| Mary Claire Lark, | |
|
809 82nd Pkwy, Gme Office, Myrtle Beach, SC 29572-4607 | |
| (843) 692-1752 | |
| (843) 692-1904 |
| Full Name | Mary Claire Lark |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 809 82nd Pkwy, Myrtle Beach, 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 |
|---|---|---|---|
| 1861071425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 74534 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America- Arizona, Pc | 1850541970 | 89 |
| Entity Name | Cep America- Arizona, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780202804 PECOS PAC ID: 1850541970 Enrollment ID: O20121026000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Claire Lark, 197 Cabana Rd, Myrtle Beach, SC 29572-5643 Ph: (843) 455-3202 | Mary Claire Lark, 809 82nd Pkwy, Gme Office, Myrtle Beach, SC 29572-4607 Ph: (843) 692-1752 |
Benjamin Tyler Mckinney, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 |
Otto C. Susec Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-497-5929 Fax: 843-497-9940 |
Dr. Michael Coletta, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 |
Jarrett Koper, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-3499 Fax: 843-692-1122 |
Kaitlyn Phelps, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1752 |
Dr. Edward W King, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2102 Cromley Cir Ste A, Myrtle Beach, SC 29577 Phone: 843-999-0064 |
Daniel M Mcnabb, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Carolina Health Specialists 4615 Oleander Dr, Suite 201-a, Myrtle Beach, SC 29577 Phone: 843-449-9559 |