Sviatoslav Redko, MD | |
8024 Myrtle Trace Dr, Conway, SC 29526-8945 | |
(843) 234-8950 | |
(843) 234-8951 |
Full Name | Sviatoslav Redko |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 8024 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 |
---|---|---|---|
1871016022 | NPI | - | NPPES |
893377 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 89337 (South Carolina) | Primary |
Entity Name | Conway Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111 |
Mailing Address | Practice Location Address |
---|---|
Sviatoslav Redko, MD 300 Singleton Ridge Rd, Attention Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Sviatoslav Redko, MD 8024 Myrtle Trace Dr, Conway, SC 29526-8945 Ph: (843) 234-8950 |
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 |