| Ms Laurie Ann Deshon, PHYSICIAN ASSISTANT | |
|
1600 Highway 17 N, Surfside Beach, SC 29575-6015 | |
| (843) 238-1461 | |
| (843) 828-0622 |
| Full Name | Ms Laurie Ann Deshon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 31 Years |
| Location | 1600 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 |
|---|---|---|---|
| 1346269685 | NPI | - | NPPES |
| 182007801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2971 (South Carolina) | Primary |
| 363A00000X | Physician Assistant | PA01446 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Urgent Cares Llc | 8628502598 | 183 |
| Entity Name | Novant Health Urgent Cares LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841026382 PECOS PAC ID: 8628502598 Enrollment ID: O20241114002376 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Laurie Ann Deshon, PHYSICIAN ASSISTANT Po Box 749306, Atlanta, GA 30374-9306 Ph: Not Available | Ms Laurie Ann Deshon, PHYSICIAN ASSISTANT 1600 Highway 17 N, Surfside Beach, SC 29575-6015 Ph: (843) 238-1461 |
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 |
Gabriella Leary, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 Fax: 843-238-1624 |
Colleen Bradley, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2734 Beaver Run Blvd Unit D, Surfside Beach, SC 29575 Phone: 469-353-4042 |
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 |