Brandi Powell Russ, FNP-C | |
755 E Smith St, Timmonsville, SC 29161-9430 | |
(843) 346-3900 | |
(843) 346-7839 |
Full Name | Brandi Powell Russ |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 755 E Smith St, Timmonsville, 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 |
---|---|---|---|
1346741121 | NPI | - | NPPES |
NP5077 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 21621 (South Carolina) | Primary |
Entity Name | Mcleod Physician Associates Ii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
Entity Name | Lowcountry Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326364100 PECOS PAC ID: 9739210337 Enrollment ID: O20100625000517 |
Entity Name | Mcleod Health Clarendon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 |
Mailing Address | Practice Location Address |
---|---|
Brandi Powell Russ, FNP-C 755 E Smith St, Timmonsville, SC 29161-9430 Ph: (843) 346-3900 | Brandi Powell Russ, FNP-C 755 E Smith St, Timmonsville, SC 29161-9430 Ph: (843) 346-3900 |
Jaymas Renee Williams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 E Market St, Timmonsville, SC 29161 Phone: 843-346-3730 Fax: 843-346-7687 | |
Danielle Ann Altman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 E Smith St, Timmonsville, SC 29161 Phone: 843-346-3900 Fax: 843-346-7839 | |
Allison Slice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 755 E Smith St, Timmonsville, SC 29161 Phone: 843-346-3900 Fax: 843-346-7839 | |
Laura Lee Samuel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 E Market St, Timmonsville, SC 29161 Phone: 843-346-3730 Fax: 843-346-7689 |