| Jerry Burton Banks, MD | |
|
920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4181 | |
| (843) 848-1440 | |
| (843) 839-2382 |
| Full Name | Jerry Burton Banks |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 920 Doug White Dr Ste 250, Myrtle Beach, 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 |
|---|---|---|---|
| 1578552410 | NPI | - | NPPES |
| 1505595 | Medicaid | TN | |
| 037612200 | Medicaid | SC | |
| 1578552410 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101232005 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | MD34440 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 37612 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Carolina Primary Care Llc | 3577629088 | 24 |
| Entity Name | Coastal Carolina Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821257676 PECOS PAC ID: 3577629088 Enrollment ID: O20090309000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Burton Banks, MD 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4181 Ph: (843) 848-1440 | Jerry Burton Banks, MD 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4181 Ph: (843) 848-1440 |
Ms. Vasiliki Papathanasiou, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Mcleod Health Blvd Ste 201, Myrtle Beach, SC 29579 Phone: 843-646-8001 Fax: 843-646-8002 | |
Dr. Naketa Thomas, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5023 Carolina Forest Blvd, Myrtle Beach, SC 29579 Phone: 843-497-5929 Fax: 833-449-3251 | |
Dr. Yolandie Mccoskey, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Dick Pond Road, Suite C-2, Myrtle Beach, SC 29588 Phone: 843-251-9500 Fax: 843-831-0021 | |
Dr. Edwin Lee Mccampbell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4591 Socastee Blvd, Myrtle Beach, SC 29588 Phone: 843-497-5929 Fax: 866-778-9611 | |
Jingye Yang, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4022 Postal Way, Myrtle Beach, SC 29579 Phone: 843-236-0000 Fax: 843-236-6191 | |
Jason Douglas Harrah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 907 Startek Dr, Myrtle Beach, SC 29579 Phone: 843-646-8001 Fax: 843-646-8802 | |
Dr. Saint Julien Lachicotte Springs Ii, M.D, MHA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4320 Holmestown Rd, Myrtle Beach, SC 29588 Phone: 843-652-8440 Fax: 843-652-8441 |