Mr Thomas Vanco Mincheff, MD | |
704 Medical Park Drive, Hartsville Surgical Center Llp, Hartsville, SC 29550 | |
(843) 332-1099 | |
(843) 332-1091 |
Full Name | Mr Thomas Vanco Mincheff |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 704 Medical Park Drive, Hartsville, 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 |
---|---|---|---|
1679500375 | NPI | - | NPPES |
890 | Medicaid | NC | |
166867 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 16686 (South Carolina) | Primary |
Entity Name | Hartsville Surgical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093760969 PECOS PAC ID: 1456363662 Enrollment ID: O20060706000175 |
Entity Name | Hartsville Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598995300 PECOS PAC ID: 7012062714 Enrollment ID: O20090902000027 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Vanco Mincheff, MD 704 Medical Park Drive, Hartsville, SC 29550 Ph: (843) 332-1099 | Mr Thomas Vanco Mincheff, MD 704 Medical Park Drive, Hartsville Surgical Center Llp, Hartsville, SC 29550 Ph: (843) 332-1099 |
Dr. Patrick E Sizemore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 Medical Park Dr, Hartsville, SC 29550 Phone: 843-332-1099 Fax: 843-339-1091 | |
Mr. Carroll Brooks Bannister, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Park Dr, Suite 101, Hartsville, SC 29550 Phone: 843-339-4295 Fax: 843-339-4609 | |
Jason R Dameron, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 Medical Park Drive, Hartsville Surgical Center Llp, Hartsville, SC 29550 Phone: 843-332-1099 Fax: 843-332-1091 | |
Philip Chaipis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 Medical Park Dr, Hartsville, SC 29550 Phone: 843-332-1099 |