| Matilda Serwaa Malm, MD | |
|
422 N Fraser St, Georgetown, SC 29440-3260 | |
| (843) 436-1333 | |
| (843) 436-1335 |
| Full Name | Matilda Serwaa Malm |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 422 N Fraser St, Georgetown, 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 |
|---|---|---|---|
| 1649582032 | NPI | - | NPPES |
| 367089 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36708 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Pleasant Hospital | Mount pleasant, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 24 On Physicians Of Sc Llc | 5890127344 | 98 |
| Entity Name | Georgetown Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
| Entity Name | Waccamaw Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
| Entity Name | South Carolina Group Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609212232 PECOS PAC ID: 1759525777 Enrollment ID: O20130912000800 |
| Entity Name | 24 On Physicians Of Sc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144877655 PECOS PAC ID: 5890127344 Enrollment ID: O20191121001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Matilda Serwaa Malm, MD P.o. Box 608, Mcclellanville, SC 29458-9405 Ph: (843) 887-3274 | Matilda Serwaa Malm, MD 422 N Fraser St, Georgetown, SC 29440-3260 Ph: (843) 436-1333 |
Glenda E Minter, PA C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1530 Highmarket St, Georgetown, SC 29440 Phone: 843-546-5128 Fax: 843-527-7500 | |
Dr. Benjamin Ford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 Fax: 843-520-8403 | |
Thomas E Crosby, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 N Fraser St, Georgetown, SC 29440 Phone: 843-527-4442 Fax: 843-527-4027 | |
Dr. Luis Thormer Chastain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 N Fraser St, Georgetown, SC 29440 Phone: 843-527-4442 Fax: 843-527-4027 | |
Sue Del Carmen Cruz Gerena, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 Fax: 843-520-8403 | |
Cornell Caviness, PA C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1075 N Fraser St, Georgetown, SC 29440 Phone: 843-527-3588 | |
Henry Grady Adkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 N Fraser St, Georgetown, SC 29440 Phone: 843-527-4442 Fax: 843-527-4027 |