| Evan Alexander Mills, | |
|
211 Border Rd, Goose Creek, SC 29445-9643 | |
| (803) 239-8051 | |
| Not Available |
| Full Name | Evan Alexander Mills |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 211 Border Rd, Goose Creek, 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 |
|---|---|---|---|
| 1861143257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003827304 PECOS PAC ID: 9032215199 Enrollment ID: O20070507000192 |
| 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 |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982124301 PECOS PAC ID: 9032215199 Enrollment ID: O20171228002000 |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518454818 PECOS PAC ID: 9032215199 Enrollment ID: O20190118001672 |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659872059 PECOS PAC ID: 9032215199 Enrollment ID: O20190930000858 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Alexander Mills, 211 Border Rd, Goose Creek, SC 29445-9643 Ph: (803) 239-8051 | Evan Alexander Mills, 211 Border Rd, Goose Creek, SC 29445-9643 Ph: (803) 239-8051 |
Mr. Andrew T Darrah, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 110 Nnptc Cir, Goose Creek, SC 29445 Phone: 843-794-6000 |
Mrs. Robert Archer Ross, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445 Phone: 843-553-4383 Fax: 843-553-4384 |
Tracy B Reeves, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Nnptc Cir, Goose Creek, SC 29445 Phone: 843-794-6840 Fax: 843-794-6036 |
Mrs. Elise Michele Marchetti, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 318 Reynard Dr, Goose Creek, SC 29445 Phone: 843-518-7441 |
Ms. Rachel L. King, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 119 Springhall Dr, Goose Creek, SC 29445 Phone: 432-662-5208 Fax: 843-553-4436 |
Matthew J. Hrvatin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445 Phone: 843-553-4383 Fax: 843-553-4384 |
Mr. James Brett Mitchell, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 7 S Alliance Dr, Goose Creek, SC 29445 Phone: 843-553-4383 Fax: 843-553-4384 |