| Colleen Bradley, | |
|
2734 Beaver Run Blvd Unit D, Surfside Beach, SC 29575-5392 | |
| (469) 353-4042 | |
| Not Available |
| Full Name | Colleen Bradley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2734 Beaver Run Blvd Unit D, Surfside 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 |
|---|---|---|---|
| 1255995411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 3360 (South Carolina) | Primary |
| Entity Name | South Carolina Ent Allergy & Sleep Medicine PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134153083 PECOS PAC ID: 0840214748 Enrollment ID: O20060118000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Bradley, 2734 Beaver Run Blvd Unit D, Surfside Beach, SC 29575-5392 Ph: (469) 353-4042 | Colleen Bradley, 2734 Beaver Run Blvd Unit D, Surfside Beach, SC 29575-5392 Ph: (469) 353-4042 |
Mrs. Alexandra Lyle Rateliff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 |
Gabriella Leary, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 Fax: 843-238-1624 |
Ms. Laurie Ann Deshon, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 Fax: 843-828-0622 |
Gwendolyn G Strickland, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 |
Mrs. Prudence Melinda Olsen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1120 Glenns Bay Rd, Surfside Beach, SC 29575 Phone: 843-215-5492 Fax: 843-215-5512 |
Daniel A Oehler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 |
Tammy Strickland Melgar, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1945 Glenns Bay Rd, Surfside Beach, SC 29575 Phone: 843-650-4006 Fax: 843-650-4225 |