Michael Coletta (NPI# 1073059911, PAC ID# 7113254822) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1073059911 |
| PAC ID by PECOS | 7113254822 |
| Professional Enrollment ID | I20190802002194 |
| Full Name | Michael Coletta |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Address |
809 82nd Pkwy Myrtle Beach SC 29572-4607 |
| Phone Number | 8436921000 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5193620714 |
| Number of Group Practice Members | 172 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| 420105 | MCLEOD LORIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8436921000 | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enrique Pena | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 806 Hwy 17 S, North Myrtle Beach, SC 29582-3429 |
| Carey Christiansen Ford | Family Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
| Peter K Brady | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 349 Tidewatch Dr, Bluffton, SC 29910-9321 |
| Melissa Rosado | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Arash Albekord | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 10 E Hospital St, Manning, SC 29102-3153 |
| Angela Penix | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Bettie S Stem | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Tiffany D Jackson | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Kenneth L Grotz | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Reda Saadal Hallaba | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Street Address |
809 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29572-4607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Malik | Family Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Steven A Matzinger | General Surgery | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Melissa Rosado | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Nyein W Garner | Anesthesiology Assistant | Coastal Anesthesia Medical Group, LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Andrew Peter Mangano | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Thanigaiarsu Thiyagarajan | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Joshua Paul Myers | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Robert E Jones Iv | Anesthesiology Assistant | Coastal Anesthesia Medical Group, LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Ernest W Stokes Iii | Physician Assistant | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Mohamed Faris | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Staples | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Paul Vojtek | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Stephen Swygert Ford | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Kara Houston | Physical Medicine and Rehabilitation | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Steven Goodman | Chiropractic | 9612n Kings Hwy, Myrtle Beach, SC 29572-4006 | |
| Barbie Suggs Anderson | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Emily Pond Wright | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Stephen Gordon Remine | General Surgery | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Richard G Snyder | General Practice | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Bleselda G Paragas | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Find all physicians in zip 29572 | |||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MYRTLE BEACH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael Coletta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.