Brenda L Poalillo, APRN | |
595 W Carolina Ave, Varnville, SC 29944-4735 | |
(803) 943-1217 | |
(803) 943-1208 |
Full Name | Brenda L Poalillo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 595 W Carolina Ave, Varnville, 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 |
---|---|---|---|
1184145658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 20760 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
Musc Medical Center | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100107000067 |
Mailing Address | Practice Location Address |
---|---|
Brenda L Poalillo, APRN 595 W Carolina Ave, Varnville, SC 29944-4735 Ph: (803) 943-1217 | Brenda L Poalillo, APRN 595 W Carolina Ave, Varnville, SC 29944-4735 Ph: (803) 943-1217 |
Mrs. Victoria R Reynolds, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Pine Street, Varnville, SC 29944 Phone: 803-943-5228 Fax: 803-943-4591 | |
Jenna Gossett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 843-991-9892 | |
Mrs. Sharon Lynn W Shealy, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Pine Street, Varnville, SC 29944 Phone: 803-943-5228 Fax: 803-943-4591 | |
Mrs. Pamela J Moore, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Pine Street, Varnville, SC 29944 Phone: 803-943-5228 Fax: 803-943-4591 | |
Melanie Widener Brant, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 803-943-2771 | |
Felicia Jonelle Ferguson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 803-943-2771 |