Jennifer B Haynes, FNP | |
3236 Holmestown Rd, Suite E1, Myrtle Beach, SC 29588-7495 | |
(843) 663-8000 | |
Not Available |
Full Name | Jennifer B Haynes |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 3236 Holmestown Rd, Myrtle Beach, 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 |
---|---|---|---|
1235304023 | NPI | - | NPPES |
4031 | Other | SC | SC STATE LICENSE |
RN122940 | Other | GA | STATE LICENSE |
7004853 | Medicaid | NC | |
NP0413 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN122940 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4031 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Little River Medical Center Inc | 2961309315 | 32 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629021076 PECOS PAC ID: 2961309315 Enrollment ID: O20031215000742 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346638483 PECOS PAC ID: 2961309315 Enrollment ID: O20170510000410 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184783284 PECOS PAC ID: 2961309315 Enrollment ID: O20170523000231 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619100096 PECOS PAC ID: 2961309315 Enrollment ID: O20170523001559 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508120619 PECOS PAC ID: 2961309315 Enrollment ID: O20170524001573 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669535225 PECOS PAC ID: 2961309315 Enrollment ID: O20170601000080 |
Mailing Address | Practice Location Address |
---|---|
Jennifer B Haynes, FNP Po Box 547, Little River, SC 29566-0547 Ph: (843) 663-8000 | Jennifer B Haynes, FNP 3236 Holmestown Rd, Suite E1, Myrtle Beach, SC 29588-7495 Ph: (843) 663-8000 |
Wilma J Spencer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7724 N Kings Hwy, Myrtle Beach, SC 29572 Phone: 843-663-1013 Fax: 843-663-1017 | |
Mrs. Cyril Eunice Aboy Ferreras, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1303 38th Ave N, Myrtle Beach, SC 29577 Phone: 843-445-1697 | |
Mary Taylor Britt Jackson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8121 Rourk St, Myrtle Beach, SC 29572 Phone: 843-692-5000 Fax: 843-692-5010 | |
Mrs. Angela Kathline Naples, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Mary E Byrd, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579 Phone: 843-236-2700 Fax: 843-236-2726 | |
Alexander Petkovsek, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351 | |
Mrs. June Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3381 Phillis Blvd, Myrtle Beach, SC 29577 Phone: 843-477-0177 |