| Lorela Pengu, | |
|
210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-6706 | |
| (843) 353-3460 | |
| (843) 353-3461 |
| Full Name | Lorela Pengu |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 210 Village Center Blvd Ste 200, 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 |
|---|---|---|---|
| 1619781374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5738 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lorela Pengu, 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 Ph: (843) 353-3460 | Lorela Pengu, 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-6706 Ph: (843) 353-3460 |
Samuel Ray Lauer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Lisa Marie Wilson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-497-5929 Fax: 843-497-6601 | |
Morgan Overton Phillips, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572 Phone: 843-497-7772 Fax: 843-848-7530 | |
La'asha Burgess, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351 | |
Madison Olivia Hinde, PA-S2 Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1541 Brookgreen Dr, Myrtle Beach, SC 29577 Phone: 843-455-0777 | |
Mrs. Tracy Reymore Black, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8208 Devon Court, Suite B, Myrtle Beach, SC 29572 Phone: 704-364-6110 Fax: 704-364-4245 | |
Christopher Cody Belk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572 Phone: 843-497-7772 Fax: 843-848-7530 |