Michelle Mack, | |
1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 | |
(843) 353-3460 | |
Not Available |
Full Name | Michelle Mack |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1621 Highway 17 N, North Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710698584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 37453 (Florida) | Primary |
Provider Name | Orthosc Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861902728 PECOS PAC ID: 8022370030 Enrollment ID: O20180501000455 |
Mailing Address | Practice Location Address |
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Michelle Mack, Po Box 5475, Ocala, FL 34478-5475 Ph: () - | Michelle Mack, 1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 Ph: (843) 353-3460 |
Jacqueline Suzanne Ehmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 53rd Ave N, North Myrtle Beach, SC 29582 Phone: 704-984-3683 | |
Paul Vojtek, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1424 Highway 17 N Ste 2, North Myrtle Beach, SC 29582 Phone: 843-427-7132 Fax: 843-427-7154 | |
Kristin L Heter, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1424 Highway 17 N Ste 2, North Myrtle Beach, SC 29582 Phone: 843-427-7132 Fax: 843-427-7154 | |
Mrs. Ashley Pate Goldston, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 543 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-249-7232 | |
Phyllis D Walker, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-353-3460 Fax: 843-353-3461 | |
Jessica Ober, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 David St., Apt #1208, North Myrtle Beach, SC 29582 Phone: 412-478-3497 | |
Mr. Harry B. Douglas, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 543 Highway 17 N, North Beach Shopping Center, North Myrtle Beach, SC 29582 Phone: 843-249-7232 |