| Merritt Mccoy Tolan, MD | |
|
9404 Highway 78 Ste 100, Ladson, SC 29456-3909 | |
| (843) 737-0437 | |
| (843) 789-3053 |
| Full Name | Merritt Mccoy Tolan |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 9404 Highway 78 Ste 100, Ladson, 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 |
|---|---|---|---|
| 1013555671 | NPI | - | NPPES |
| 167884 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 16788 (South Carolina) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 16788 (South Carolina) | Primary |
| Entity Name | Carolina Pain Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316283062 PECOS PAC ID: 5395983829 Enrollment ID: O20130522000743 |
| Entity Name | Superior Pain Management Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811543879 PECOS PAC ID: 1850622267 Enrollment ID: O20191016003119 |
| Mailing Address | Practice Location Address |
|---|---|
| Merritt Mccoy Tolan, MD 9404 Highway 78 Ste 100, Ladson, SC 29456-3909 Ph: (843) 737-0437 | Merritt Mccoy Tolan, MD 9404 Highway 78 Ste 100, Ladson, SC 29456-3909 Ph: (843) 737-0437 |
Dr. Tony Lamar Owens Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9404 Highway 78 Suite 100, Ladson, SC 29456 Phone: 843-737-0437 Fax: 843-789-3053 | |
Dr. Jonathan Parks Gardner, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9404 Highway 78 Ste 100, Ladson, SC 29456 Phone: 843-737-0437 Fax: 843-789-3053 |