Dr Joan M Wiss, MD | |
917 Medical Circle, Myrtle Beach, SC 29572 | |
(843) 449-0453 | |
(843) 282-1910 |
Full Name | Dr Joan M Wiss |
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Gender | Female |
Speciality | Dermatology |
Location | 917 Medical Circle, 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 |
---|---|---|---|
1093759755 | NPI | - | NPPES |
185604 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 18560 (South Carolina) | Primary |
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 | Physicians At Home Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487073193 PECOS PAC ID: 2365661543 Enrollment ID: O20140922000188 |
Mailing Address | Practice Location Address |
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Dr Joan M Wiss, MD 917 Medical Circle, Myrtle Beach, SC 29572 Ph: (843) 449-0453 | Dr Joan M Wiss, MD 917 Medical Circle, Myrtle Beach, SC 29572 Ph: (843) 449-0453 |
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 |