| Otto C Susec Jr, MD | |
|
809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | |
| (843) 497-5929 | |
| (843) 497-9940 |
| Full Name | Otto C Susec Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 35 Years |
| Location | 809 82nd Pkwy, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033118898 | NPI | - | NPPES |
| T23285 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 01065993A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 18388 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Daviess Community Hospital | Washington, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daviess County Hospital | 1557271665 | 55 |
| Entity Name | Emergency Professionals Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | Daviess County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124231493 PECOS PAC ID: 1557271665 Enrollment ID: O20100420000663 |
| Entity Name | Indiana Emergency Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598068017 PECOS PAC ID: 2365622578 Enrollment ID: O20110204000668 |
| Entity Name | Positive Recovery Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235564188 PECOS PAC ID: 8224267497 Enrollment ID: O20190228001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Otto C Susec Jr, MD 5402 Pheasant Dr., N. Myrtle Beach, SC 29582 Ph: (843) 390-0168 | Otto C Susec Jr, MD 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: (843) 497-5929 |
Benjamin Tyler Mckinney, MD Emergency Medicine Medicare: Accepting Medicare Assignments 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: 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 | |
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 |