| Mr John Michael Davis, PA-C | |
|
422 N Fraser St, Georgetown, SC 29440-3260 | |
| (843) 436-1333 | |
| Not Available |
| Full Name | Mr John Michael Davis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 422 N Fraser St, Georgetown, 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 |
|---|---|---|---|
| 1346839149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 6417 (South Carolina) | Secondary |
| 363A00000X | Physician Assistant | 170531 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alaska Native Medical Center | Anchorage, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southcentral Foundation | 5496663627 | 168 |
| Entity Name | Alaska Native Tribal Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Entity Name | Southcentral Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Michael Davis, PA-C 422 N Fraser St, Georgetown, SC 29440-3260 Ph: (843) 436-1333 | Mr John Michael Davis, PA-C 422 N Fraser St, Georgetown, SC 29440-3260 Ph: (843) 436-1333 |
Katie Dzoba Sayre, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 N Fraser St, Georgetown, SC 29440 Phone: 843-527-4442 |
Aubrey Westwood, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 |
Kelli S Daughtry, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1014 Huger Dr, Georgetown, SC 29440 Phone: 843-520-8780 Fax: 843-652-8399 |
Stephen James Pigman, MSPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1068 N Fraser St, Georgetown, SC 29440 Phone: 843-545-7200 |
Mr. Frederick Leon Polando, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 580 Black River Rd, Georgetown, SC 29440 Phone: 843-652-4000 Fax: 843-652-4004 |
Paige Alyse Lauttenbach, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 N Fraser St, Georgetown, SC 29440 Phone: 843-527-4442 Fax: 843-527-4027 |
Mark Joseph Galloway, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2185 N Fraser St, Georgetown, SC 29440 Phone: 843-527-1800 Fax: 843-527-6528 |