| Michael Zackery Zdunich, PA-C | |
|
8004 Myrtle Trace Dr, Conway, SC 29526-8945 | |
| (843) 347-8041 | |
| (843) 347-8042 |
| Full Name | Michael Zackery Zdunich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 8004 Myrtle Trace Dr, Conway, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750999660 | NPI | - | NPPES |
| 4352PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 3654 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Medical Center | Conway, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conway Hospital Inc | 7113839606 | 127 |
| 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 | Atlantic Urology Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447293790 PECOS PAC ID: 0840296638 Enrollment ID: O20061019000077 |
| Entity Name | Auc Urologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780454017 PECOS PAC ID: 3375986953 Enrollment ID: O20240212000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Zackery Zdunich, PA-C 300 Singleton Ridge Rd, Attn Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Michael Zackery Zdunich, PA-C 8004 Myrtle Trace Dr, Conway, SC 29526-8945 Ph: (843) 347-8041 |
Kevin Robert Monaghan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8004 Myrtle Trace Drive, Suite 200, Conway, SC 29526 Phone: 843-347-8041 Fax: 843-347-8042 | |
Keith C Reinwald, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-347-7222 Fax: 843-347-3305 | |
Sona Panchal, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-353-3460 Fax: 843-353-3461 | |
Mr. Jonathan Stephens, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2376 Cypress Cir Ste 300, Conway, SC 29526 Phone: 843-347-8041 | |
Linda R Aanonsen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1316 3rd Ave, Conway, SC 29526 Phone: 843-488-7283 | |
Mrs. Kallie Graham Britton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2376 Cypress Cir Ste 102, Conway, SC 29526 Phone: 843-347-8953 Fax: 843-347-0226 | |
Brian D. Forbus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2767 Cultra Rd, Conway, SC 29526 Phone: 843-438-8470 |