| Mr Glen Neal Lilly Ii, PA-C | |
|
4301 Dick Pond Rd, Myrtle Beach, SC 29588-6807 | |
| (843) 652-8100 | |
| (843) 652-8122 |
| Full Name | Mr Glen Neal Lilly Ii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 4301 Dick Pond Rd, Myrtle Beach, 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 |
|---|---|---|---|
| 1275935934 | NPI | - | NPPES |
| 2189 | Other | SC | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | TL2189 (South Carolina) | Secondary |
| 363A00000X | Physician Assistant | 2189 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgetown Physician Associates, Llc | 2365697398 | 149 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Glen Neal Lilly Ii, PA-C Po Box 421718, Georgetown, SC 29442-4203 Ph: (843) 652-8226 | Mr Glen Neal Lilly Ii, PA-C 4301 Dick Pond Rd, Myrtle Beach, SC 29588-6807 Ph: (843) 652-8100 |
Stephanie Macklin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2734 Beaver Run Blvd Unit D, Myrtle Beach, SC 29575 Phone: 843-650-1085 | |
William Cellaigh Corbitt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Village Center Blvd Ste 100, Myrtle Beach, SC 29579 Phone: 433-533-4608 Fax: 843-353-3461 | |
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 | |
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 |