Dr Penelope Anne Campbell, MD | |
4022 Postal Way Ste C, Myrtle Beach, SC 29579-3537 | |
(843) 903-4111 | |
(843) 903-4242 |
Full Name | Dr Penelope Anne Campbell |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 24 Years |
Location | 4022 Postal Way Ste C, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124084876 | NPI | - | NPPES |
7844 | Other | SC | MEDICARE PTAN |
570783896 | Other | SC | FED TAX ID |
GP4505 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 27349 (South Carolina) | Secondary |
208000000X | Pediatrics | 27349 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Conway Medical Center | Conway, SC | Hospital |
Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Careteam Plus Inc | 2961678289 | 6 |
Entity Name | Careteam Plus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427363209 PECOS PAC ID: 2961678289 Enrollment ID: O20120106000726 |
Mailing Address | Practice Location Address |
---|---|
Dr Penelope Anne Campbell, MD Po Box 50760, Myrtle Beach, SC 29579-0013 Ph: (843) 903-4111 | Dr Penelope Anne Campbell, MD 4022 Postal Way Ste C, Myrtle Beach, SC 29579-3537 Ph: (843) 903-4111 |
Stephen Replenski, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4022 Postal Way Ste C, Myrtle Beach, SC 29579 Phone: 843-903-4111 Fax: 843-903-4242 | |
Dr. Kristin Emily Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1438 Fax: 843-286-1349 | |
Rebecca S Eglen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6010 Highway 707, Ste 300, Myrtle Beach, SC 29588 Phone: 843-293-1005 Fax: 843-293-1006 | |
Dr. Virginia Caroline Williams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1483 Fax: 843-286-1349 | |
Dr. Frank Nicholas Colvard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1438 Fax: 843-286-1349 | |
David J. Hunt, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4022 Postal Way, Ste C, Myrtle Beach, SC 29579 Phone: 843-903-4111 Fax: 843-903-4242 |