| Dr Mary Kaye Favaro, MD | |
|
1407 Southwood Dr, Surfside Beach, SC 29575-5365 | |
| (843) 215-6992 | |
| (843) 215-9409 |
| Full Name | Dr Mary Kaye Favaro |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1407 Southwood Dr, Surfside Beach, 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 |
|---|---|---|---|
| 1043326036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6170 (South Carolina) | Primary |
| 207Q00000X | Family Medicine | 17183 (Wisconsin) | Secondary |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629021076 PECOS PAC ID: 2961309315 Enrollment ID: O20031215000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Kaye Favaro, MD 1407 Southwood Dr, Surfside Beach, SC 29575-5365 Ph: (843) 215-6992 | Dr Mary Kaye Favaro, MD 1407 Southwood Dr, Surfside Beach, SC 29575-5365 Ph: (843) 215-6992 |
Dr. Dan Muntean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 Fax: 843-238-1624 | |
Shannon Marie Philipps, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-347-8041 Fax: 843-347-8042 | |
Dr. Mark A Gauthier, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 Fax: 843-828-0622 | |
Mr. James Marvin Vest, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 Fax: 843-238-1624 | |
Dr. James C Hughes Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 Fax: 843-828-0622 |