Coastal Podiatry Associates PA

A Medicare group practice based in Myrtle Beach, SC: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 3375686108), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3375686108The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
Enrolled in
SC
Enrollments
5
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20100202000727 SC Part B Supplier - Clinic/Group Practice 1710948716
O20100930039491 SC DME Supplier - Physician - Podiatry 1710948716
O20180515003108 SC DME Supplier - Physician - Podiatry 1598281883
O20180509003041 SC DME Supplier - Physician - Podiatry 1578697496
O20180518001303 SC DME Supplier - Physician - Podiatry 1851425763

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (6).

Sources for this page