Dr Juan A Asensio-gonzalez, MD, FACS, FCCM, FR | |
920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4181 | |
(843) 497-6348 | |
(843) 497-6351 |
Full Name | Dr Juan A Asensio-gonzalez |
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Gender | Male |
Speciality | Surgery - Trauma Surgery |
Location | 920 Doug White Dr Ste 210, 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 |
---|---|---|---|
1295793149 | NPI | - | NPPES |
01168327 | Medicaid | NY |
Entity Name | Alegent Creighton Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
Mailing Address | Practice Location Address |
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Dr Juan A Asensio-gonzalez, MD, FACS, FCCM, FR 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4181 Ph: (843) 497-6348 | Dr Juan A Asensio-gonzalez, MD, FACS, FCCM, FR 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4181 Ph: (843) 497-6348 |
Steven A Matzinger, MD PH.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 849 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351 | |
George B Nicholson Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 845 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-449-9621 Fax: 843-449-4921 | |
Dr. Ralph Wesley Vosburg, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351 | |
Teresa Regina Kontos, MD Surgery Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Mark Richard Borowicz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 845 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-449-9621 Fax: 843-449-4921 | |
Thomas Alan Polen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 845 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-449-9621 Fax: 843-449-4921 | |
Dr. Eleah D. Porter, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351 |