| Alexander Petkovsek, | |
|
920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4181 | |
| (843) 497-6348 | |
| (843) 497-6351 |
| Full Name | Alexander Petkovsek |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 920 Doug White Dr Ste 210, Myrtle Beach, 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 |
|---|---|---|---|
| 1013455302 | NPI | - | NPPES |
| 12 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20710 (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 |
|---|---|
| Alexander Petkovsek, 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4181 Ph: (843) 497-6348 | Alexander Petkovsek, 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4181 Ph: (843) 497-6348 |
Wilma J Spencer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7724 N Kings Hwy, Myrtle Beach, SC 29572 Phone: 843-663-1013 Fax: 843-663-1017 | |
Mrs. Cyril Eunice Aboy Ferreras, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1303 38th Ave N, Myrtle Beach, SC 29577 Phone: 843-445-1697 | |
Mary Taylor Britt Jackson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8121 Rourk St, Myrtle Beach, SC 29572 Phone: 843-692-5000 Fax: 843-692-5010 | |
Mrs. Angela Kathline Naples, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Jessica Ann Reviea, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 945 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-497-5929 | |
Mary E Byrd, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579 Phone: 843-236-2700 Fax: 843-236-2726 |