| Dag Pavic, MD | |
|
171 Ashley Ave, Charleston, SC 29425-8908 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | Dag Pavic |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295817922 | NPI | - | NPPES |
| 89130EP | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35897 (South Carolina) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2001-01417 (North Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Raleigh Radiology Wakemed Imaging, Llc | 8325453459 | 57 |
| Raleigh Radiology Associates Inc | 6800874611 | 58 |
| Raleigh Radiology Llc | 6305739707 | 61 |
| Entity Name | Raleigh Radiology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952527343 PECOS PAC ID: 6305739707 Enrollment ID: O20040207000061 |
| Entity Name | Raleigh Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811920101 PECOS PAC ID: 6800874611 Enrollment ID: O20040708001403 |
| Entity Name | Raleigh Radiology Wakemed Imaging, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821694381 PECOS PAC ID: 8325453459 Enrollment ID: O20210223000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Dag Pavic, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | Dag Pavic, MD 171 Ashley Ave, Charleston, SC 29425-8908 Ph: (843) 792-1414 |
Karen L Spodarek, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2154 Fax: 843-805-6277 |
Johnny Phillips Campbell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2988 |
Breanna Marie Koetter, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Nancy Curry, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Donna Rae Roberts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Christopher Jason Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9228 Medical Plaza Dr, Charleston, SC 29406 Phone: 843-876-7080 Fax: 843-876-7111 |
Dr. Vincent Paul Grzywacz Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9330 Medical Plaza Dr, Charleston, SC 29406 Phone: 843-847-4571 |