| Erryn C Provencher, PA-C | |
|
674 W Liberty St, Sumter, SC 29150-4882 | |
| (803) 773-5227 | |
| (803) 757-4010 |
| Full Name | Erryn C Provencher |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 674 W Liberty St, Sumter, South Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568828432 | NPI | - | NPPES |
| 2610 | Other | OK | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9112417 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Heath Tuomey Hospital | Sumter, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colonial Family Practice Llc | 9931017118 | 49 |
| Mailing Address | Practice Location Address |
|---|---|
| Erryn C Provencher, PA-C 674 W Liberty St, Sumter, SC 29150-4882 Ph: (803) 773-5227 | Erryn C Provencher, PA-C 674 W Liberty St, Sumter, SC 29150-4882 Ph: (803) 773-5227 |
Mrs. Kimberly W Reisenauer, P.A. Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 325 Broad St, Suite 100, Sumter, SC 29150 Phone: 803-773-5227 Fax: 803-774-5400 | |
Mrs. Temisha H Budden, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 12 Barnette Dr, Sumter, SC 29150 Phone: 803-773-5442 Fax: 803-778-2394 | |
Mr. Adam Scott Bailey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Broad St, Suite 100, Sumter, SC 29150 Phone: 803-773-5227 Fax: 803-774-5011 | |
Mrs. Lauren Marie Pepin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 635 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-469-7500 Fax: 803-469-7521 | |
Jennifer Lauren Duepner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-9000 | |
Mrs. Julie Ann West, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 325 W Liberty St, Sumter, SC 29150 Phone: 803-774-7000 Fax: 803-774-7004 | |
Burt Warren Pyles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 540 Physicians Ln, Sumter, SC 29150 Phone: 803-883-5171 |