Graziella Costa-stephenson, | |
4724 Charlotte Hwy, Clover, SC 29710-8095 | |
(803) 831-1911 | |
Not Available |
Full Name | Graziella Costa-stephenson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 4724 Charlotte Hwy, Clover, 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 |
---|---|---|---|
1548765563 | NPI | - | NPPES |
5010366 | Other | NC | NC LICENSE |
21840 | Other | SC | SC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 21840 (South Carolina) | Primary |
363LF0000X | Nurse Practitioner - Family | 5010366 (North Carolina) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minuteclinic Diagnostic South Carolina Llc | 8527126861 | 122 |
Entity Name | Minuteclinic Diagnostic South Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447420815 PECOS PAC ID: 8527126861 Enrollment ID: O20081015000409 |
Mailing Address | Practice Location Address |
---|---|
Graziella Costa-stephenson, 4724 Charlotte Hwy, Clover, SC 29710-8095 Ph: (803) 831-1911 | Graziella Costa-stephenson, 4724 Charlotte Hwy, Clover, SC 29710-8095 Ph: (803) 831-1911 |
Ms. Charlotte Anne Gott, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 Colleton Meadow Dr, Clover, SC 29710 Phone: 704-616-9747 | |
Kristen Cole, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1570 Thatcher Xing, Clover, SC 29710 Phone: 843-729-9138 Fax: 843-790-1883 | |
Sandra Defalco, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4724 Charlotte Hwy, Clover, SC 29710 Phone: 866-389-2727 | |
Tameika Hunter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4724 Charlotte Hwy, Clover, SC 29710 Phone: 866-389-2727 | |
Mrs. Sara Marie Lightsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4724 Charlotte Hwy, Clover, SC 29710 Phone: 803-831-1911 | |
Erin Ashley Bolin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 207 Church St, Clover, SC 29710 Phone: 803-222-3063 | |
Virginie Padmore, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4724 Charlotte Hwy, Clover, SC 29710 Phone: 866-389-2727 |