Iridi Pavliqoti, MD | |
8004 Myrtle Trace Dr Ste 200, Conway, SC 29526-8945 | |
(843) 347-8041 | |
(843) 347-8042 |
Full Name | Iridi Pavliqoti |
---|---|
Gender | Male |
Speciality | Family Medicine - Sports Medicine |
Location | 8004 Myrtle Trace Dr Ste 200, Conway, 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 |
---|---|---|---|
1275096638 | NPI | - | NPPES |
936465 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 93646 (South Carolina) | Primary |
Entity Name | Lsuhn Billing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
Entity Name | University Hospital & Clinics, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639518087 PECOS PAC ID: 7113161977 Enrollment ID: O20130917000335 |
Mailing Address | Practice Location Address |
---|---|
Iridi Pavliqoti, MD 300 Singleton Ridge Rd, Attn Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Iridi Pavliqoti, MD 8004 Myrtle Trace Dr Ste 200, Conway, SC 29526-8945 Ph: (843) 347-8041 |
Jason C Sharp, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8004 Myrtle Trace Dr Ste 200, Conway, SC 29526 Phone: 843-347-8041 Fax: 843-347-8042 | |
Betty A Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1608 N Main Street, Conway, SC 29526 Phone: 843-386-3573 Fax: 843-386-2617 | |
Franziska C. W. Phillips, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8002 Myrtle Trace Dr, Conway, SC 29526 Phone: 843-347-7227 Fax: 843-347-7232 | |
Jonathan L Dieter Jr., MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 8014 Myrtle Trace Dr, Conway, SC 29526 Phone: 843-347-7224 Fax: 843-347-7335 | |
Artur Wilkoszewski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Main St, Conway, SC 29526 Phone: 843-248-6269 Fax: 843-248-0535 | |
Paul Anthony Gordon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124a Professional Park Dr, Conway, SC 29526 Phone: 843-347-9500 Fax: 843-347-9595 | |
Dr. Jose J. Hernandez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 |