| Dr Amy M Sprague, MD | |
|
606 Black River Rd, Georgetown, SC 29440-3368 | |
| (843) 527-7000 | |
| (843) 520-8403 |
| Full Name | Dr Amy M Sprague |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 41 Years |
| Location | 606 Black River Rd, Georgetown, 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 |
|---|---|---|---|
| 1629030598 | NPI | - | NPPES |
| 035145 | Other | GA | GA LICENSE # |
| 000506701I | Medicaid | GA | |
| G35145 | Medicaid | SC | |
| 15949 | Other | SC | SC LICENSE # |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Methodist Hospital Stone Oak | San antonio, TX | Hospital |
| Dyersburg Regional Medical Center | Dyersburg, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Self Medical Group | 6002953916 | 363 |
| Waccamaw Community Hospital | 9133036932 | 62 |
| Hospital Medicine Services Of Tx, Pllc | 3274998067 | 327 |
| West Tennessee Healthcare Hospitalists Inc | 1951735521 | 94 |
| Entity Name | Georgetown Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
| Entity Name | Waccamaw Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
| Entity Name | Self Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amy M Sprague, MD Po Box 421718, Georgetown, SC 29442-4203 Ph: (843) 527-7000 | Dr Amy M Sprague, MD 606 Black River Rd, Georgetown, SC 29440-3368 Ph: (843) 527-7000 |
Carol Ann Bogdan, MD Nephrology Medicare: Medicare Enrolled Practice Location: 2405 N Fraser St, Georgetown, SC 29440 Phone: 843-545-7274 Fax: 843-545-8315 | |
Dr. Sara Elizabeth Adams, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2405 N Fraser St, Georgetown, SC 29440 Phone: 843-545-7274 Fax: 843-545-8315 | |
Mr. John Lester Orchard, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1011 N Fraser St, Georgetown, SC 29440 Phone: 843-527-3428 Fax: 843-546-8216 | |
Dr. Mary Sara Baker, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 422 N Fraser St, Georgetown, SC 29440 Phone: 843-436-1333 | |
George Michael Orr, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1011 N Fraser St, Georgetown, SC 29440 Phone: 843-527-3425 Fax: 843-546-8216 | |
Robert Edwin Dorlon Jr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 | |
Dr. David Lee Milling, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2405 N Fraser St, Georgetown, SC 29440 Phone: 843-545-7274 Fax: 843-545-8315 |