| Dr Deanna Lee Kitchen, MD, MPH | |
|
801 Farrar Dr, Conway, SC 29526-8747 | |
| (843) 347-8111 | |
| Not Available |
| Full Name | Dr Deanna Lee Kitchen |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 8 Years |
| Location | 801 Farrar Dr, Conway, 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 |
|---|---|---|---|
| 1649774407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 92039 (South Carolina) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | S3218 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Medical Center | Conway, SC | Hospital |
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Radiology Associates Llc | 1658350764 | 63 |
| Entity Name | Carolina Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225014657 PECOS PAC ID: 1658350764 Enrollment ID: O20040714000287 |
| 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 Deanna Lee Kitchen, MD, MPH 1303 Azalea Ct Ste B, Myrtle Beach, SC 29577-5765 Ph: (843) 692-0570 | Dr Deanna Lee Kitchen, MD, MPH 801 Farrar Dr, Conway, SC 29526-8747 Ph: (843) 347-8111 |
Paul M Kuperman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-238-8660 | |
Elizabeth A Kelley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-238-8660 | |
Jeffrey S Lackey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-238-8660 | |
Billie Ed Shelley Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-238-8660 | |
Richard J Wunder, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-238-8660 | |
John J Daly Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-238-8660 | |
Noel C Haskins, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-238-8660 |