Susan Barbara Redge, MD | |
164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | |
(843) 347-5060 | |
Not Available |
Full Name | Susan Barbara Redge |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 164 Waccamaw Medical Park 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 |
---|---|---|---|
1710906805 | NPI | - | NPPES |
327877 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 27527 (South Carolina) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301072829 (Michigan) | Secondary |
Entity Name | River Region Psychiatry Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386891497 PECOS PAC ID: 1254491012 Enrollment ID: O20231127000607 |
Mailing Address | Practice Location Address |
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Susan Barbara Redge, MD 1102 Osprey Ct, Murrells Inlet, SC 29576-8702 Ph: (843) 651-2150 | Susan Barbara Redge, MD 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 Ph: (843) 347-5060 |
Emmett Michael Lampkin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
George M. Sandoz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8024 Myrtle Trace Dr, Conway, SC 29526 Phone: 843-234-8950 Fax: 843-234-8951 | |
Olga Victa, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Agnes Devenyi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Dr. Mario S Bangco, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8024 Myrtle Trace Dr, Conway, SC 29526 Phone: 843-234-8950 Fax: 843-234-8951 | |
Dr. William A. Vanhorn, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 Fax: 843-347-3959 | |
Dr. Kurt Klauburg, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 Fax: 843-347-3959 |