Kayla D Richardson, MD | |
4022 Postal Way Ste 101, Myrtle Beach, SC 29579-3537 | |
(843) 234-7360 | |
(843) 234-2886 |
Full Name | Kayla D Richardson |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 4022 Postal Way Ste 101, Myrtle Beach, 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 |
---|---|---|---|
1538554597 | NPI | - | NPPES |
888613 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 88861 (South Carolina) | Primary |
Entity Name | Conway Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111 |
Mailing Address | Practice Location Address |
---|---|
Kayla D Richardson, MD 300 Singleton Ridge Rd, Attention Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Kayla D Richardson, MD 4022 Postal Way Ste 101, Myrtle Beach, SC 29579-3537 Ph: (843) 234-7360 |
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. 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 | |
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 | |
Rachel Lea Livengood, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 945 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-497-5929 | |
Dr. Saint Julien Lachicotte Springs Ii, M.D, MHA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4301 Dick Pond Rd, Myrtle Beach, SC 29588 Phone: 843-652-8100 Fax: 843-652-8122 | |
Amanda M. Schimnowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579 Phone: 843-236-2700 Fax: 843-236-2726 | |
Luis D Insignares, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3236 Holmestown Rd, Suite E1, Myrtle Beach, SC 29588 Phone: 843-663-8000 |