| Kayla Alexandria Canteen, FNP-BC | |
|
6010 Highway 707 Ste 300, Myrtle Beach, SC 29588-7321 | |
| (843) 347-7216 | |
| (843) 347-7218 |
| Full Name | Kayla Alexandria Canteen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 6010 Highway 707 Ste 300, Myrtle 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 |
|---|---|---|---|
| 1740937580 | NPI | - | NPPES |
| NP8624 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 25858 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolina Pines Regional Medical Center | Hartsville, SC | Hospital |
| Conway Medical Center | Conway, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartsville Medical Group Llc | 7012062714 | 39 |
| Conway Hospital Inc | 7113839606 | 115 |
| Entity Name | Conway Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111 |
| Entity Name | Hartsville Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598995300 PECOS PAC ID: 7012062714 Enrollment ID: O20090902000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Alexandria Canteen, FNP-BC 300 Singleton Ridge Rd, Attn Credentialing, Conway, SC 29526-9142 Ph: () - | Kayla Alexandria Canteen, FNP-BC 6010 Highway 707 Ste 300, Myrtle Beach, SC 29588-7321 Ph: (843) 347-7216 |
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: Not Enrolled in Medicare 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 | |
Jessica Ann Reviea, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 945 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-497-5929 | |
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: Medicare Enrolled Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351 |