| Mr Dwayne F Mcvicker, CRNA | |
|
5 Richland Medical Park Dr, Columbia, SC 29203-6863 | |
| (803) 434-7000 | |
| Not Available |
| Full Name | Mr Dwayne F Mcvicker |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 5 Richland Medical Park Dr, Columbia, 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 |
|---|---|---|---|
| 1215257001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4206 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidelands Health | Georgetown, SC | Hospital |
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidelands Anesthesia Group Llc | 5395258065 | 51 |
| Atlantic Coast Anesthesia Services Pc | 3971887167 | 71 |
| Entity Name | Medstream Anesthesia PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
| Entity Name | Atlantic Coast Anesthesia Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291 |
| Entity Name | Tidelands Anesthesia Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144017781 PECOS PAC ID: 5395258065 Enrollment ID: O20250627000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dwayne F Mcvicker, CRNA 5 Richland Medical Park Dr, Columbia, SC 29203-6863 Ph: Not Available | Mr Dwayne F Mcvicker, CRNA 5 Richland Medical Park Dr, Columbia, SC 29203-6863 Ph: (803) 434-7000 |
Dianne Jenkins, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2435 Forest Dr, 7th Floor, Columbia, SC 29204 Phone: 803-454-2613 |
Janet Matenlan Golay, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Taylor At Marion Streets, Palmetto Health Baptist, Columbia, SC 29201 Phone: 803-296-2548 Fax: 803-296-2548 |
Deborah Lee Stuart, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Taylor At Marion Streets, Columbia, SC 29201 Phone: 803-296-2548 Fax: 803-296-2548 |
Mrs. Candace Anne Aguiar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 Palmetto Health Pkwy,, Palmetto Health Baptist Parkridge, Columbia, SC 29212 Phone: 803-296-2548 |
Mrs. Pamela Jean Parks Ozaluk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Harden Street Ext 5 Medical Park, Plametto Health Ricland, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-2525 |
Erich Reed Starn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Palmetto Health Baptist, Taylor At Marion Street, Columbia, SC 29220 Phone: 803-296-2276 Fax: 806-296-3854 |
Linda Kay Foy, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Taylor At Marion Streets, Palmetto Health Baptist, Columbia, SC 29201 Phone: 803-296-2548 Fax: 803-296-2548 |