244 CHURCH ST
SUMTER, SC 29150-4256 US PECOS Enrolled
maCdonald Mayes Dubose
Family Medicine Physician (Geriatric)
- SUMTER, SC
- Phone: (803)-775-1001
- Last Updated 6/27/2011
Overview
maCdonald Mayes Dubose is a Family Medicine Physician (Geriatric) in the SUMTER area and has over 24 years of experience. maCdonald Mayes Dubose primary office location is at 244 CHURCH ST and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of South Carolina School Of Medicine and graduated 2000
maCdonald Mayes Dubose is affiliated with fifteen hospitals in the SUMTER area, including . The NPI number is 1265418164 and the information was updated approximately 13 years ago.
maCdonald Mayes Dubose is affiliated with one medical group in the SUMTER area, CAROLINA GERIATRIC SPECIALISTS, LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 22541 | SC |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 225412 | SC |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician (Geriatric) - Taxonomy Code 207QG0300X | SC | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050810000444 |
| PECOS Individual PAC ID: | 3870574288 |
| 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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