701 MEDICAL PARK DR STE 301
HARTSVILLE, SC 29550-4779 US PECOS Enrolled
Overview
Mark A Stellingworth is a Cardiologist in the HARTSVILLE area and has over 24 years of experience. Mark A Stellingworth primary office location is at 701 MEDICAL PARK DR STE 301 and new patients are welcome to contact this healthcare provider for an appointment. He attended Louisiana State University School Of Medicine In New Orleans and graduated 2000
Mark A Stellingworth is affiliated with two hospitals in the HARTSVILLE area, including CAROLINA PINES REGIONAL MEDICAL CENTER. The NPI number is 1003000936 and the information was updated approximately 2 years ago.
Mark A Stellingworth is affiliated with one medical group in the HARTSVILLE area, PRISMA HEALTH MEDICAL GROUP-MIDLANDS.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 024969 | LA |
| 36377 | SC |
| Board Certifications |
|---|
| Advanced Heart Failure and Transplant Cardiology |
| Cardiovascular Disease |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAL LICENSE | TL36377 | SC |
| MEDICAL LICENSE | 024969 | LA |
| MEDICAID | 363779 | SC |
| Taxonomy | State | Primary? |
|---|---|---|
| Cardiologist - Taxonomy Code 207RC0000X | SC | Y |
| Cardiologist (Advanced Heart Failure and Transplant) - Taxonomy Code 207RA0001X | SC | N |
| Cardiologist - Taxonomy Code 207RC0000X | LA | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20140108000857 |
| PECOS Individual PAC ID: | 9739278128 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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