| Michelle Suzanne Lusk, MD | |
|
107 W College Ave, Hartsville, SC 29550-4113 | |
| (843) 639-6012 | |
| (843) 536-4194 |
| Full Name | Michelle Suzanne Lusk |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 31 Years |
| Location | 107 W College Ave, Hartsville, 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 |
|---|---|---|---|
| 1487686150 | NPI | - | NPPES |
| 228916 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 22891 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Georgia Physicians Group, Llc | 8224208251 | 8 |
| Entity Name | South Georgia Physicians Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336560952 PECOS PAC ID: 8224208251 Enrollment ID: O20110831000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Suzanne Lusk, MD Po Box 1763, Hartsville, SC 29551-1763 Ph: (843) 639-6012 | Michelle Suzanne Lusk, MD 107 W College Ave, Hartsville, SC 29550-4113 Ph: (843) 639-6012 |
Scott H Daniel, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Park Dr, Suite 202, Hartsville, SC 29550 Phone: 843-339-9222 Fax: 843-339-2830 | |
Miss Cydney B Gandy, FNP-BC Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 122 W College Ave, Hartsville, SC 29550 Phone: 843-383-8889 Fax: 843-383-8868 | |
Leroy F Robinson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Park Dr, Suite 202, Hartsville, SC 29550 Phone: 843-339-9222 Fax: 843-339-2830 |