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Cassandra Beard, D.O.

Dermatology in Okatie, SC. Individual provider (NPI-1).

NPI number1508304833
StatusActive
Last updated in NPPESFeb 23, 2022

Details

NPI
1508304833
Entity type
Individual (NPI-1)
Name
Cassandra Beard
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 7, 2017
Certification date
Feb 23, 2022
Last updated
Feb 23, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - DERMATOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology83716SCYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

40 Okatie Center Blvd S Ste 210
Okatie, SC 29909-7511

Phone 843-705-0840

Mailing address

40 Okatie Center Blvd S Ste 210
Okatie, SC 29909-7511

Phone 843-705-0840

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