| Robert Jansen, | |
|
823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | |
| (843) 449-1010 | |
| (843) 497-6171 |
| Full Name | Robert Jansen |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 17 Years |
| Location | 823 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 |
|---|---|---|---|
| 1316180847 | NPI | - | NPPES |
| 4789482 | Other | SC | AETNA |
| RR MEDICARE | Other | SC | P01378093 |
| 1010218 | Other | SC | WELLCARE |
| 1316180847 | Medicaid | NC | |
| 366534 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD36653 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Conway Medical Center | Conway, SC | Hospital |
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Auc Urologists Llc | 3375986953 | 28 |
| Entity Name | Atlantic Urology Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447293790 PECOS PAC ID: 0840296638 Enrollment ID: O20061019000077 |
| Entity Name | Auc Urologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780454017 PECOS PAC ID: 3375986953 Enrollment ID: O20240212000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Jansen, 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: (843) 449-1010 | Robert Jansen, 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: (843) 449-1010 |
Dr. Abhishek Srivastava, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 823 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-449-1010 | |
Dr. Neal Shore, DR Urology Medicare: Accepting Medicare Assignments Practice Location: 823 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-449-1010 Fax: 843-497-6171 | |
Dr. Kenneth E Krzyzaniak, MD Urology Medicare: Medicare Enrolled Practice Location: 823 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-449-1010 Fax: 843-497-6171 | |
Jacquelyn Greiner Booher, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 823 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-449-1010 Fax: 843-497-6171 | |
Dr. Lauren Folgosa Cooley, M.D, PH.D Urology Medicare: Accepting Medicare Assignments Practice Location: 823 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-449-1010 | |
Dr. Richard W Young, DR Urology Medicare: Accepting Medicare Assignments Practice Location: 823 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-449-1010 Fax: 843-497-6171 |