Ms Tricia Payne, LISW-CP | |
4220 Carolina Exchange Dr, Myrtle Beach, SC 29579-4220 | |
(843) 663-8000 | |
Not Available |
Full Name | Ms Tricia Payne |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4220 Carolina Exchange Dr, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356740351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 11572 (South Carolina) | Primary |
1041C0700X | Social Worker - Clinical | 8412-123 (Wisconsin) | Secondary |
Entity Name | Little River Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629021076 PECOS PAC ID: 2961309315 Enrollment ID: O20031215000742 |
Entity Name | Sandhills Intergrated Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548757123 PECOS PAC ID: 1052732682 Enrollment ID: O20200605001419 |
Entity Name | Oceanic Counseling Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922631522 PECOS PAC ID: 4486067600 Enrollment ID: O20210107002393 |
Mailing Address | Practice Location Address |
---|---|
Ms Tricia Payne, LISW-CP Po Box 547, Little River, SC 29566-0547 Ph: (843) 663-8000 | Ms Tricia Payne, LISW-CP 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579-4220 Ph: (843) 663-8000 |
Marcy Ann Cates, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 Johnson Ave Ste 204, Myrtle Beach, SC 29577 Phone: 843-477-0177 | |
Mr. Phillip Fleckenstein, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6215 Highway 707, Myrtle Beach, SC 29588 Phone: 843-273-0077 Fax: 843-273-0075 | |
Mr. Kenneth Thomas Cappuccio, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2195 Haystack Way, Myrtle Beach, SC 29579 Phone: 908-447-2913 | |
Ms. Tracy L. Freeman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5020 Vinesia Dr, Myrtle Beach, SC 29579 Phone: 860-620-7197 | |
Mr. John Anthony Roman Ii, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 917 Broadway St Ste 3, Myrtle Beach, SC 29577 Phone: 843-582-7887 Fax: 843-800-0061 | |
Lynn Ann Repasky, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Johnson Ave # 134d, Myrtle Beach, SC 29577 Phone: 843-232-2435 | |
David Thomas Lane, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1101 Johnson Ave, Myrtle Beach, SC 29577 Phone: 843-457-2122 |