Matthew C Wallen, MD | |
401 North Live Oak Drive, Moncks Corner, SC 29461 | |
(843) 761-8721 | |
Not Available |
Full Name | Matthew C Wallen |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 24 Years |
Location | 401 North Live Oak Drive, Moncks Corner, 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 |
---|---|---|---|
1962442921 | NPI | - | NPPES |
237201 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 023720 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Musc Medical Center | Charleston, SC | Hospital |
Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sound Physicians Emergency Medicine Of South Carolina Llc | 2163702739 | 28 |
Entity Name | Georgetown Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
Entity Name | Waccamaw Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
Entity Name | Sound Physicians Emergency Medicine Of South Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730636168 PECOS PAC ID: 2163702739 Enrollment ID: O20161219000460 |
Mailing Address | Practice Location Address |
---|---|
Matthew C Wallen, MD Po Box 11450, Westminster, CA 92685 Ph: (800) 509-8102 | Matthew C Wallen, MD 401 North Live Oak Drive, Moncks Corner, SC 29461 Ph: (843) 761-8721 |
Peter K Brady, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-720-8363 Fax: 843-761-7881 | |
Deborah A Younger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 North Live Oak Drive, Moncks Corner, SC 29461 Phone: 843-761-8721 | |
John F Walters, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Stony Landing Road, Moncks Corner, SC 29461 Phone: 843-849-6885 | |
Christiane Elaine Mcneal, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 North Live Oak Drive, Moncks Corner, SC 29461 Phone: 843-761-8721 | |
Mary W Carruthers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 North Live Oak Dr, Moncks Corner, SC 29461 Phone: 843-761-8721 | |
Carl R Potts, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-797-7000 | |
Susan M Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 North Live Oak Dr, Moncks Corner, SC 29461 Phone: 843-761-8721 |