| Katie Mantie Egbers, PA | |
|
316 Calhoun St, Charleston, SC 29401-1113 | |
| (843) 724-2000 | |
| Not Available |
| Full Name | Katie Mantie Egbers |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 316 Calhoun St, Charleston, 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 |
|---|---|---|---|
| 1942633433 | NPI | - | NPPES |
| 1942633433 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0010-06659 (North 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 |
| Entity Name | Mount Pleasant Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619271020 PECOS PAC ID: 9537343033 Enrollment ID: O20110407000344 |
| Entity Name | Broad River Physicians Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295443000 PECOS PAC ID: 8123385143 Enrollment ID: O20230103000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Mantie Egbers, PA 1028 Banker Ct, Mount Pleasant, SC 29429-4980 Ph: (203) 687-1680 | Katie Mantie Egbers, PA 316 Calhoun St, Charleston, SC 29401-1113 Ph: (843) 724-2000 |
Christian Anton Sung, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-720-8490 |
Amy Lynn Canino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-402-1638 Fax: 843-724-2455 |
Elizabeth Poindexter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Maria Dahl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2225 Ashley River Rd Apt 378, Charleston, SC 29414 Phone: 704-661-4464 |
Matthew K Ewald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Meredith Barb Bauerband, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2180 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 865-647-5800 Fax: 865-647-5979 |
Jessica Marie Richgels, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1327 Ashley River Rd Ste B, Charleston, SC 29407 Phone: 843-577-4551 |