| Paige Alyse Lauttenbach, PA-C | |
|
1075 N Fraser St, Georgetown, SC 29440-2848 | |
| (843) 527-4442 | |
| (843) 527-4027 |
| Full Name | Paige Alyse Lauttenbach |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 1075 N Fraser St, Georgetown, 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 |
|---|---|---|---|
| 1477111615 | NPI | - | NPPES |
| SCF8596072 | Other | SC | MEDICARE |
| 3283PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 3293 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Well Care Home Health Of The Lowcountry Inc | Myrtle beach, SC | Home health agency |
| Amedisys Home Health Of Myrtle Beach | Myrtle beach, SC | Home health agency |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Tidelands Health | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgetown Physician Associates, Llc | 2365697398 | 221 |
| Entity Name | Georgetown Physician Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235475930 PECOS PAC ID: 2365697398 Enrollment ID: O20130225000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Paige Alyse Lauttenbach, PA-C Po Box 421718, Georgetown, SC 29442-4203 Ph: (843) 527-7000 | Paige Alyse Lauttenbach, PA-C 1075 N Fraser St, Georgetown, SC 29440-2848 Ph: (843) 527-4442 |
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 |
Mr. Christopher Bret Kirtley, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 804 Willowbank Rd, Georgetown, SC 29440 Phone: 843-240-6048 Fax: 843-240-6048 |
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 |
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 |