Richard Joseph Lucariello, MD | |
5046 Highway 17 Byp S Ste 200, Myrtle Beach, SC 29588-4503 | |
(843) 449-0453 | |
Not Available |
Full Name | Richard Joseph Lucariello |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 7 Years |
Location | 5046 Highway 17 Byp S Ste 200, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164953378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 0101272812 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Waccamaw Dermatology Llc | 7315021169 | 15 |
Entity Name | Waccamaw Dermatology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962449181 PECOS PAC ID: 7315021169 Enrollment ID: O20080303000763 |
Mailing Address | Practice Location Address |
---|---|
Richard Joseph Lucariello, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Richard Joseph Lucariello, MD 5046 Highway 17 Byp S Ste 200, Myrtle Beach, SC 29588-4503 Ph: (843) 449-0453 |
Dr. Joan M Wiss, MD Dermatology Medicare: Medicare Enrolled Practice Location: 917 Medical Circle, Myrtle Beach, SC 29572 Phone: 843-449-0453 Fax: 843-282-1910 | |
Dr. Robert Scott Purvis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3001 Newcastle Loop, Attn: Lisa Bass, Myrtle Beach, SC 29588 Phone: 843-215-1100 Fax: 843-215-1211 | |
Dr. Michael Robert Centilli, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 199 Village Center Blvd Ste 200, Myrtle Beach, SC 29579 Phone: 843-738-0500 Fax: 437-380-5058 | |
Christopher Brian Skvarka, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3001 Newcastle Loop, Attn: Lisa Bass, Myrtle Beach, SC 29588 Phone: 843-215-1100 Fax: 843-215-1211 | |
Daniel B Ward Jr., M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 8208 Devon Ct, Suite B, Myrtle Beach, SC 29572 Phone: 866-985-3376 Fax: 843-839-2464 | |
Taylor Todd, NP-C Dermatology Medicare: Medicare Enrolled Practice Location: 917 Medical Cir, Myrtle Beach, SC 29572 Phone: 843-449-0453 |