| Gabriella Leary, PA-C | |
|
1413 Highway 17 N, Surfside Beach, SC 29575-6012 | |
| (843) 238-5654 | |
| (843) 238-1624 |
| Full Name | Gabriella Leary |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1413 Highway 17 N, Surfside Beach, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124740865 | NPI | - | NPPES |
| 5986PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 4618PA (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Myrtle Beach | Myrtle beach, SC | Home health agency |
| Conway Medical Center | Conway, SC | Hospital |
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acs Primary Care Physicians - Southeast Pc | 5193620714 | 409 |
| 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 |
|---|---|
| Gabriella Leary, PA-C 300 Singleton Ridge Rd, Attention Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Gabriella Leary, PA-C 1413 Highway 17 N, Surfside Beach, SC 29575-6012 Ph: (843) 238-5654 |
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 |
Colleen Bradley, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2734 Beaver Run Blvd Unit D, Surfside Beach, SC 29575 Phone: 469-353-4042 |
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 |