| Dr Fady S Grace, MD | |
|
301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | |
| (386) 231-1091 | |
| Not Available |
| Full Name | Dr Fady S Grace |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 301 Memorial Medical Pkwy, Daytona Beach, Florida |
| 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 |
|---|---|---|---|
| 1669679007 | NPI | - | NPPES |
| 302265 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME170988 (Florida) | Primary |
| 207R00000X | Internal Medicine | TL30226 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgetown Memorial Hospital | 8224942123 | 78 |
| Waccamaw Community Hospital | 9133036932 | 62 |
| 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 | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100107000067 |
| Entity Name | Mcleod Loris Seacoast Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
| Entity Name | Physicians At Home Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487073193 PECOS PAC ID: 2365661543 Enrollment ID: O20140922000188 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fady S Grace, MD Po Box 421718, Georgetown, SC 29442-4203 Ph: (843) 527-7000 | Dr Fady S Grace, MD 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 Ph: (386) 231-1091 |
Thai Quoc Nguyen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-1997 | |
Dr. Richard Carl Weiss, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Halifax Regional Oncology Center, Daytona Beach, FL 32114 Phone: 386-254-4212 Fax: 386-254-4214 | |
Dhrumil Vijaykumar Patel, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-1091 Fax: 386-231-1092 | |
Alexandra Crossman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-589-5741 | |
Dr. Vinicius Costa Diniz Domingues, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 709 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-252-1632 Fax: 386-257-5526 | |
Dr. Mahmoud S Khalifa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-1091 Fax: 386-231-1092 | |
Dr. David Scott Weinreich, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 866-899-3686 |