| Anne B Blake, NP | |
|
710 Dewitt Dr, Lugoff, SC 29078-9069 | |
| (803) 438-7566 | |
| (803) 438-4371 |
| Full Name | Anne B Blake |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 710 Dewitt Dr, Lugoff, 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 |
|---|---|---|---|
| 1225089857 | NPI | - | NPPES |
| 500022911 | Other | SC | RAILROAD MEDICARE PIN |
| B5703 | Other | MEDCOST PIN | |
| NP0429 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1450 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Camden | Camden, SC | Home health agency |
| Kershawhealth | Camden, SC | Hospital |
| Providence Health | Columbia, SC | Hospital |
| Musc Medical Center | Charleston, SC | Hospital |
| Prisma Health Baptist | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | Providence Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285253336 PECOS PAC ID: 9638475627 Enrollment ID: O20160328001916 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Anne B Blake, NP Po Box 1259, Camden, SC 29021-1259 Ph: (803) 713-8350 | Anne B Blake, NP 710 Dewitt Dr, Lugoff, SC 29078-9069 Ph: (803) 438-7566 |
Felicia Denise Harris, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-424-2200 Fax: 803-408-8608 | |
Gayla R Ramey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16 Duke Dr, Lugoff, SC 29078 Phone: 803-295-0607 | |
Tabetha J Perry, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 251 Park Dr, Lugoff, SC 29078 Phone: 803-722-9078 | |
Justin M Crawford, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 Dewitt Dr, Lugoff, SC 29078 Phone: 803-438-1806 | |
Cathy Porter, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1165 Highway 1 S, Suite 400, Lugoff, SC 29078 Phone: 803-408-3262 Fax: 803-408-8895 | |
Jill S Sheorn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 Standard Warehouse Rd, Lugoff, SC 29078 Phone: 803-438-6023 Fax: 803-438-3671 | |
Mrs. Christa Campbell Boss, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1119 Pepper Ridge Dr, Lugoff, SC 29078 Phone: 803-669-5616 |