Stefanie A Seixas-mikelus, MD | |
874 Whipple Rd Ste 100, Mount Pleasant, SC 29464-8900 | |
(843) 981-5111 | |
Not Available |
Full Name | Stefanie A Seixas-mikelus |
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Gender | Female |
Speciality | Urology |
Location | 874 Whipple Rd Ste 100, Mount Pleasant, 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 |
---|---|---|---|
1962666784 | NPI | - | NPPES |
M1549 | Other | MA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 15266 (New Hampshire) | Secondary |
208800000X | Urology | 253676 (New York) | Secondary |
208800000X | Urology | 248455 (Massachusetts) | Primary |
Entity Name | Urology Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912368457 PECOS PAC ID: 2860781556 Enrollment ID: O20160519001178 |
Mailing Address | Practice Location Address |
---|---|
Stefanie A Seixas-mikelus, MD 525 Jack Martin Blvd, Suite # 304, Atlantic Coast Urology, Brick, NJ 08723 Ph: (732) 840-6606 | Stefanie A Seixas-mikelus, MD 874 Whipple Rd Ste 100, Mount Pleasant, SC 29464-8900 Ph: (843) 981-5111 |
Amanda Grace Bishop, Urology Medicare: Not Enrolled in Medicare Practice Location: 1122 Chuck Dawley Blvd Ste 200, Mount Pleasant, SC 29464 Phone: 843-884-8045 | |
Dr. Jonathan Christian Picard, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1122 Chuck Dawley Blvd Ste 200, Mount Pleasant, SC 29464 Phone: 843-884-8045 Fax: 843-881-5081 |