| Angelic Palliative Care Of Sc | |
|
923c Medical Circle Myrtle Beach SC 29572 | |
| (843) 356-9078 | |
| (843) 356-4086 |
| Full Name | Angelic Palliative Care Of Sc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 923c Medical Circle, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Dan Mikus (CEO) |
| Authorized Official Contact | 6098227979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angelic Palliative Care Of Sc 8025 Black Horse Pike Ste 501 Pleasantville NJ 08232-2967 Ph: (609) 822-7979 | Angelic Palliative Care Of Sc 923c Medical Circle Myrtle Beach SC 29572 Ph: (843) 356-9078 |
| NPI Number | 1891448064 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 7113313073 |
|---|---|
| Medicare Enrollment ID | O20220403000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891448064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LC1500X | Nurse Practitioner - Community Health | (* (Not Available)) | Primary |
| Provider Name | Brianna Worona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730643255 PECOS PAC ID: 8820330756 Enrollment ID: I20220411002499 |
| Provider Name | Dana Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285257584 PECOS PAC ID: 8426440074 Enrollment ID: I20220502000622 |
| Provider Name | April Mills Mchugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881287530 PECOS PAC ID: 2567835747 Enrollment ID: I20230309000861 |
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