Phillip Sussman, DO | |
8004 Myrtle Trace Dr, Ste 200, Conway, SC 29526-8945 | |
(843) 347-8041 | |
(843) 347-8042 |
Full Name | Phillip Sussman |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 8004 Myrtle Trace Dr, Conway, 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 |
---|---|---|---|
1619325644 | NPI | - | NPPES |
926859 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 102207321 (Virginia) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 92685 (South Carolina) | Primary |
Entity Name | Appalachian Orthopaedic Associates P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831495613 PECOS PAC ID: 1052225471 Enrollment ID: O20041213000432 |
Mailing Address | Practice Location Address |
---|---|
Phillip Sussman, DO 300 Singleton Ridge Rd, Attn Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Phillip Sussman, DO 8004 Myrtle Trace Dr, Ste 200, Conway, SC 29526-8945 Ph: (843) 347-8041 |
William L. Mills, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-347-7222 Fax: 843-347-3305 | |
John Christopher Gayton, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-347-7222 | |
Dr. Erica Umpierrez, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8004 Myrtle Trace Dr, Suite 200, Conway, SC 29526 Phone: 843-347-8041 Fax: 843-347-8042 | |
Tyler Scott Noble, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-353-3460 Fax: 843-353-3461 | |
David M Beck, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8004 Myrtle Trace Dr, Suite 200, Conway, SC 29526 Phone: 843-347-8041 Fax: 843-347-8042 | |
Daniel B.c. Reid, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8004 Myrtle Trace Dr, Suite 200, Conway, SC 29526 Phone: 843-347-8041 Fax: 843-347-8042 | |
Dr. Erkan Alci, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-347-7222 Fax: 843-347-3305 |