Dr Lane Ingram Moore, MD | |
845 82nd Pkwy, Myrtle Beach, SC 29572-4614 | |
(843) 449-9621 | |
Not Available |
Full Name | Dr Lane Ingram Moore |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 36 Years |
Location | 845 82nd Pkwy, 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 |
---|---|---|---|
1598723900 | NPI | - | NPPES |
221094 | Medicaid | SC | |
67728 | Other | MEDCOST | |
89063Y4 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 22109 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
Conway Medical Center | Conway, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surgical Associates Of Myrtle Beach, Llc | 4587552179 | 2 |
Entity Name | Surgical Associates Of Myrtle Beach, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295773695 PECOS PAC ID: 4587552179 Enrollment ID: O20040305000761 |
Mailing Address | Practice Location Address |
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Dr Lane Ingram Moore, MD 845 82nd Pkwy, Myrtle Beach, SC 29572-4614 Ph: (843) 449-9621 | Dr Lane Ingram Moore, MD 845 82nd Pkwy, Myrtle Beach, SC 29572-4614 Ph: (843) 449-9621 |
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 |