Olga Victa, MD | |
164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | |
(843) 347-5060 | |
Not Available |
Full Name | Olga Victa |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 23 Years |
Location | 164 Waccamaw Medical Park Dr, Conway, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205090933 | NPI | - | NPPES |
327877 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301092578 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Olga Victa, MD 7436 Catena Ln, Myrtle Beach, SC 29572-8031 Ph: () - | Olga Victa, MD 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 Ph: (843) 347-5060 |
Emmett Michael Lampkin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
George M. Sandoz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8024 Myrtle Trace Dr, Conway, SC 29526 Phone: 843-234-8950 Fax: 843-234-8951 | |
Agnes Devenyi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Dr. Mario S Bangco, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8024 Myrtle Trace Dr, Conway, SC 29526 Phone: 843-234-8950 Fax: 843-234-8951 | |
Dr. William A. Vanhorn, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 Fax: 843-347-3959 | |
Dr. Kurt Klauburg, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 Fax: 843-347-3959 |