Healthcare Provider Details
I. General information
NPI: 1609873785
Provider Name (Legal Business Name): PATRICK M FRANCKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/05/2005
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4708 OLEANDER DR
MYRTLE BEACH SC
29577-5742
US
IV. Provider business mailing address
8121 ROURK ST
MYRTLE BEACH SC
29572-4128
US
V. Phone/Fax
- Phone: 843-449-9415
- Fax: 843-449-2160
- Phone:
- Fax: 843-692-5010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | TL33194 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | ME0077442 |
| License Number State | FL |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 331947 |
| Identifier Type | MEDICAID |
| Identifier State | SC |
| Identifier Issuer | |
| # 2 | |
| Identifier | P00900588 |
| Identifier Type | OTHER |
| Identifier State | SC |
| Identifier Issuer | RAILROAD MEDICARE |
| # 3 | |
| Identifier | 4608762-005 |
| Identifier Type | OTHER |
| Identifier State | FL |
| Identifier Issuer | CIGNA PROVIDER # |
| # 4 | |
| Identifier | 5338095 |
| Identifier Type | OTHER |
| Identifier State | FL |
| Identifier Issuer | AETNA PROVIDER NUMBER |
| # 5 | |
| Identifier | 80023849 |
| Identifier Type | OTHER |
| Identifier State | SC |
| Identifier Issuer | SELECT HEALTH |
| # 6 | |
| Identifier | 167847 |
| Identifier Type | OTHER |
| Identifier State | FL |
| Identifier Issuer | WELLCARE PROVIDER NUMBER |
| # 7 | |
| Identifier | 46780 |
| Identifier Type | OTHER |
| Identifier State | FL |
| Identifier Issuer | BCBS PROVIDER NUMBER |
| # 8 | |
| Identifier | 239338 |
| Identifier Type | OTHER |
| Identifier State | FL |
| Identifier Issuer | AMERIGROUP PROVIDER NUM. |
| # 9 | |
| Identifier | 256933700 |
| Identifier Type | MEDICAID |
| Identifier State | FL |
| Identifier Issuer | |
| # 10 | |
| Identifier | 5912832 |
| Identifier Type | MEDICAID |
| Identifier State | NC |
| Identifier Issuer | |
| # 11 | |
| Identifier | 000000388210 |
| Identifier Type | OTHER |
| Identifier State | SC |
| Identifier Issuer | UNITED HEALTHCARE COMMUNITY PLAN (UNISON) |
| # 12 | |
| Identifier | 1542J |
| Identifier Type | OTHER |
| Identifier State | NC |
| Identifier Issuer | BCBS |
| # 13 | |
| Identifier | 259924 |
| Identifier Type | OTHER |
| Identifier State | FL |
| Identifier Issuer | AVMED PROVIDER NUMBER |
| # 14 | |
| Identifier | 774386 |
| Identifier Type | OTHER |
| Identifier State | SC |
| Identifier Issuer | WELLCARE |
| # 15 | |
| Identifier | 32252 |
| Identifier Type | OTHER |
| Identifier State | FL |
| Identifier Issuer | NHP THRU PMG PROVIDER # |
| # 16 | |
| Identifier | 5338095 |
| Identifier Type | OTHER |
| Identifier State | SC |
| Identifier Issuer | AETNA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
