| Eric Stephen Gwynn, MD | |
|
75 Baylor Dr Ste 205, Bluffton, SC 29910-8965 | |
| (843) 706-2255 | |
| (843) 706-2257 |
| Full Name | Eric Stephen Gwynn |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 24 Years |
| Location | 75 Baylor Dr Ste 205, Bluffton, 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 |
|---|---|---|---|
| 1467586628 | NPI | - | NPPES |
| CF8401 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 110158 (North Carolina) | Secondary |
| 208800000X | Urology | 35373 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coastal Carolina Hospital | Hardeeville, SC | Hospital |
| Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
| Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Healthcare Corporation | 5890607253 | 547 |
| Self Medical Group | 6002953916 | 399 |
| Hilton Head Regional Physician Group Llc | 9234573676 | 102 |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Stephen Gwynn, MD 75 Baylor Dr Ste 205, Bluffton, SC 29910-8965 Ph: (843) 706-2255 | Eric Stephen Gwynn, MD 75 Baylor Dr Ste 205, Bluffton, SC 29910-8965 Ph: (843) 706-2255 |
Michael John Langley, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 29 Plantation Park Drive, Suite 202, Bluffton, SC 29910 Phone: 843-706-2255 Fax: 843-706-2257 |