| Skerdilaid Licaj, PA | |
|
1714 Highway 17 S, North Myrtle Beach, SC 29582-4041 | |
| (843) 545-7200 | |
| (843) 545-5742 |
| Full Name | Skerdilaid Licaj |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 1714 Highway 17 S, North 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 |
|---|---|---|---|
| 1023212842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1212 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Musc Health Florence Medical Center | Florence, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musc Community Physicians | 6507260668 | 1353 |
| Entity Name | Acs Primary Care Physicians - Southeast PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270 |
| Entity Name | MUSC Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Skerdilaid Licaj, PA 7603 Driftwood Dr, Myrtle Beach, SC 29572-4153 Ph: (843) 692-9099 | Skerdilaid Licaj, PA 1714 Highway 17 S, North Myrtle Beach, SC 29582-4041 Ph: (843) 545-7200 |
Ms. Jeanne Patricia Gates, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705 Fax: 843-361-4045 |
Madison Osakowicz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2021 N Myrtle Point Blvd, North Myrtle Beach, SC 29582 Phone: 843-663-0283 Fax: 843-366-2450 |
Cheryl Henson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-353-3460 Fax: 843-353-3461 |
Ms. Lola Teresa Margron, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705 |
Beverly Reese Hall, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1233 Lady Bird Way, North Myrtle Beach, SC 29582 Phone: 678-428-5172 |