| Francis Marion University | |
|
201 W Evans St Florence SC 29501-3427 | |
| (843) 661-1721 | |
| Not Available |
| Full Name | Francis Marion University |
|---|---|
| Speciality | Psychologist |
| Location | 201 W Evans St, Florence, South Carolina |
| Authorized Official Name and Position | Jamie Lea Forthman (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2705576396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Francis Marion University Po Box 100547 Florence SC 29502-0547 Ph: () - | Francis Marion University 201 W Evans St Florence SC 29501-3427 Ph: (843) 661-1721 |
| NPI Number | 1366033607 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Medicare PECOS PAC ID | 6800296690 |
|---|---|
| Medicare Enrollment ID | O20210616001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366033607 | NPI | - | NPPES |
| Provider Name | Cameron White |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851887343 PECOS PAC ID: 4688074180 Enrollment ID: I20210621000124 |
| Provider Name | Meghan Rhys Schaufele |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114122827 PECOS PAC ID: 1153709845 Enrollment ID: I20220608003162 |
| Provider Name | Anna Marie Freeman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699955534 PECOS PAC ID: 2668857186 Enrollment ID: I20220920002843 |
| Provider Name | Debra Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629403688 PECOS PAC ID: 2365899960 Enrollment ID: I20231102003707 |
| Provider Name | Ashleigh Harris Collins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588761761 PECOS PAC ID: 0648627513 Enrollment ID: I20231114003417 |
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