Beth Lynn Dickerson, NP | |
111 Omni Drive, Seneca, SC 29672-9448 | |
(864) 888-4222 | |
(864) 888-0023 |
Full Name | Beth Lynn Dickerson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 111 Omni Drive, Seneca, 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 |
---|---|---|---|
1700949120 | NPI | - | NPPES |
NP1107 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 300251 (North Carolina) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 18068 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
Mailing Address | Practice Location Address |
---|---|
Beth Lynn Dickerson, NP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-2286 | Beth Lynn Dickerson, NP 111 Omni Drive, Seneca, SC 29672-9448 Ph: (864) 888-4222 |
Elise Barbara Babineau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Keowee School Rd, Seneca, SC 29672 Phone: 864-884-7129 Fax: 864-882-7240 | |
Carol Meltzer Beckenhauer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12016 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-6141 Fax: 864-882-6680 | |
Shana M Collins-smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12016 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-6141 Fax: 864-882-6680 | |
Adam Christopher Campbell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10630 Clemson Blvd Ste 100, Seneca, SC 29678 Phone: 864-482-6000 | |
Mrs. Jessica Ann Mullis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 263 Stone Pond Way, Seneca, SC 29678 Phone: 803-810-7054 | |
Vanessa Anne Smith, A-GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Keowee School Rd, Seneca, SC 29672 Phone: 864-885-7129 Fax: 864-882-7240 | |
Tracie D Smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Omni Dr, Suite B, Seneca, SC 29672 Phone: 864-482-2350 Fax: 864-482-2355 |