Dr Lucinda Demarco, MD | |
501 Robertson Blvd, Walterboro, SC 29488-2787 | |
(843) 599-0817 | |
(843) 782-2331 |
Full Name | Dr Lucinda Demarco |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 501 Robertson Blvd, Walterboro, 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 |
---|---|---|---|
1184606428 | NPI | - | NPPES |
200429360 | Medicaid | IN | |
1184606428 | Medicaid | VA | |
302470 | Medicaid | SC | |
0791148 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01057518 (Indiana) | Secondary |
208000000X | Pediatrics | 0101250144 (Virginia) | Secondary |
208000000X | Pediatrics | 30247 (South Carolina) | Primary |
Entity Name | Acs Primary Care Physicians - Southeast Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270 |
Entity Name | Southeastern Hospitalist Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
Entity Name | Select Health Of Sc, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962904946 PECOS PAC ID: 7416212972 Enrollment ID: O20180604001801 |
Entity Name | Landmark Medical Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003531567 PECOS PAC ID: 8527453851 Enrollment ID: O20230206000153 |
Mailing Address | Practice Location Address |
---|---|
Dr Lucinda Demarco, MD 501 Robertson Blvd, Walterboro, SC 29488-2787 Ph: (843) 599-0817 | Dr Lucinda Demarco, MD 501 Robertson Blvd, Walterboro, SC 29488-2787 Ph: (843) 599-0817 |
Dr. Cheryl A Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 Robertson Blvd, Walterboro, SC 29488 Phone: 843-782-5437 Fax: 843-782-4269 | |
Juliette Walker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 457 Spruce St, Walterboro, SC 29488 Phone: 843-781-7428 Fax: 843-781-7429 | |
Michael J Sylvia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 Robertson Blvd, Walterboro, SC 29488 Phone: 843-782-2370 | |
Dr. Donald R Black, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 Robertson Blvd, Walterboro, SC 29488 Phone: 704-782-2000 | |
John Comer Watts Iv, Pediatrics Medicare: Medicare Enrolled Practice Location: 830 Robertson Blvd, Walterboro, SC 29488 Phone: 843-781-7428 | |
Nicholas Matthew Cundiff, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 457 Spruce St, Walterboro, SC 29488 Phone: 843-781-7428 Fax: 843-781-7429 |