Susan V Breazeale, APRN | |
220 Keowee Trl, Clemson, SC 29631-1448 | |
(864) 653-4071 | |
(864) 653-4074 |
Full Name | Susan V Breazeale |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 220 Keowee Trl, Clemson, 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 |
---|---|---|---|
1366642019 | NPI | - | NPPES |
GP3805 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 1711 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Medical Center | Rock hill, SC | Hospital |
Willow Brooke Court At Park Pointe Village | Rock hill, SC | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Acts Signature Community Services Inc | 5092032284 | 27 |
Entity Name | Acts Signature Community Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700353448 PECOS PAC ID: 5092032284 Enrollment ID: O20190123001004 |
Mailing Address | Practice Location Address |
---|---|
Susan V Breazeale, APRN Po Box 2089, Easley, SC 29641-2089 Ph: (864) 855-5104 | Susan V Breazeale, APRN 220 Keowee Trl, Clemson, SC 29631-1448 Ph: (864) 653-4071 |
Dr. Adam Bayne Sarayusa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Chapman Hill Rd Ste 101, Clemson, SC 29631 Phone: 864-653-4071 Fax: 864-653-4074 | |
George Timothy Baxley, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 Keowee Trl, Clemson, SC 29631 Phone: 864-653-4071 Fax: 864-653-4074 | |
Dr. Jerry F Sherrill, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 Chapman Hill Rd, Clemson, SC 29631 Phone: 864-653-4071 |