Dr Tracy Leigh Cordray, MD | |
2093 Henry Tecklenburg Dr Ste 340, Charleston, SC 29414-5741 | |
(843) 718-2334 | |
(843) 277-2067 |
Full Name | Dr Tracy Leigh Cordray |
---|---|
Gender | Female |
Speciality | Plastic And Reconstructive Surgery |
Experience | 27 Years |
Location | 2093 Henry Tecklenburg Dr Ste 340, Charleston, 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 |
---|---|---|---|
1346432614 | NPI | - | NPPES |
813653106 | Other | SC | TAX ID |
1346432614 | Other | SC | INDIVIDUAL NPI |
SC5037G677 | Other | SC | MEDICARE PTAN |
30236309 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | A79618 (California) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 22185 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Charleston | North charleston, SC | Home health agency |
Pruitthealth Home Health-low Country | Bluffton, SC | Home health agency |
Trident Medical Center | Charleston, SC | Hospital |
Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
Roper Hospital | Charleston, SC | Hospital |
Entity Name | Cordray Plastic Surgery, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225577265 PECOS PAC ID: 9436435443 Enrollment ID: O20170405001829 |
Mailing Address | Practice Location Address |
---|---|
Dr Tracy Leigh Cordray, MD 2093 Henry Tecklenburg Dr Ste 340, Charleston, SC 29414-5741 Ph: (843) 718-2334 | Dr Tracy Leigh Cordray, MD 2093 Henry Tecklenburg Dr Ste 340, Charleston, SC 29414-5741 Ph: (843) 718-2334 |
Kyler Perry, DO Surgery Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2300 | |
Dr. Swathi Venattu, MD Surgery Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Erika Andrade, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-513-9773 | |
Dr. Antwana Sharee Wright, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Jacob Arthur Klapper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Norman Robert Harvey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-2123 | |
Hyejin Kwon, MD Surgery Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave, Charleston, SC 29425 Phone: 843-792-3072 |