Dr Brandon James Coakley, MD | |
917 Medical Cir, Myrtle Beach, SC 29572-4116 | |
(843) 449-0453 | |
(843) 449-9531 |
Full Name | Dr Brandon James Coakley |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 12 Years |
Location | 917 Medical Cir, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992065858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD40685 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Waccamaw Dermatology Llc | 7315021169 | 15 |
Entity Name | Waccamaw Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962449181 PECOS PAC ID: 7315021169 Enrollment ID: O20080303000763 |
Entity Name | Waccamaw Plastic Surgery, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790406189 PECOS PAC ID: 7618343369 Enrollment ID: O20221020001067 |
Mailing Address | Practice Location Address |
---|---|
Dr Brandon James Coakley, MD 917 Medical Cir, Myrtle Beach, SC 29572-4116 Ph: (843) 449-0453 | Dr Brandon James Coakley, MD 917 Medical Cir, Myrtle Beach, SC 29572-4116 Ph: (843) 449-0453 |
Dr. Joan M Wiss, MD Dermatology Medicare: Medicare Enrolled Practice Location: 917 Medical Circle, Myrtle Beach, SC 29572 Phone: 843-449-0453 Fax: 843-282-1910 | |
Dr. Robert Scott Purvis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3001 Newcastle Loop, Attn: Lisa Bass, Myrtle Beach, SC 29588 Phone: 843-215-1100 Fax: 843-215-1211 | |
Richard Joseph Lucariello, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5046 Highway 17 Byp S Ste 200, Myrtle Beach, SC 29588 Phone: 843-449-0453 | |
Dr. Michael Robert Centilli, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 199 Village Center Blvd Ste 200, Myrtle Beach, SC 29579 Phone: 843-738-0500 Fax: 437-380-5058 | |
Christopher Brian Skvarka, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3001 Newcastle Loop, Attn: Lisa Bass, Myrtle Beach, SC 29588 Phone: 843-215-1100 Fax: 843-215-1211 | |
Daniel B Ward Jr., M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 8208 Devon Ct, Suite B, Myrtle Beach, SC 29572 Phone: 866-985-3376 Fax: 843-839-2464 | |
Taylor Todd, NP-C Dermatology Medicare: Medicare Enrolled Practice Location: 917 Medical Cir, Myrtle Beach, SC 29572 Phone: 843-449-0453 |