Provider Demographics
NPI:1609873785
Name:FRANCKE, PATRICK M (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:M
Last Name:FRANCKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 OLEANDER DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-5742
Mailing Address - Country:US
Mailing Address - Phone:843-449-9415
Mailing Address - Fax:843-449-2160
Practice Address - Street 1:4708 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-5742
Practice Address - Country:US
Practice Address - Phone:843-449-9415
Practice Address - Fax:843-449-2160
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00774422085R0001X
SCTL331942085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46780OtherBCBS PROVIDER NUMBER
SC5338095OtherAETNA
FL7200427OtherGHI PROVIDER NUMBER
FL8792OtherTOTAL HLTH CH. PROVIDER #
SCP00900588OtherRAILROAD MEDICARE
NC1542JOtherBCBS
SC80023849OtherSELECT HEALTH
FL256933700Medicaid
SC331947Medicaid
SC000000388210OtherUNITED HEALTHCARE COMMUNITY PLAN (UNISON)
FL239338OtherAMERIGROUP PROVIDER NUM.
FL8889OtherDIMENSION HLTH. PROV. #
FL905189OtherFIRST HEALTH PROVIDER #
FL4608762-005OtherCIGNA PROVIDER #
NC5912832Medicaid
FL167847OtherWELLCARE PROVIDER NUMBER
FL5338095OtherAETNA PROVIDER NUMBER
FL32252OtherNHP THRU PMG PROVIDER #
FL259924OtherAVMED PROVIDER NUMBER
SC774386OtherWELLCARE
NC5912832Medicaid
FLE1929ZMedicare PIN
NC2073606Medicare PIN
SCP00900588OtherRAILROAD MEDICARE
FL239338OtherAMERIGROUP PROVIDER NUM.