| Robert S Leak, MD | |
|
210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 | |
| (843) 236-3222 | |
| (843) 236-3005 |
| Full Name | Robert S Leak |
|---|---|
| Gender | Male |
| Speciality | Hand Surgery |
| Experience | 29 Years |
| Location | 210 Village Center Blvd, 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 |
|---|---|---|---|
| 1962468587 | NPI | - | NPPES |
| 8906243 | Medicaid | NC | |
| T74602 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 23258 (South Carolina) | Primary |
| 207X00000X | Orthopaedic Surgery | 23258 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthosc Llc | 8022370030 | 93 |
| Entity Name | Orthosc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861902728 PECOS PAC ID: 8022370030 Enrollment ID: O20180501000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S Leak, MD 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 Ph: (843) 236-3222 | Robert S Leak, MD 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 Ph: (843) 236-3222 |
David G Everman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 | |
Jesse Marsh Putman, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572 Phone: 843-848-1440 Fax: 843-839-1654 | |
Steven M Callihan, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 | |
James O Merritt Iv, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 | |
Dr. Joe N Jarrett Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 | |
Nathaniel R Evans, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 | |
Wayne B Bauerle, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 |