| Dermaheal, Llc | |
|
207 Chartwell Ct Myrtle Beach SC 29588-7273 | |
| (843) 222-9038 | |
| (843) 215-9756 |
| Full Name | Dermaheal, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 207 Chartwell Ct, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Nicholas Constantine Mexas (DO/OWNER) |
| Authorized Official Contact | 8432229038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermaheal, Llc 207 Chartwell Ct Myrtle Beach SC 29588-7273 Ph: (843) 222-9038 | Dermaheal, Llc 207 Chartwell Ct Myrtle Beach SC 29588-7273 Ph: (843) 222-9038 |
| NPI Number | 1427598580 |
|---|---|
| Provider Enumeration Date | 03/08/2017 |
| Last Update Date | 03/08/2017 |
| Medicare PECOS PAC ID | 2567732795 |
|---|---|
| Medicare Enrollment ID | O20170721000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427598580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Tiffany L Mahaffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699191262 PECOS PAC ID: 2668796707 Enrollment ID: I20150121001331 |
| Provider Name | Nicholas Constantine Mexas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396743100 PECOS PAC ID: 3072830140 Enrollment ID: I20150330001408 |
| Provider Name | Rebecca Margaret Szymanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578001244 PECOS PAC ID: 2961779095 Enrollment ID: I20230215003205 |
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