Kimberly Sue Bregenzer, FNP | |
3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | |
(803) 434-8323 | |
(803) 434-8326 |
Full Name | Kimberly Sue Bregenzer |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 3 Richland Medical Park Dr Ste 310, Columbia, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073095683 | NPI | - | NPPES |
NP5438 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 22126 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Richland Hospital | Columbia, SC | Hospital |
Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
Prisma Health Baptist | Columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health Medical Group-midlands | 5991099707 | 881 |
Entity Name | Prisma Health Medical Group-midlands |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Sue Bregenzer, FNP Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7320 | Kimberly Sue Bregenzer, FNP 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 Ph: (803) 434-8323 |
Nathan Chadwick Davis, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 114 Gateway Corporate Blvd Ste 230, Columbia, SC 29203 Phone: 843-792-6200 | |
Karl A Lozanne, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1910 Blanding St, Columbia, SC 29201 Phone: 803-256-4107 | |
Bertram Richter, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 Phone: 803-434-8323 Fax: 803-434-8326 | |
Roham Moftakhar, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203 Phone: 803-434-8323 Fax: 803-434-8326 | |
Dr. Erwin Zeta Mangubat, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203 Phone: 803-434-8323 Fax: 803-434-8326 | |
Dr. Seth Shawn Molloy, D.O., M.S. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1910 Blanding St, Columbia, SC 29201 Phone: 803-256-4107 Fax: 803-254-2825 |