Bronwyn Dougherty, | |
300 Singleton Ridge Rd, Conway, SC 29526-9142 | |
(843) 347-7111 | |
Not Available |
Full Name | Bronwyn Dougherty |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 300 Singleton Ridge Rd, Conway, 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 |
---|---|---|---|
1376059543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 99222 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 21624 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Conway Medical Center | Conway, SC | Hospital |
Compass Post Acute Rehabilitation | Conway, SC | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Patient Care Of South Carolina Pc | 1951672617 | 131 |
Physicians At Home Pc | 2365661543 | 31 |
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 |
Entity Name | Physicians At Home Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487073193 PECOS PAC ID: 2365661543 Enrollment ID: O20140922000188 |
Entity Name | Elite Patient Care Of South Carolina Pc |
---|---|
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 |
---|---|
Bronwyn Dougherty, 300 Singleton Ridge Rd, Conway, SC 29526-9142 Ph: () - | Bronwyn Dougherty, 300 Singleton Ridge Rd, Conway, SC 29526-9142 Ph: (843) 347-7111 |
Mrs. Danielle Karin Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 251 University Blvd, Conway, SC 29526 Phone: 843-349-6543 | |
Mr. Jonathan D. Briggs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 Fax: 843-399-3378 | |
Linda Lee Queen, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 843-248-3145 | |
Dr. Karen Jeanette Smith, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2996 E Highway 501, Conway, SC 29526 Phone: 843-347-2613 | |
Betsy L Paul, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1113 Church St, Conway, SC 29526 Phone: 843-248-6269 | |
Diana L Taylor, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Professional Park Drive, Conway, SC 29526 Phone: 843-234-5678 | |
Anooja Nair, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 834 Farrar Dr, Conway, SC 29526 Phone: 843-497-7275 |