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Teresa Regina Kontos

Student in an Organized Health Care Education/Training Program

Student, Health Care

809 82nd Pkwy, Myrtle Beach, SC 29572-4607

PECOS Enrollment

This provider is enrolled in PECOS as TERESA KONTOS.

Based on the most recent information from CMS, provider Teresa Regina Kontos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1194460147
Provider Type
Individual
Full Name
Kontos, Teresa Regina
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/4/2022
Last Updated
3/22/2023

Contact Information

Practice Location

809 82nd Pkwy, Myrtle Beach, SC 29572-4607

(843) 692-1000

Unlisted Fax

Mailing Location

809 82nd Pkwy, Myrtle Beach, SC 29572-4607

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 1109823 South Carolina
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License 1109823 South Carolina

Teresa Regina Kontos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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