MEDICARE: DR. HEINZ-PETER SCHAFER M. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	24162	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	SC0795	OTHER	SC	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083694335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEINZ-PETER SCHAFER M. D.

Provider Business Mailing Address
First Line	:	86 WREN ST
Second Line	:
City	:	BARNWELL
State	:	SC
Zip	:	29812-1529
Country	:	US
Telephone Number	:	803-259-5762
Fax Number	:	803-259-3250

Provider Business Practice Location Address
First Line	:	13975 CHURCH ST
Second Line	:
City	:	WILLISTON
State	:	SC
Zip	:	29853-5835
Country	:	US
Telephone Number	:	803-266-0060
Fax Number	:	803-266-0042

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	12/27/2018

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