Andrea Ellis, | |
3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | |
(803) 454-3510 | |
(803) 454-2368 |
Full Name | Andrea Ellis |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 3525 Augustus Road, Aiken, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629472550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 18950 (South Carolina) | Primary |
Entity Name | Elite Patient Care Of South Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866 |
Mailing Address | Practice Location Address |
---|---|
Andrea Ellis, 1624 Main Street, Agape Senior Primary Care, Inc., Dba Agape Physicians C, Columbia, SC 29201 Ph: (803) 454-0365 | Andrea Ellis, 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 Ph: (803) 454-3510 |
Lindsay K Pizzuto, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801 Phone: 803-644-4403 Fax: 803-644-4405 | |
Catherine Rutherfurd Rudnick, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Beaufort St Ne, Aiken, SC 29801 Phone: 803-502-4685 | |
Sarah Brennan Heilig, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1029 York St Ne, Aiken, SC 29801 Phone: 803-648-4119 | |
Kristin Braveboy Haddock, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Society Hill Dr Ste 100, Aiken, SC 29803 Phone: 803-648-7774 Fax: 803-648-7490 | |
Amaya Edge, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2062 Whiskey Rd, Aiken, SC 29803 Phone: 980-205-5134 | |
Mrs. Ashley Protzman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Aiken Mall Dr, Aiken, SC 29803 Phone: 803-648-1464 | |
Shailah Bevan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 Legare Rd, Aiken, SC 29803 Phone: 803-262-8814 |