart 10-1339 ......................................118Wal Mart 10-2214 ......................................118Wal Mart 10-2606 ......................................114Wal Mart 10-3733 ......................................119Wal Mart 10-4379 ......................................118Wal Mart 10-4440 ......................................118Wal Mart 10-4487 ......................................113Wal Mart 10-4506 ......................................118Wal Mart 10-4521 ......................................116Wal Mart 10-4593 ......................................119Wal Mart Stores East LP ................26, 30, 32, 34, 39, 43, 47, 66, 78, 82Walden, Taylor, OD .....................................34Waleh, Meshia, MD ......................................17Walgreens .................................................120Walgreens 10226 ......................................118Walgreens 10227 ......................................118Walgreens 10228 ......................................118Walgreens 10230 ......................................116Walgreens 10448 ......................................114Walgreens 10581 ......................................113Walgreens 10614 ......................................120Walgreens 1073 ........................................116Walgreens 10838 ......................................120Walgreens 11210 ......................................120Walgreens 11362 ......................................116Walgreens 11379 ......................................118Walgreens 11433 ......................................118Walgreens 11724 ......................................119Walgreens 11849 ......................................113Walgreens 11851 ......................................116Walgreens 11968 ......................................120Walgreens 12163 ......................................116Walgreens 12478 ......................................118Walgreens 12512 ......................................116Walgreens 12677 ......................................118Walgreens 12795 ......................................113Walgreens 4842 ........................................120Walgreens 6074 ........................................119Walgreens 6136 ........................................118Walgreens 6137 ........................................116Walgreens 6262 ........................................118Walgreens 7399 ........................................116Walgreens 7506 ........................................116Walgreens 9232 ........................................114Walgreens 9276 ........................................119Walgreens 9487 ........................................118Walgreens 9805 ........................................118Walgreens 9879 ........................................116Walker Jr, Mackie, DPM ..............................27Walker, Crystal, CNP .................................104Wallace, Timothy, MD ....................................8Wallart, Theresa, SLP ...............................110Walmart Pharmacy 10-5745 .....................120Walsh IV, John, MD .....................................69Walsh, Eileen, MD .......................................22Walvoord, Charles, MD ...............................39

Wangeh, Joseph, MD ....................... 5, 13, 48Waraich, Afsar, MD ..................................... 29Ward, Elizabeth, SLP ................................ 110Warren, Mary, PhD ..................................... 73Wateree Crs ............................................. 111Watkins, Kesha, CNP ..................... 94, 95, 99Watson, Christopher, MD ........................... 55Watson, Kenya, SLP ................................. 110Watson, Randy, MD ...................................... 4Watson, Stephen, MD ................................. 60Waywood, Beth, AuD ............................... 102Wearden, Steven, OD ................................. 30Weathers, Everette, MD ............................. 45Weaver, Elizabeth, OT ................................ 95Webb, Lee, CNP ....................................... 104Webb, Sharon, MD ...................................... 62Wechsler, Jason, DO .................................. 46Wee Talk Therapy Services ...................... 89Weiner, Lawrence, MD ......................... 36, 49Weircox, Kaylene, MD ................................ 55Weissman, Sharon, MD .............................. 56Welch, Erin, PT ........................... 94, 101, 109Wells III, John, MD ................................ 39, 66Wells Jr, James, MD ................................... 43Wells, David, MD ........................................ 82Wells, Marion, MD ................................. 31, 51Welsh, James, MD ................................ 33, 81Welsh, Robin, MD ....................................... 70Welvista .................................................... 118Wenner, Allen, MD ........................................ 8Werle-Adams, Manda, AuD ................ 96, 102Wesmark Ambulatory Surgery ................. 90Wessinger, Kevin, MD .................... 11, 22, 71West, Markeeta, MD ..................................... 7Westcott, Allison, MD ................................. 65Westerkam, William, MD .......................... 109Wetzel, Ryan, MD ................................. 41, 69Wheeler, Thomas, MD ................................ 61Whetsell, Carl, MD ...................................... 23Whitaker, Robert, MD ........................... 11, 22White Jr, Charles, MD ................................ 79White Oak Manor Columbia ...................... 90White Oak Manor Newberry ...................... 89White Oak Manor of York .......................... 91White Oak Manor Rock Hill ....................... 91White, Amie, PT .......................... 94, 101, 109White, Denise, SLP ................................... 102White, Mary, SLP ...................................... 111White, Rebecca, MD ............................. 11, 12Whites Medical Rentals ............................. 89Whiteside, Daniela, MD .............................. 66Whiteside, Jane, CNP ................................ 96Whitney, Joshua, PT ................................ 109Whittington, Crystal, OD ............................ 41Wibert, Angela, DC ..................................... 51Wideman, Vanessa, MD ............................. 15Widener, Rebecca, MD ............................... 22Wienecke, Matthew, MD ................. 51, 69, 76Wiesner, Jessica, PT ................................ 101Wild, Garner, MD .................................. 39, 66Wild, Mark, MD ........................................... 65Wilkes, Anna, SLP .................................... 110Willard IV, William, MD ................... 11, 22, 71Willcox III, Hugh, MD ............................ 37, 55William D Glenn IV MD .............................. 28Williams III, Eddie, MD ............................... 74Williams III, Luther, MD .............................. 69Williams III, Theophilus, MD ....................... 76

Williams Jr, Barney, MD ............................. 78Williams Jr, James, MD .......................... 8, 55Williams, Alana, MD ................................... 55Williams, Andrea, MD ................................. 81Williams, Antoinette, MD ............................ 74Williams, Eric, MD ...................................... 70Williams, Jamie, SLP .................................. 95Williams, Jaymas, CNP .............................. 96Williams, Katrina, LMHC ........................... 102Williams, Teresa, MD ................................. 48Williams-Bowens, Jean, CNP .............. 95, 99Williamson, James, MD .............................. 47Willis, Cheryl, SLP ...................................... 94Willis, Heather, SLP .................................... 98Williston Family Practice ............................ 5Wilson, Dennis, MD .................................... 75Wilson, Gerald, MD ..................................... 75Wilson, Lorna, OD ...................................... 68Wilson, Lynn, MD ........................... 11, 12, 22Wilson, Tanya, SLP .................................. 110Winburn, Virginia, MD ................................. 25Windsor Manor Nursing Facility ............... 87Wingo, Timothy, MD ................................... 53Winter, Jill, PT ........................................... 112Wisdom, Leslie, SLP ................................ 110Wisdom, Matthew, MD ................................ 59Wise, Rudolph, MD ..................................... 55Wise, Sharon, APRN ................................... 94Witherspoon, Alexandra, MD ....................... 8Witherspoon, Bartlett, MD .......................... 74Witherspoon, Patricia, MD ......................... 15Witt, Darrell, OD .................................... 32, 68Witt, Victoria, CNM ...................................... 98Wofford, Charlie, MD .................................... 8Wolfe, Dana, CNP ....................................... 97Women Physicians Associates Obgyn .... 65Woodbury, Lee, MD ..................................... 7Wooten, Jessica, PT ................... 94, 101, 109Wooten, Sally, MD ...................................... 49Woriax, Fredric, MD ...................................... 4Workman, Marlene, PT ............... 94, 101, 109Wozniak, Robert, MD .................................. 81Wright Jr, Ben, MD ..................................... 74Wright, David, MD ................................. 35, 84Wu, Yan, OD ............................................... 27

YYajnik, Bhavana, MD .... 38, 41, 42, 60, 61, 82Yaraei, Julia, MD ......................................... 24Yeon, Philip, MD ......................................... 56Ylanan, Ramon, MD .............................. 15, 75Yoon, Chung, MD ....................................... 59York County Health Departmentn .......... 112York Pediatrics .......................................... 84Yorkville Pharmacy ......................... 119, 120Youmans, Tonia, MD .................................. 46Young, Stewart, MD .................................... 15Yount, Jessica, OT ...................................... 96Yousefian, Payam, MD ............................... 15Yousufuddin, Mohammed, MD .................. 75Yunis, Muhammad, MD ........................ 28, 44

ZZamcho, Anthony, MD ................................ 46Zargham-Koranloo, Kamran, MD .............. 30Zeplin, Vincent, OD ......................... 41, 47, 68Zhang, Daoling, MD .................................... 47

Page 138: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

INDEX OF PROVIDERSWELLCARE OF SOUTH CAROLINA SEPTEMBER 2013

133

Zhang, Jing, MD ..........................................52Zoller, Kristi, SLP .......................................110Zotovic, Danijela, MD ....................................4Zotovic, Miroslav, MD ..................................27Zubel, Paul, DO ...........................................79

Page 139: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:
Page 140: 2013 Provider Directory Directorio de Proveedores...Este es su directorio de proveedores de WellCare. Es un listado de todos los proveedores en nuestra red. Estos proveedores incluyen:

1-888-588-9842 (TTY/TDD 1-877-247-6272)southcarolina.wellcare.com