Fantasia Izolia Chandler, APRN | |
575 Stonewall Jackson Blvd, Orangeburg, SC 29115-7250 | |
(864) 316-8984 | |
Not Available |
Full Name | Fantasia Izolia Chandler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 575 Stonewall Jackson Blvd, Orangeburg, 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 |
---|---|---|---|
1578055471 | NPI | - | NPPES |
NP5280 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 21694 (South Carolina) | Primary |
Entity Name | Family Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144248451 PECOS PAC ID: 2860305075 Enrollment ID: O20031112000393 |
Entity Name | Rural Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053362111 PECOS PAC ID: 8527046010 Enrollment ID: O20040712000202 |
Entity Name | Sc House Calls Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821 |
Entity Name | Physicians Services Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700357076 PECOS PAC ID: 7618215690 Enrollment ID: O20190218001221 |
Entity Name | Careconnectmd South Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306565973 PECOS PAC ID: 3678934775 Enrollment ID: O20230807000480 |
Mailing Address | Practice Location Address |
---|---|
Fantasia Izolia Chandler, APRN 159 Chanstalas Rd, Salley, SC 29137-9435 Ph: (803) 608-8938 | Fantasia Izolia Chandler, APRN 575 Stonewall Jackson Blvd, Orangeburg, SC 29115-7250 Ph: (864) 316-8984 |
Catherine Simmons, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3310 Magnolia Centers Inc, Orangeburg, SC 29115 Phone: 843-701-6387 | |
Shannon W Easterlin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-3118 | |
Monica Monique Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200 | |
Constance Gainey Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200 | |
Vincent Bernard Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 | |
Ms. Erica Thompson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1773 Village Park Drive, Orangeburg, SC 29118 Phone: 803-535-3600 | |
Cortney Powell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3045 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-747-7242 Fax: 803-747-7243 |