| Dr Thomas S Cerasaro, MD | |
|
3911 Highway 17 Ste A, Murrells Inlet, SC 29576-5014 | |
| (843) 652-4001 | |
| (843) 652-4005 |
| Full Name | Dr Thomas S Cerasaro |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 3911 Highway 17 Ste A, Murrells Inlet, 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 |
|---|---|---|---|
| 1295765402 | NPI | - | NPPES |
| 1494054 | Other | SC | UNITED HEALTHCARE |
| 5066145 | Other | SC | AETNA |
| 4571675 | Other | SC | CIGNA |
| GP4522 | Medicaid | SC | |
| 000000257307 | Other | SC | UNISON HEALTH PLAN |
| P00376736 | Other | SC | RAILROAD MEDICARE |
| 125055 | Medicaid | SC | |
| 771925 | Other | SC | WELLCARE |
| 80023017 | Other | SC | SELECT HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD12505 (South Carolina) | Primary |
| Entity Name | Waccamaw Urology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144305202 PECOS PAC ID: 8921006917 Enrollment ID: O20061130000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas S Cerasaro, MD 3911a Highway 17, Murrells Inlet, SC 29576-5014 Ph: (843) 652-4001 | Dr Thomas S Cerasaro, MD 3911 Highway 17 Ste A, Murrells Inlet, SC 29576-5014 Ph: (843) 652-4001 |
Geoffrey Michael Habermacher, M.D., PHD Urology Medicare: Accepting Medicare Assignments Practice Location: 4040 Highway 17 Unit 205, Murrells Inlet, SC 29576 Phone: 843-652-8475 Fax: 843-652-8476 | |
Dr. Katherine Marie Houle, MD Urology Medicare: Medicare Enrolled Practice Location: 4040 Highway 17 Unit 205, Murrells Inlet, SC 29576 Phone: 843-860-9763 |