| Susan M Smith, MD | |
| 
					401 North Live Oak Dr, Moncks Corner, SC 29461  | |
| (843) 761-8721 | |
| Not Available | 
| Full Name | Susan M Smith | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine | 
| Location | 401 North Live Oak Dr, Moncks Corner, 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 | 
|---|---|---|---|
| 1689684920 | NPI | - | NPPES | 
| 109493 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 10949 (South Carolina) | Primary | 
| Entity Name | Acs Primary Care Physicians - Southeast Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Susan M Smith, MD Po Box 11450, Westminster, CA 92685-1450 Ph: (800) 509-8102  | Susan M Smith, MD 401 North Live Oak Dr, Moncks Corner, SC 29461 Ph: (843) 761-8721  | 
Peter Kales Brady, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-720-8363 Fax: 843-761-7881  | |
Deborah A Younger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 North Live Oak Drive, Moncks Corner, SC 29461 Phone: 843-761-8721  | |
John F Walters, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Stony Landing Road, Moncks Corner, SC 29461 Phone: 843-849-6885  | |
Christiane Elaine Mcneal, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 North Live Oak Drive, Moncks Corner, SC 29461 Phone: 843-761-8721  | |
Mary W Carruthers, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 North Live Oak Dr, Moncks Corner, SC 29461 Phone: 843-761-8721  | |
Carl R Potts, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-797-7000  |