| Mackenzie Gwynne, MD | |
|
135 Rutledge Ave Fl 11, Charleston, SC 29425-8903 | |
| (843) 792-3021 | |
| Not Available |
| Full Name | Mackenzie Gwynne |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 11 Years |
| Location | 135 Rutledge Ave Fl 11, 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 |
|---|---|---|---|
| 1780079665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MMD.81923.MD (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Medical Associates Of The Medical University Of South Carol | 6305758574 | 1667 |
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Entity Name | Charleston Dermatology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609320217 PECOS PAC ID: 6709164056 Enrollment ID: O20161021000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Gwynne, MD 135 Rutledge Ave Fl 11, Charleston, SC 29425-8903 Ph: (843) 792-3021 | Mackenzie Gwynne, MD 135 Rutledge Ave Fl 11, Charleston, SC 29425-8903 Ph: (843) 792-3021 |
Cynthia Irby Wilson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8 Farmfield Ave Ste D, Charleston, SC 29407 Phone: 843-469-5641 | |
Hudson C Rogers, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 9295 Medical Plaza Dr, Suite B, Charleston, SC 29406 Phone: 843-797-3960 Fax: 843-553-4216 | |
Rithi John Chandy, Dermatology Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave, Charleston, SC 29425 Phone: 843-792-9155 | |
Dr. John C Maize Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9295 Medical Plaza Dr, Suite A, Charleston, SC 29406 Phone: 843-797-3960 Fax: 843-553-4216 | |
Benjamin Sue-ming Kuo, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Pearon G Lang Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Shannon Wessel, MD Dermatology Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave # Msc578, Charleston, SC 29425 Phone: 843-792-5858 |