| Amanda Jacquelyn Didolkar, MD | |
|
4022 Postal Way Ste C, Myrtle Beach, SC 29579-3537 | |
| (843) 903-4111 | |
| (843) 903-4242 |
| Full Name | Amanda Jacquelyn Didolkar |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4022 Postal Way Ste C, 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 |
|---|---|---|---|
| 1699937862 | NPI | - | NPPES |
| 848257 | Medicaid | SC | |
| Q027544 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 84825 (South Carolina) | Primary |
| Entity Name | Conway Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jacquelyn Didolkar, MD 300 Singleton Ridge Rd, Attention Patient Accounting, Conway, SC 29526-9142 Ph: (843) 234-6946 | Amanda Jacquelyn Didolkar, MD 4022 Postal Way Ste C, Myrtle Beach, SC 29579-3537 Ph: (843) 903-4111 |
Dr. Penelope Anne Campbell, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4022 Postal Way Ste C, Myrtle Beach, SC 29579 Phone: 843-903-4111 Fax: 843-903-4242 | |
Stephen Replenski, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4022 Postal Way Ste C, Myrtle Beach, SC 29579 Phone: 843-903-4111 Fax: 843-903-4242 | |
Dr. Kristin Emily Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1438 Fax: 843-286-1349 | |
Rebecca S Eglen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6010 Highway 707, Ste 300, Myrtle Beach, SC 29588 Phone: 843-293-1005 Fax: 843-293-1006 | |
Dr. Virginia Caroline Williams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1483 Fax: 843-286-1349 | |
Dr. Frank Nicholas Colvard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1438 Fax: 843-286-1349 | |
Dr. Daniel Lloyd Shuler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1438 Fax: 843-286-1349 |