| Mr Frederick Leon Polando, PA | |
|
580 Black River Rd, Georgetown, SC 29440-3302 | |
| (843) 652-4000 | |
| (843) 652-4004 |
| Full Name | Mr Frederick Leon Polando |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 580 Black River Rd, Georgetown, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265537021 | NPI | - | NPPES |
| 5627895 | Other | SC | AETNA |
| 80026712 | Other | SC | SELECT HEALTH |
| 8600568 | Other | WV | AETNA |
| 2175863 | Other | WV | UNITED HEALTHCARE |
| P01225399 | Other | SC | RAILROAD MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA002186L (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | TL1940 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Frederick Leon Polando, PA 2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept., Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Mr Frederick Leon Polando, PA 580 Black River Rd, Georgetown, SC 29440-3302 Ph: (843) 652-4000 |
Stephen James Pigman, MSPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 1068 N Fraser St, Georgetown, SC 29440 Phone: 843-545-7200 | |
Mary Christine Stover, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1068 N Fraser St, Georgetown, SC 29440 Phone: 843-545-7200 Fax: 843-545-5742 | |
Mark Joseph Galloway, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2185 N Fraser St, Georgetown, SC 29440 Phone: 843-527-1800 Fax: 843-527-6528 | |
Brandy P Baker, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 N Fraser St, Georgetown, SC 29440 Phone: 843-527-4442 Fax: 843-527-4027 | |
Brittany Mccall Dieffenbach, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2185 N Fraser St, Georgetown, SC 29440 Phone: 842-527-1800 Fax: 843-527-6528 | |
Mae Eileen Janiga, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 N Fraser St, Georgetown, SC 29440 Phone: 843-527-4442 Fax: 843-527-4027 |