Kaitlyn Mamak, | |
Prisma Health Emergency Medicine Department, 14 Medical Park, Suite 350, Columbia, SC 29203 | |
(803) 434-7088 | |
(803) 434-3946 |
Full Name | Kaitlyn Mamak |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | Prisma Health Emergency Medicine Department, Columbia, 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 |
---|---|---|---|
1295309110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | LL86162 (South Carolina) | Secondary |
207P00000X | Emergency Medicine | 86162 (South Carolina) | Primary |
Entity Name | Self Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Entity Name | Mcleod Health Cheraw |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275912974 PECOS PAC ID: 7911228259 Enrollment ID: O20151218002079 |
Mailing Address | Practice Location Address |
---|---|
Kaitlyn Mamak, Prisma Health Emergency Medicine Department, 14 Medical Park, Suite 350, Columbia, SC 29203 Ph: (803) 434-7088 | Kaitlyn Mamak, Prisma Health Emergency Medicine Department, 14 Medical Park, Suite 350, Columbia, SC 29203 Ph: (803) 434-7088 |
Daniel Elliott Baker, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Medical Park Ste 350, Emergency Medicine Department, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Erik Myhrer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2435 Forest Dr, Columbia, SC 29204 Phone: 803-256-5300 | |
William John Donohue Fraser, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Emergency Medicine, 14 Medical Park, Ste 350, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Garrett Wade Snyder, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Medical Park Ste 350, Emergency Medicine Department, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Lori Cibik, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3 Medical Park - Ste 350, Emergency Medicine Dept, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Dr. Jeffrey D Sarata, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3016 Longtown Commons Dr Ste 100, Columbia, SC 29229 Phone: 803-314-0500 | |
Joshua Benjamin Skaggs, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-1663 Fax: 803-434-3894 |