| Sviatoslav Redko, MD | |
|
8024 Myrtle Trace Dr, Conway, SC 29526-8945 | |
| (843) 234-8950 | |
| (843) 234-8951 |
| Full Name | Sviatoslav Redko |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 11 Years |
| Location | 8024 Myrtle Trace Dr, Conway, 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 |
|---|---|---|---|
| 1871016022 | NPI | - | NPPES |
| 893377 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 89337 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Medical Center | Conway, SC | Hospital |
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conway Hospital Inc | 7113839606 | 115 |
| Entity Name | Conway Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Sviatoslav Redko, MD 300 Singleton Ridge Rd, Attention Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Sviatoslav Redko, MD 8024 Myrtle Trace Dr, Conway, SC 29526-8945 Ph: (843) 234-8950 |
Emmett Michael Lampkin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
George M. Sandoz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8024 Myrtle Trace Dr, Conway, SC 29526 Phone: 843-234-8950 Fax: 843-234-8951 | |
Olga Victa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Agnes Devenyi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Dr. Mario S Bangco, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8024 Myrtle Trace Dr, Conway, SC 29526 Phone: 843-234-8950 Fax: 843-234-8951 | |
Dr. William A. Vanhorn, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 Fax: 843-347-3959 | |
Dr. Kurt Klauburg, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 Fax: 843-347-3959 |