| Dr Lane Ingram Moore, MD | |
|
845 82nd Pkwy, Myrtle Beach, SC 29572-4614 | |
| (843) 449-9621 | |
| Not Available |
| Full Name | Dr Lane Ingram Moore |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 37 Years |
| Location | 845 82nd Pkwy, 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 |
|---|---|---|---|
| 1598723900 | NPI | - | NPPES |
| 221094 | Medicaid | SC | |
| 67728 | Other | MEDCOST | |
| 89063Y4 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 22109 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Conway Medical Center | Conway, SC | Hospital |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Surgical Associates Of Myrtle Beach, Llc | 4587552179 | 2 |
| Entity Name | Surgical Associates Of Myrtle Beach, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295773695 PECOS PAC ID: 4587552179 Enrollment ID: O20040305000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lane Ingram Moore, MD 845 82nd Pkwy, Myrtle Beach, SC 29572-4614 Ph: (843) 449-9621 | Dr Lane Ingram Moore, MD 845 82nd Pkwy, Myrtle Beach, SC 29572-4614 Ph: (843) 449-9621 |
Steven A Matzinger, MD PH.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 849 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351 | |
Dustin L Eck, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 115 Mcleod Health Blvd, Building 3, Suite 201, Myrtle Beach, SC 29579 Phone: 843-646-8430 Fax: 843-646-8763 | |
Mia Katherine Klein, Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351 | |
George B Nicholson Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 845 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-449-9621 Fax: 843-449-4921 | |
Dr. Ralph Wesley Vosburg, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351 | |
Teresa Regina Kontos, MD Surgery Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Mark Richard Borowicz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 845 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-449-9621 Fax: 843-449-4921 |