Raymond A Reiser, MD | |
4303 Live Oak Drive, Little River, SC 29566 | |
(816) 663-8000 | |
(843) 663-8123 |
Full Name | Raymond A Reiser |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4303 Live Oak Drive, 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 |
---|---|---|---|
1700107240 | NPI | - | NPPES |
366240 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 36624 (South Carolina) | Primary |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629021076 PECOS PAC ID: 2961309315 Enrollment ID: O20031215000742 |
Entity Name | Mcleod Loris Seacoast Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346638483 PECOS PAC ID: 2961309315 Enrollment ID: O20170510000410 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184783284 PECOS PAC ID: 2961309315 Enrollment ID: O20170523000231 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619100096 PECOS PAC ID: 2961309315 Enrollment ID: O20170523001559 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508120619 PECOS PAC ID: 2961309315 Enrollment ID: O20170524001573 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669535225 PECOS PAC ID: 2961309315 Enrollment ID: O20170601000080 |
Mailing Address | Practice Location Address |
---|---|
Raymond A Reiser, MD Po Box 547, Little River, SC 29566-0547 Ph: (843) 663-8000 | Raymond A Reiser, MD 4303 Live Oak Drive, Little River, SC 29566 Ph: (816) 663-8000 |
Hayley Guilkey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 Fax: 843-663-8123 |