Dr Michael Robert Centilli, DO | |
199 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-3589 | |
(843) 738-0500 | |
(437) 380-5058 |
Full Name | Dr Michael Robert Centilli |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 13 Years |
Location | 199 Village Center Blvd Ste 200, 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 |
---|---|---|---|
1215223326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 52108 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coastal Dermatology Institute Llc | 4981005063 | 3 |
Entity Name | Germain Dermatology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417089376 PECOS PAC ID: 7911004569 Enrollment ID: O20070516000523 |
Entity Name | Coastal Dermatology Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174122444 PECOS PAC ID: 4981005063 Enrollment ID: O20210628000088 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Robert Centilli, DO 199 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-3589 Ph: (843) 738-0500 | Dr Michael Robert Centilli, DO 199 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-3589 Ph: (843) 738-0500 |
Dr. Joan M Wiss, MD Dermatology Medicare: Medicare Enrolled Practice Location: 917 Medical Circle, Myrtle Beach, SC 29572 Phone: 843-449-0453 Fax: 843-282-1910 | |
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 | |
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 |