| Dr Kenneth A Santiago, MD | |
|
9021 Bella Verde Ct, Myrtle Beach, SC 29579-5110 | |
| (843) 516-2024 | |
| Not Available |
| Full Name | Dr Kenneth A Santiago |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 9021 Bella Verde Ct, Myrtle Beach, South Carolina |
| 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 |
|---|---|---|---|
| 1801878186 | NPI | - | NPPES |
| 2098075 | Medicaid | MA | |
| GP4505 | Medicaid | SC | |
| 7844 | Other | SC | MEDIARE GROUP PTAN |
| 345969 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 212611 (Massachusetts) | Secondary |
| 207R00000X | Internal Medicine | 34596 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Myrtle Beach | Myrtle beach, SC | Home health agency |
| Kindred At Home | Myrtle beach, SC | Home health agency |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Musc Health Marion Medical Center | Mullins, SC | Hospital |
| Nhc Healthcare - Garden City | Garden city, SC | Nursing home |
| Senior Care Of Marion | Marion, SC | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Patient Care Of South Carolina Pc | 1951672617 | 157 |
| Ch Specialty Services Sc Llc | 6608182993 | 150 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Ch Specialty Services Ga Llc | 8921464579 | 6 |
| 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 | 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 | Ch Specialty Services Sc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275915522 PECOS PAC ID: 6608182993 Enrollment ID: O20150901002450 |
| Entity Name | Elite Patient Care Of South Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866 |
| Entity Name | Medicos, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548024540 PECOS PAC ID: 1759723323 Enrollment ID: O20240528002961 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth A Santiago, MD Po Box 70157, Myrtle Beach, SC 29572-0021 Ph: (843) 516-2024 | Dr Kenneth A Santiago, MD 9021 Bella Verde Ct, Myrtle Beach, SC 29579-5110 Ph: (843) 516-2024 |
Gary A Vukov, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7900 N Kings Hwy, Myrtle Beach, SC 29572 Phone: 843-449-3381 Fax: 843-839-0275 | |
Gregory L Becker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 906 Medical Cir, Myrtle Beach, SC 29572 Phone: 843-497-5929 Fax: 843-839-1037 | |
Andrew Peter Mangano, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572 Phone: 843-236-1950 Fax: 843-236-1952 | |
Dr. Eunice Luz Guzman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579 Phone: 843-663-8371 | |
Jacob Hurlan Brazee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4301 Dick Pond Rd, Myrtle Beach, SC 29588 Phone: 843-652-8100 Fax: 843-652-8122 | |
Dr. Emily Zaruhi Touloukian, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8121 Rourk St, Myrtle Beach, SC 29572 Phone: 843-692-5000 | |
Chelsea Lane, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577 Phone: 843-848-5340 Fax: 843-848-5345 |