Forrest A Pommerenke, MD | |
1714 Highway 17 S, North Myrtle Beach, SC 29582-4041 | |
(843) 361-0705 | |
(843) 361-4045 |
Full Name | Forrest A Pommerenke |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 50 Years |
Location | 1714 Highway 17 S, North 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 |
---|---|---|---|
1952331662 | NPI | - | NPPES |
226302 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 22630 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 22630 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Doctors Care, Pa | 6204731300 | 194 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629021076 PECOS PAC ID: 2961309315 Enrollment ID: O20031215000742 |
Entity Name | Doctors Care, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366499048 PECOS PAC ID: 6204731300 Enrollment ID: O20040112000069 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346638483 PECOS PAC ID: 2961309315 Enrollment ID: O20170510000410 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184783284 PECOS PAC ID: 2961309315 Enrollment ID: O20170523000231 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619100096 PECOS PAC ID: 2961309315 Enrollment ID: O20170523001559 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508120619 PECOS PAC ID: 2961309315 Enrollment ID: O20170524001573 |
Mailing Address | Practice Location Address |
---|---|
Forrest A Pommerenke, MD Po Box 749306, Atlanta, GA 30374-9306 Ph: () - | Forrest A Pommerenke, MD 1714 Highway 17 S, North Myrtle Beach, SC 29582-4041 Ph: (843) 361-0705 |
John N Jordan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3816 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-272-1411 Fax: 843-272-2130 | |
Jonessa Ann Villanueva, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2021 N Myrtle Point Blvd Ste 101, North Myrtle Beach, SC 29582 Phone: 843-366-2900 | |
Elma Denise Whidby, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2021 N Myrtle Point Blvd, Suite 101, North Myrtle Beach, SC 29582 Phone: 843-663-2100 Fax: 843-663-2102 | |
Kia Persaud, MBBS Internal Medicine Medicare: Medicare Enrolled Practice Location: 2021 N Myrtle Point Blvd Ste 102, North Myrtle Beach, SC 29582 Phone: 843-366-3060 Fax: 843-366-3069 | |
Michael D Holland, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Eastern Nephrology Associates Pllc, 2021 North Point Blvd Suite 106, North Myrtle Beach, SC 29582 Phone: 843-663-1401 Fax: 910-778-1433 |