| Phillip Sussman, DO | |
|
8004 Myrtle Trace Dr, Ste 200, Conway, SC 29526-8945 | |
| (843) 347-8041 | |
| (843) 347-8042 |
| Full Name | Phillip Sussman |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 8004 Myrtle Trace Dr, Conway, 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 |
|---|---|---|---|
| 1619325644 | NPI | - | NPPES |
| 926859 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 102207321 (Virginia) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 92685 (South Carolina) | Primary |
| Entity Name | Appalachian Orthopaedic Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831495613 PECOS PAC ID: 1052225471 Enrollment ID: O20041213000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Sussman, DO 300 Singleton Ridge Rd, Attn Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Phillip Sussman, DO 8004 Myrtle Trace Dr, Ste 200, Conway, SC 29526-8945 Ph: (843) 347-8041 |
William L. Mills, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-347-7222 Fax: 843-347-3305 | |
John Christopher Gayton, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-347-7222 | |
John Paul Stelmach Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8004 Myrtle Trace Dr Ste 200, Conway, SC 29526 Phone: 843-347-8041 Fax: 843-347-8042 | |
Dr. Erica Umpierrez, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8004 Myrtle Trace Dr, Suite 200, Conway, SC 29526 Phone: 843-347-8041 Fax: 843-347-8042 | |
Tyler Scott Noble, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-353-3460 Fax: 843-353-3461 | |
David M Beck, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8004 Myrtle Trace Dr, Suite 200, Conway, SC 29526 Phone: 843-347-8041 Fax: 843-347-8042 | |
Daniel B.c. Reid, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8004 Myrtle Trace Dr, Suite 200, Conway, SC 29526 Phone: 843-347-8041 Fax: 843-347-8042 |