3600 SEA MOUNTAIN HIGWAY SUITE C
LITTLE RIVER, SC 29566 US PECOS Enrolled
Stephen D. Grubb
Family Medicine Physician
- LITTLE RIVER, SC
- Phone: (843)-399-4848
- Last Updated 11/2/2022
Overview
Stephen D. Grubb is a Family Medicine Physician in the LITTLE RIVER area and has over 49 years of experience. Stephen D. Grubb primary office location is at 3600 SEA MOUNTAIN HIGWAY and new patients are welcome to contact this healthcare provider for an appointment. He attended Washington University School Of Medicine and graduated 1975
Stephen D. Grubb is affiliated with six hospitals in the LITTLE RIVER area, including . The NPI number is 1689672784 and the information was updated approximately 2 years ago.
Stephen D. Grubb is affiliated with one medical group in the LITTLE RIVER area, SC HOUSE CALLS INC.
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 |
|---|---|
| 22475 | NC |
| 7841 | SC |
| Type/Issuer | Identifier | State |
|---|---|---|
| BCBS | 561243962 | SC |
| CIGNA MEDICARE | 0363 | NC |
| MEDICAID | 890291H | NC |
| MEDICAID | E16113 | SC |
| MEDICAID | 5950176 | NC |
| CIGNA MEDICARE | 2315069 | NC |
| MEDICAID | 5950653 | NC |
| BCBS | 570941629 | SC |
| RAILROAD MEDICARE | CA9980 | NC |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | SC | Y |
| Family Medicine Physician - Taxonomy Code 207Q00000X | NC | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20101014001005 |
| PECOS Individual PAC ID: | 0749219350 |
| 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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