| Shannon Marie Philipps, DO | |
|
1413 Highway 17 N, Surfside Beach, SC 29575-6012 | |
| (843) 347-8041 | |
| (843) 347-8042 |
| Full Name | Shannon Marie Philipps |
|---|---|
| Gender | Female |
| Speciality | Sports Medicine |
| Experience | 6 Years |
| Location | 1413 Highway 17 N, Surfside Beach, 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 |
|---|---|---|---|
| 1215490776 | NPI | - | NPPES |
| 935741 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 93574 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Medical Center | Conway, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Conway Hospital Inc | 7113839606 | 115 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Marie Philipps, DO 300 Singleton Ridge Rd, Attention Credentialing, Conway, SC 29526-9142 Ph: () - | Shannon Marie Philipps, DO 1413 Highway 17 N, Surfside Beach, SC 29575-6012 Ph: (843) 347-8041 |
Dr. Mary Kaye Favaro, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1407 Southwood Dr, Surfside Beach, SC 29575 Phone: 843-215-6992 Fax: 843-215-9409 | |
Dr. Dan Muntean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 Fax: 843-238-1624 | |
Dr. Mark A Gauthier, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 Fax: 843-828-0622 | |
Mr. James Marvin Vest, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 Fax: 843-238-1624 | |
Dr. James C Hughes Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 Fax: 843-828-0622 |