| Dr Tracy Leigh Cordray, MD | |
|
2093 Henry Tecklenburg Dr Ste 340, Charleston, SC 29414-5741 | |
| (843) 718-2334 | |
| (843) 277-2067 |
| Full Name | Dr Tracy Leigh Cordray |
|---|---|
| Gender | Female |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 28 Years |
| Location | 2093 Henry Tecklenburg Dr Ste 340, Charleston, 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 |
|---|---|---|---|
| 1346432614 | NPI | - | NPPES |
| 813653106 | Other | SC | TAX ID |
| 1346432614 | Other | SC | INDIVIDUAL NPI |
| SC5037G677 | Other | SC | MEDICARE PTAN |
| 30236309 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | A79618 (California) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 22185 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Charleston | North charleston, SC | Home health agency |
| Trident Medical Center | Charleston, SC | Hospital |
| Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
| Roper Hospital | Charleston, SC | Hospital |
| Entity Name | Cordray Plastic Surgery, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225577265 PECOS PAC ID: 9436435443 Enrollment ID: O20170405001829 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tracy Leigh Cordray, MD 2093 Henry Tecklenburg Dr Ste 340, Charleston, SC 29414-5741 Ph: (843) 718-2334 | Dr Tracy Leigh Cordray, MD 2093 Henry Tecklenburg Dr Ste 340, Charleston, SC 29414-5741 Ph: (843) 718-2334 |
Sanaa Abdelmageed, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-4607 | |
Kyler Perry, DO Surgery Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2300 | |
Dr. Swathi Venattu, MD Surgery Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Erika Andrade, MD Surgery Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-513-9773 | |
Dr. Antwana Sharee Wright, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Jacob Arthur Klapper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Norman Robert Harvey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-2123 |