| Tyler Kelly, DO | |
|
4320 Holmestown Rd, Myrtle Beach, SC 29588-7837 | |
| (843) 652-8440 | |
| (843) 652-8441 |
| Full Name | Tyler Kelly |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 8 Years |
| Location | 4320 Holmestown Rd, 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 |
|---|---|---|---|
| 1689100935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 301771 (New York) | Secondary |
| 207Q00000X | Family Medicine | 91454 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cayuga Medical Associates Pc | 6709897960 | 245 |
| Georgetown Physician Associates, Llc | 2365697398 | 197 |
| Entity Name | Schuyler Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760582142 PECOS PAC ID: 3577548262 Enrollment ID: O20040618000324 |
| Entity Name | Cayuga Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525455 PECOS PAC ID: 6709897960 Enrollment ID: O20060601000199 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Kelly, DO Po Box 421718, Georgetown, SC 29442-4203 Ph: (843) 527-7000 | Tyler Kelly, DO 4320 Holmestown Rd, Myrtle Beach, SC 29588-7837 Ph: (843) 652-8440 |
Ms. Vasiliki Papathanasiou, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Mcleod Health Blvd Ste 201, Myrtle Beach, SC 29579 Phone: 843-646-8001 Fax: 843-646-8002 | |
Dr. Naketa Thomas, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5023 Carolina Forest Blvd, Myrtle Beach, SC 29579 Phone: 843-497-5929 Fax: 833-449-3251 | |
Dr. Yolandie Mccoskey, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Dick Pond Road, Suite C-2, Myrtle Beach, SC 29588 Phone: 843-251-9500 Fax: 843-831-0021 | |
Dr. Edwin Lee Mccampbell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4591 Socastee Blvd, Myrtle Beach, SC 29588 Phone: 843-497-5929 Fax: 866-778-9611 | |
Jingye Yang, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4022 Postal Way, Myrtle Beach, SC 29579 Phone: 843-236-0000 Fax: 843-236-6191 | |
Jason Douglas Harrah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 907 Startek Dr, Myrtle Beach, SC 29579 Phone: 843-646-8001 Fax: 843-646-8802 | |
Dr. Saint Julien Lachicotte Springs Ii, M.D, MHA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4320 Holmestown Rd, Myrtle Beach, SC 29588 Phone: 843-652-8440 Fax: 843-652-8441 |