Philip Caravella, MD | |
3361 Highway 9 E, Little River, SC 29566-7826 | |
(843) 497-5929 | |
(843) 839-4448 |
Full Name | Philip Caravella |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3361 Highway 9 E, Little River, 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 |
---|---|---|---|
1336252931 | NPI | - | NPPES |
7554 | Other | SC | MEDICAL LICENSE |
080080657 | Other | OH | MEDICARE RAILROAD |
0485069 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35040427C (Ohio) | Primary |
Entity Name | Signify Health Medical Associates Of California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124685169 PECOS PAC ID: 8325370570 Enrollment ID: O20191022000320 |
Mailing Address | Practice Location Address |
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Philip Caravella, MD 4615 Oleander Dr, Suite 103, Myrtle Beach, SC 29577-5741 Ph: (843) 497-5929 | Philip Caravella, MD 3361 Highway 9 E, Little River, SC 29566-7826 Ph: (843) 497-5929 |
Bruce Palmer Freshley Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3793 Mcdowell Lane, Ste 100, Little River, SC 29566 Phone: 843-390-0100 Fax: 843-390-0038 | |
Dr. Kenneth L Crutcher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 Fax: 843-280-2455 | |
Juan A Cornejo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Drive, Little River, SC 29566 Phone: 843-663-8000 | |
Dr. Tom A Christensen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Sea Mountain Higway, Suite C, Little River, SC 29566 Phone: 843-399-4848 Fax: 910-653-2346 | |
Dr. Mary J. Mason, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3361 Hwy 9 East, Little River, SC 29566 Phone: 843-497-5929 Fax: 843-399-0123 | |
Mr. Rogers Smith Walker Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Highway 17, Little River, SC 29566 Phone: 843-280-8333 Fax: 843-663-0020 | |
Chris Boggs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4237 River Hills Dr Ste 150, Little River, SC 29566 Phone: 843-281-2778 Fax: 843-281-2785 |