Jon D Halling, MD | |
809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | |
(843) 497-6348 | |
Not Available |
Full Name | Jon D Halling |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 809 82nd Pkwy, Myrtle 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 |
---|---|---|---|
1831103944 | NPI | - | NPPES |
1831103944 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 14192 (Nevada) | Secondary |
207L00000X | Anesthesiology | 88177 (South Carolina) | Primary |
Entity Name | Atlantic Coast Anesthesia Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291 |
Mailing Address | Practice Location Address |
---|---|
Jon D Halling, MD 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4181 Ph: (843) 497-6348 | Jon D Halling, MD 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: (843) 497-6348 |
Ian Peace, Anesthesiology Medicare: Medicare Enrolled Practice Location: 3850 Maypop Cir, Myrtle Beach, SC 29588 Phone: 843-780-8346 | |
Joseph Anthony Maggioncalda Ii, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1595 Fax: 843-692-1122 | |
Dr. Derek L Horstemeyer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Anesthesia Dept, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Dr. Candace N Mcalpine, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1063 | |
Farayi Jonnes Mbuvah, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 811 82nd Parkway Ste B, Myrtle Beach, SC 29572 Phone: 843-839-4598 Fax: 843-839-4599 | |
Dr. Jon Michael Bennett, DO Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 7900 N Kings Hwy, Myrtle Beach, SC 29572 Phone: 843-449-3381 Fax: 843-449-9721 | |
Dr. Stephen E Boatwright, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4736 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-231-2039 Fax: 843-293-2454 |