Coastal Carolina ENT DO PA
A Medicare group practice based in Supply, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8325082498), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8325082498
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- NC, SC
- Enrollments
- 2
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050620000466 | NC | Part B Supplier - Clinic/Group Practice | 1689757007 |
| O20130219000386 | SC | Part B Supplier - Clinic/Group Practice | 1386989028 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Coastal Carolina ENT DO PA
- Otolaryngology/Facial Plastic Surgery Physician
- Whiteville, NC
- NPI 1689757007
-
Coastal Carolina ENT, DO, PA
- Facial Plastic Surgery Physician
- Little River, SC
- NPI 1386989028
Practice locations
- Whiteville, NC2
- Supply, NC2
- Little River, SC1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 89.15 of 100
- Quality
- 78.3
- Improvement activities
- 40
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (6).
-
Matthew James Brennan, DO
- Otolaryngology Physician
- Philadelphia, PA
- NPI 1629572086
-
Jeffrey Gerard Coury, DO
- Facial Plastic Surgery Physician
- Whiteville, NC
- NPI 1740312487
-
James Dimuzio Jr., DO
- Facial Plastic Surgery Physician
- Whiteville, NC
- NPI 1306822424
-
Erik L Kenyon, DO
- Facial Plastic Surgery Physician
- Whiteville, NC
- NPI 1033195144
-
Jayna Patel, D.O.
- Facial Plastic Surgery Physician
- Evanston, IL
- NPI 1619109154
-
Michael D Peters, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Little River, SC
- NPI 1194775429
-
Savannah Parker Ward, FNP
- Family Nurse Practitioner
- Supply, NC
- NPI 1336856285
-
Marie McMillan Wheatley, FNP-C
- Nurse Practitioner
- Shallotte, NC
- NPI 1497807986
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.