| Matthew J Desalvo, MD | |
|
809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | |
| (843) 497-5929 | |
| (843) 497-9940 |
| Full Name | Matthew J Desalvo |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 809 82nd Pkwy, 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 |
|---|---|---|---|
| 1942206826 | NPI | - | NPPES |
| 275240 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 27524 (South Carolina) | Primary |
| 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 | Conway Hospital Emergency Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487844510 PECOS PAC ID: 2163516980 Enrollment ID: O20070924000348 |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J Desalvo, MD 4615 Oleander Dr, Myrtle Beach, SC 29577-5741 Ph: (843) 497-5929 | Matthew J Desalvo, MD 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: (843) 497-5929 |
Benjamin Tyler Mckinney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
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: Medicare Enrolled 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 | |
Dalal A Akoury, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4710 Oleander Drive, Myrtle Beach, SC 29577 Phone: 843-213-1480 Fax: 843-712-1973 |