| 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 | 42 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 |
|---|---|---|
| Confluence Health Hospital | Wenatchee, WA | Hospital |
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Carteret General Hospital | Morehead city, NC | Hospital |
| Roper Hospital | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Self Medical Group | 6002953916 | 393 |
| Central Washington Health Services Association | 4880504596 | 708 |
| 24 On Physicians Of Sc Llc | 5890127344 | 136 |
| Carteret County General Hospital Corporation | 7517877517 | 118 |
| West Tennessee Healthcare Hospitalists Inc | 1951735521 | 98 |
| 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 | Beaufort County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871335018 PECOS PAC ID: 7810809365 Enrollment ID: O20050208000354 |
| Entity Name | Self Regional Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326067703 PECOS PAC ID: 4082527742 Enrollment ID: O20051214000767 |
| 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 | 24 on Physicians of SC LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144877655 PECOS PAC ID: 5890127344 Enrollment ID: O20191121001203 |
| 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 |
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 |
Dr. Jacob Roberto Ortiz, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1014 Huger Dr, Georgetown, SC 29440 Phone: 843-235-3131 Fax: 843-237-9797 |