| Kathryn A O'donald, CRNP | |
| 170 Village Center Blvd, Myrtle Beach, SC 29579-3400 | |
| (843) 449-5848 | |
| (843) 497-5019 | 
| Full Name | Kathryn A O'donald | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Women's Health | 
| Location | 170 Village Center Blvd, 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 | 
|---|---|---|---|
| 1043205289 | NPI | - | NPPES | 
| 50038695 | Other | PA | CAPITAL BLUE CROSS | 
| OD1629923 | Other | PA | HIGHMARK | 
| 0991970 | Other | PA | KEYSTONE HEALTH PLAN CENT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | VP001864G (Pennsylvania) | Primary | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002986 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kathryn A O'donald, CRNP 170 Village Center Blvd, Myrtle Beach, SC 29579-3400 Ph: (843) 449-5848 | Kathryn A O'donald, CRNP 170 Village Center Blvd, Myrtle Beach, SC 29579-3400 Ph: (843) 449-5848 | 
| 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: Accepting Medicare Assignments 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 | |
| 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 | |
| Alexander Petkovsek,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351 | |
| Mrs. June Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3381 Phillis Blvd, Myrtle Beach, SC 29577 Phone: 843-477-0177 |