Madeline M Fetzko, OT | |
210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-6706 | |
(843) 353-3460 | |
(843) 353-3461 |
Full Name | Madeline M Fetzko |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 44 Years |
Location | 210 Village Center Blvd Ste 200, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992718027 | NPI | - | NPPES |
05790 | Other | MD | LICENCE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 05790 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthosc Llc | 8022370030 | 81 |
Provider Name | Orthosc Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861902728 PECOS PAC ID: 8022370030 Enrollment ID: O20180501000455 |
Mailing Address | Practice Location Address |
---|---|
Madeline M Fetzko, OT 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 Ph: (843) 353-3460 | Madeline M Fetzko, OT 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-6706 Ph: (843) 353-3460 |
Kel Z Gaskin Prock, MSR, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3603 Kingsley Dr, Myrtle Beach, SC 29588 Phone: 843-424-5450 | |
Shannon Southerland, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-252-0033 | |
Carrie Deluca, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577 Phone: 843-848-5001 | |
Dorothy Gregory, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3620 Happy Woods Ct, Myrtle Beach, SC 29588 Phone: 843-293-2246 | |
Jacqueline Gibbons, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3799 Cape Landing Cir Apt C, Myrtle Beach, SC 29588 Phone: 845-313-2012 | |
Gabrielle Misiaszek, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579 Phone: 843-455-7505 | |
Alayna K Cline, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Mountain Ash Ln Unit C, Myrtle Beach, SC 29579 Phone: 843-575-8768 |