Southeastern Hospitalist Services Pc - Medicare Primary Care in Myrtle Beach, SC

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Southeastern Hospitalist Services Pc is a medicare enrolled primary clinic (Hospitalist) in Myrtle Beach, South Carolina. The current practice location for Southeastern Hospitalist Services Pc is 809 82nd Pkwy, Myrtle Beach, South Carolina. For appointments, you can reach them via phone at (843) 692-1000. The mailing address for Southeastern Hospitalist Services Pc is Po Box 638981, Cincinnati, Ohio and phone number is (800) 424-3672.

Southeastern Hospitalist Services Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003280108. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (843) 692-1000.

Contact Information

Southeastern Hospitalist Services Pc
809 82nd Pkwy
Myrtle Beach
SC 29572-4607
(843) 692-1000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSoutheastern Hospitalist Services Pc
SpecialityHospitalist
Location809 82nd Pkwy, Myrtle Beach, South Carolina
Authorized Official Name and PositionDavid Wesley Templeton (PRESIENT)
Authorized Official Contact8004243672
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southeastern Hospitalist Services Pc
Po Box 638981
Cincinnati
OH 45263-8981

Ph: (800) 424-3672		Southeastern Hospitalist Services Pc
809 82nd Pkwy
Myrtle Beach
SC 29572-4607

Ph: (843) 692-1000

NPI Details:

NPI Number1003280108
Provider Enumeration Date11/30/2015
Last Update Date05/19/2016

Medicare PECOS Information:

Medicare PECOS PAC ID3476855420
Medicare Enrollment IDO20160107001140

Medical Identifiers

Medical identifiers for Southeastern Hospitalist Services Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003280108NPI-NPPES
GP7097MedicaidGA
GP7099MedicaidSC
GP7085MedicaidSC
GP7098MedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southeastern Hospitalist Services Pc acts as a billing entity for following providers:
Provider NameMahsheed Khajavi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114945979
PECOS PAC ID: 2769370873
Enrollment ID: I20040310000027
Provider NameKenneth T Horlander
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1093750051
PECOS PAC ID: 7719916436
Enrollment ID: I20050811000922
Provider NameGuruman Singh Kalra
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1790720357
PECOS PAC ID: 8921024324
Enrollment ID: I20051014000552
Provider NameBabajide Falana
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1003867334
PECOS PAC ID: 1456379775
Enrollment ID: I20051104000691
Provider NameHarsh Singh
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1801888433
PECOS PAC ID: 3971582149
Enrollment ID: I20060629000271
Provider NameRichard Kwasi Agbeko Kessey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760496228
PECOS PAC ID: 5395749360
Enrollment ID: I20060905000523
Provider NameIngrid Tanubrata
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659394542
PECOS PAC ID: 8820098726
Enrollment ID: I20061227000108
Provider NameHarold O Boye
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790745115
PECOS PAC ID: 7416960083
Enrollment ID: I20070720000258
Provider NameGrant J Scarborough
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790736262
PECOS PAC ID: 9436161742
Enrollment ID: I20070918000277
Provider NameSilas O Gbenle
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1932218872
PECOS PAC ID: 9133206592
Enrollment ID: I20080409000396
Provider NameMary Grace Soon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730384421
PECOS PAC ID: 8527126986
Enrollment ID: I20081029000410
Provider NameOlusegun John
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1174796130
PECOS PAC ID: 2062578164
Enrollment ID: I20090225000299
Provider NameSunil John
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821074261
PECOS PAC ID: 6002896537
Enrollment ID: I20090804000578
Provider NameTammy M Allen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861550865
PECOS PAC ID: 0244256196
Enrollment ID: I20091022000009
Provider NameYimei M Qian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487801163
PECOS PAC ID: 3173690625
Enrollment ID: I20100122000202
Provider NameAyodeji George
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255521126
PECOS PAC ID: 1052405511
Enrollment ID: I20100614000270
Provider NameBamidele Ayotunde Ajibola
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669644589
PECOS PAC ID: 4082809009
Enrollment ID: I20101116000257
Provider NameIke A Nwaobi
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1417112475
PECOS PAC ID: 8224218391
Enrollment ID: I20110207000356
Provider NameMaher Astwani
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1447325048
PECOS PAC ID: 5991831240
Enrollment ID: I20110309000658
Provider NameOlayinka A Elesha
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1083887954
PECOS PAC ID: 8729237391
Enrollment ID: I20120926000357
Provider NameMonica Angela Hoffmeister-becerra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639307754
PECOS PAC ID: 3476702655
Enrollment ID: I20121003000353
Provider NameChibuzor Nkiruka Nnaji
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1740418177
PECOS PAC ID: 5395997175
Enrollment ID: I20121129000487
Provider NameAmaka Eunice Ezimora
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902121122
PECOS PAC ID: 5799939799
Enrollment ID: I20130128000489
Provider NameMary O Nwoke
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588891261
PECOS PAC ID: 3476707381
Enrollment ID: I20130130000356
Provider NameGopi Yogesh Vora
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1396056032
PECOS PAC ID: 8729212980
Enrollment ID: I20131002000312
Provider NameAmena Samar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942515531
PECOS PAC ID: 1153556501
Enrollment ID: I20131021001393
Provider NameWhitney Creed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831448059
PECOS PAC ID: 2769617984
Enrollment ID: I20131024000606
Provider NameKemisha L Key
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487975132
PECOS PAC ID: 8022243153
Enrollment ID: I20131028000497
Provider NameRaymond Kostromin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578668992
PECOS PAC ID: 7810110947
Enrollment ID: I20140519001129
Provider NameMichael N Metry
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1124187695
PECOS PAC ID: 7113818410
Enrollment ID: I20140912000998
Provider NameKatie Lynn Westerfield
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336480912
PECOS PAC ID: 2860717964
Enrollment ID: I20150212001345
Provider NameChristopher C Ezeihuaku
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1275672099
PECOS PAC ID: 2567553894
Enrollment ID: I20150415002362
Provider NameTeresa Davila
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235523044
PECOS PAC ID: 0840519245
Enrollment ID: I20150506002750
Provider NameMarian Hood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689067597
PECOS PAC ID: 4284953688
Enrollment ID: I20150506002854
Provider NameDwayne A Wright
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578841300
PECOS PAC ID: 8921312158
Enrollment ID: I20150801017382
Provider NameGerty Jean-louis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093703365
PECOS PAC ID: 8628003977
Enrollment ID: I20150826002021
Provider NameGabriele Polk-seldon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023491172
PECOS PAC ID: 3375859440
Enrollment ID: I20150903002033
Provider NameMisty Grove
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689057879
PECOS PAC ID: 1557679438
Enrollment ID: I20150925000795
Provider NameRonald Collier
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942466750
PECOS PAC ID: 2466777602
Enrollment ID: I20160513001923
Provider NameMichael Lemke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437506318
PECOS PAC ID: 2769775394
Enrollment ID: I20160720000518
Provider NameJaynald Caoile Cruz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972052462
PECOS PAC ID: 8022399500
Enrollment ID: I20161220002228
Provider NameJenna R Combs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447797584
PECOS PAC ID: 4082998885
Enrollment ID: I20170222001832
Provider NameTricia Charlene Fields
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205036431
PECOS PAC ID: 8729277991
Enrollment ID: I20170419002990
Provider NameKevin J Shiver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215388160
PECOS PAC ID: 3678841913
Enrollment ID: I20170830004017
Provider NameWenlan Duan
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1336374446
PECOS PAC ID: 5799081030
Enrollment ID: I20170906002581
Provider NameJoyce Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659716587
PECOS PAC ID: 5799080552
Enrollment ID: I20171004000891
Provider NameGirmay G Hailu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841605201
PECOS PAC ID: 1658646351
Enrollment ID: I20171005002238
Provider NameAkash Mukesh Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164833190
PECOS PAC ID: 2961797121
Enrollment ID: I20180219001460
Provider NameFarhan Ahmed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912318940
PECOS PAC ID: 3375832025
Enrollment ID: I20180710001687
Provider NamePromise Chidi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336534122
PECOS PAC ID: 2466747183
Enrollment ID: I20180801000628
Provider NameJada Rhymes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124400353
PECOS PAC ID: 8224336409
Enrollment ID: I20181102001938
Provider NameScharri Richmond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063968535
PECOS PAC ID: 9931449352
Enrollment ID: I20190321002875
Provider NameAbigail Copeland Zakrzewski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316424690
PECOS PAC ID: 1759631054
Enrollment ID: I20190425002793
Provider NameAmeet Kumar
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1548667934
PECOS PAC ID: 2961773585
Enrollment ID: I20190503000579
Provider NameHafsa Bhatti
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184044679
PECOS PAC ID: 7315260684
Enrollment ID: I20190517001137
Provider NameJametria Qwanice Howard-jones
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487064317
PECOS PAC ID: 7810256435
Enrollment ID: I20190606001316
Provider NameMuhammad K Ahmed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952718124
PECOS PAC ID: 8224367842
Enrollment ID: I20190906002984
Provider NameMichelle M Montalvo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518329358
PECOS PAC ID: 7315231552
Enrollment ID: I20190909001405
Provider NameMwamba Mwila
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629427570
PECOS PAC ID: 8426388695
Enrollment ID: I20191001003271
Provider NameKoosh N Desai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386097210
PECOS PAC ID: 5193056562
Enrollment ID: I20191016001409
Provider NameRavi Kumar Metai
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1912304585
PECOS PAC ID: 8022383017
Enrollment ID: I20191210002035
Provider NameLisa A Dileonardo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346801701
PECOS PAC ID: 7618207598
Enrollment ID: I20200129002474
Provider NameWael Zaki Aljishi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316105489
PECOS PAC ID: 3274773239
Enrollment ID: I20200313002105
Provider NameDaniel R Duzan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518900091
PECOS PAC ID: 7315911351
Enrollment ID: I20200327000715
Provider NameRobert Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760907208
PECOS PAC ID: 2264861327
Enrollment ID: I20200411000506
Provider NameThendrex Hernandez Estrella
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780815084
PECOS PAC ID: 3971750076
Enrollment ID: I20200421001838
Provider NameKimberly G Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932748605
PECOS PAC ID: 2668803412
Enrollment ID: I20200511001768
Provider NameStella Michelle Lundry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326536681
PECOS PAC ID: 7012265424
Enrollment ID: I20200702001238
Provider NameJason W Kimbel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538691225
PECOS PAC ID: 4688942790
Enrollment ID: I20200707000830
Provider NameTimothy M Pruitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295738706
PECOS PAC ID: 9931131943
Enrollment ID: I20200811000066
Provider NameChandar R Abboy
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1275583585
PECOS PAC ID: 6002858925
Enrollment ID: I20200820002948
Provider NameAnand K Gupta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033439815
PECOS PAC ID: 9234310103
Enrollment ID: I20201214001606
Provider NameAnupa Rai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023388642
PECOS PAC ID: 1951538776
Enrollment ID: I20210308000682
Provider NameRoyce Clifton Miller
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1568824993
PECOS PAC ID: 0143584854
Enrollment ID: I20210525000540
Provider NameJeffrey A Gulick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235313149
PECOS PAC ID: 2668525858
Enrollment ID: I20211011001183
Provider NameYulanda King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184214132
PECOS PAC ID: 7416366786
Enrollment ID: I20211110000008
Provider NameNatasha Raj Arora
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386131456
PECOS PAC ID: 0547509119
Enrollment ID: I20211220002343
Provider NameTabitha Marie Bedini
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003104092
PECOS PAC ID: 7618109950
Enrollment ID: I20220209000655
Provider NameHaider Saleem Chaudhry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649317751
PECOS PAC ID: 7719078575
Enrollment ID: I20220310001723
Provider NameStephanie Robertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952868341
PECOS PAC ID: 4486067451
Enrollment ID: I20220503002081
Provider NameYahya R Ahmad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316399678
PECOS PAC ID: 3476848672
Enrollment ID: I20220711003101
Provider NameVimarsh Raina
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508177841
PECOS PAC ID: 9537315064
Enrollment ID: I20220823003026
Provider NameLachmi Bai
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467913319
PECOS PAC ID: 1254666860
Enrollment ID: I20220919000295
Provider NameMargaret Caitlin Williamson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124589023
PECOS PAC ID: 4385979079
Enrollment ID: I20221005001222
Provider NameManasa Valluri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144781741
PECOS PAC ID: 3072841717
Enrollment ID: I20221201000477
Provider NameMahesh Shrestha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215345269
PECOS PAC ID: 8527350040
Enrollment ID: I20221201001449
Provider NameNicholas Batchelor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831266956
PECOS PAC ID: 5597996942
Enrollment ID: I20221220000502
Provider NameAaron Welly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154844306
PECOS PAC ID: 6406274596
Enrollment ID: I20230302002118
Provider NameChibuzor Ejike
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972132660
PECOS PAC ID: 5698192771
Enrollment ID: I20230810002685
Provider NameThomas James Smith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174919963
PECOS PAC ID: 5799031647
Enrollment ID: I20240304001256
Provider NameMyranda Leigh Harbuck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285319459
PECOS PAC ID: 4183061336
Enrollment ID: I20240322002656
Provider NameStephen Lee Voss
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083132237
PECOS PAC ID: 2365846227
Enrollment ID: I20240430001162
Provider NameAlexis Nicole Wallace
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245856822
PECOS PAC ID: 6002217619
Enrollment ID: I20241002000699
Provider NameMuhammad-abbas Conteh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871177386
PECOS PAC ID: 2860925567
Enrollment ID: I20241104000468
Provider NamePooja Indir
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134707094
PECOS PAC ID: 6507260544
Enrollment ID: I20241107000169
Provider NameManal Zafar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437737004
PECOS PAC ID: 2860894607
Enrollment ID: I20250514002698

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.