| Dr Olga Mallett Chrisman, DO | |
|
606 Black River Rd Ste 101, Georgetown, SC 29440-3304 | |
| (843) 545-5927 | |
| (843) 520-4780 |
| Full Name | Dr Olga Mallett Chrisman |
|---|---|
| Gender | Female |
| Speciality | Pain Management |
| Experience | 8 Years |
| Location | 606 Black River Rd Ste 101, Georgetown, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881120764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 12215780-1204 (Utah) | Secondary |
| 207L00000X | Anesthesiology | 12215780-1204 (Utah) | Primary |
| 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 Physician Associates, Llc | 2365697398 | 197 |
| Entity Name | Georgetown Physician Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235475930 PECOS PAC ID: 2365697398 Enrollment ID: O20130225000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Olga Mallett Chrisman, DO Po Box 421718, Georgetown, SC 29442-4203 Ph: (843) 527-7000 | Dr Olga Mallett Chrisman, DO 606 Black River Rd Ste 101, Georgetown, SC 29440-3304 Ph: (843) 545-5927 |
Dr. Stephen D Goerz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 606 Black River Rd, Anesthesia Dept, Georgetown, SC 29440 Phone: 843-527-7000 | |
Dr. Otto I Czechner, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 606 Black River Rd, Anesthesia Dept, Georgetown, SC 29440 Phone: 843-527-7000 |