Dr Mary Kaye Favaro, MD | |
1407 Southwood Dr, Surfside Beach, SC 29575-5365 | |
(843) 215-6992 | |
(843) 215-9409 |
Full Name | Dr Mary Kaye Favaro |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1407 Southwood Dr, Surfside 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 |
---|---|---|---|
1043326036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6170 (South Carolina) | Primary |
207Q00000X | Family Medicine | 17183 (Wisconsin) | Secondary |
Entity Name | Little River Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629021076 PECOS PAC ID: 2961309315 Enrollment ID: O20031215000742 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Kaye Favaro, MD 1407 Southwood Dr, Surfside Beach, SC 29575-5365 Ph: (843) 215-6992 | Dr Mary Kaye Favaro, MD 1407 Southwood Dr, Surfside Beach, SC 29575-5365 Ph: (843) 215-6992 |
Dr. Dan Muntean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 Fax: 843-238-1624 | |
Dr. Mark A Gauthier, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 Fax: 843-828-0622 | |
Mr. James Marvin Vest, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 Fax: 843-238-1624 | |
Dr. James C Hughes Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 Fax: 843-828-0622 |