Dr Derek David Kestila, DO | |
6010 Highway 707, Ste 100, Myrtle Beach, SC 29588-7321 | |
(843) 234-8939 | |
(843) 234-8959 |
Full Name | Dr Derek David Kestila |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 6010 Highway 707, 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 |
---|---|---|---|
1154761252 | NPI | - | NPPES |
834690 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 83469 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Conway Medical Center | Conway, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conway Hospital Inc | 7113839606 | 98 |
Entity Name | Conway Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111 |
Mailing Address | Practice Location Address |
---|---|
Dr Derek David Kestila, DO 300 Singleton Ridge Road, Attention Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Dr Derek David Kestila, DO 6010 Highway 707, Ste 100, Myrtle Beach, SC 29588-7321 Ph: (843) 234-8939 |
Ms. Vasiliki Papathanasiou, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Mcleod Health Blvd Ste 201, Myrtle Beach, SC 29579 Phone: 843-646-8001 Fax: 843-646-8002 | |
Dr. Naketa Thomas, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5023 Carolina Forest Blvd, Myrtle Beach, SC 29579 Phone: 843-497-5929 Fax: 833-449-3251 | |
Dr. Edwin Lee Mccampbell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4591 Socastee Blvd, Myrtle Beach, SC 29588 Phone: 843-497-5929 Fax: 866-778-9611 | |
Jason Douglas Harrah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 907 Startek Dr, Myrtle Beach, SC 29579 Phone: 843-646-8001 Fax: 843-646-8802 | |
Rachel Lea Livengood, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 945 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-497-5929 | |
Dr. Saint Julien Lachicotte Springs Ii, M.D, MHA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4301 Dick Pond Rd, Myrtle Beach, SC 29588 Phone: 843-652-8100 Fax: 843-652-8122 | |
Amanda M. Schimnowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579 Phone: 843-236-2700 Fax: 843-236-2726 |