| Michelle L Deeney, PA | |
|
823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | |
| (843) 449-1010 | |
| (843) 497-6171 |
| Full Name | Michelle L Deeney |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 823 82nd Pkwy, 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 |
|---|---|---|---|
| 1366744989 | NPI | - | NPPES |
| 1079413 | Other | SC | WELLCARE |
| 3674348 | Other | SC | UNITED |
| 1366744989 | Medicaid | NC | |
| P01491958 | Other | SC | RAILROAD MEDICARE |
| 2101PA | Medicaid | SC | |
| 9987966 | Other | SC | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00248200 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | TL2265 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgetown Physician Associates, Llc | 2365697398 | 197 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle L Deeney, PA Po Box 421718, Attn: Payer Contracting & Relations, Georgetown, SC 29442-4203 Ph: (843) 527-7000 | Michelle L Deeney, PA 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: (843) 449-1010 |
Samuel 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: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351 | |
Madison Olivia Hinde, PA-C 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 | |
Douglas Todd Vick, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4736 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-213-2039 Fax: 843-293-2454 |