Amber Nicole Ballentine, APRN | |
22 Bozard St, Manning, SC 29102-2935 | |
(803) 435-8828 | |
(803) 435-2239 |
Full Name | Amber Nicole Ballentine |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 22 Bozard St, Manning, South Carolina |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104243518 | NPI | - | NPPES |
NP3502 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 18710 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colonial Family Practice Llc | 9931017118 | 49 |
Entity Name | Colonial Family Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518074640 PECOS PAC ID: 9931017118 Enrollment ID: O20040727000107 |
Mailing Address | Practice Location Address |
---|---|
Amber Nicole Ballentine, APRN 22 Bozard St, Manning, SC 29102-2935 Ph: (803) 435-8828 | Amber Nicole Ballentine, APRN 22 Bozard St, Manning, SC 29102-2935 Ph: (803) 435-8828 |
Gina G Wilson, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1013 Professional Ct, Manning, SC 29102 Phone: 803-433-7444 Fax: 803-433-7448 | |
Ms. Tammy Wynette Plemons, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 E Hospital St, Manning, SC 29102 Phone: 803-433-3000 | |
Patricia Levonnie Barrineau, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 W South St, Manning, SC 29102 Phone: 803-433-4321 Fax: 803-433-0075 | |
Charles E. Godwin Iii, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 E Hospital St Ste 6, Manning, SC 29102 Phone: 803-433-3065 Fax: 803-433-0135 | |
Ann Marie Norton, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 E Hospital St, Manning, SC 29102 Phone: 803-433-3000 | |
Mrs. Susanne P Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 E Hospital St Ste 3, Manning, SC 29102 Phone: 803-435-8828 Fax: 803-435-2239 |