Mrs Ashley Pate Goldston, PT | |
543 Highway 17 N, North Myrtle Beach, SC 29582-2903 | |
(843) 249-7232 | |
Not Available |
Full Name | Mrs Ashley Pate Goldston |
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Gender | Female |
Speciality | Physical Therapist |
Location | 543 Highway 17 N, North Myrtle Beach, 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 |
---|---|---|---|
1245273762 | NPI | - | NPPES |
720777Y | Medicaid | NC | |
1B 078CR | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8342 (North Carolina) | Secondary |
225100000X | Physical Therapist | 6168 (South Carolina) | Primary |
Provider Name | Comprehensive Rehab Of Wilson, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861450884 PECOS PAC ID: 2668377375 Enrollment ID: O20231019000548 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ashley Pate Goldston, PT 2709 Marsh Glen Dr, North Myrtle Beach, SC 29582-9316 Ph: (843) 249-7232 | Mrs Ashley Pate Goldston, PT 543 Highway 17 N, North Myrtle Beach, SC 29582-2903 Ph: (843) 249-7232 |
Jacqueline Suzanne Ehmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 53rd Ave N, North Myrtle Beach, SC 29582 Phone: 704-984-3683 | |
Frank T Russo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-353-3460 Fax: 843-353-3461 | |
Paul Vojtek, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1424 Highway 17 N Ste 2, North Myrtle Beach, SC 29582 Phone: 843-427-7132 Fax: 843-427-7154 | |
Kristin L Heter, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1424 Highway 17 N Ste 2, North Myrtle Beach, SC 29582 Phone: 843-427-7132 Fax: 843-427-7154 | |
Hayley Addison Krueger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-353-3460 | |
Phyllis D Walker, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-353-3460 Fax: 843-353-3461 |