Jeremiah Christian Fowler, RN | |
1315 Roberts St, Camden, SC 29020-3737 | |
(803) 432-4311 | |
Not Available |
Full Name | Jeremiah Christian Fowler |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 1315 Roberts St, Camden, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952543035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3878 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcleod Physician Associates Ii | 8224031307 | 543 |
Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154371433 PECOS PAC ID: 7416851852 Enrollment ID: O20031126000251 |
Entity Name | Mcleod Medical Center-dillon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720033988 PECOS PAC ID: 3476465311 Enrollment ID: O20031203000480 |
Entity Name | Mcleod Physician Associates Ii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
Mailing Address | Practice Location Address |
---|---|
Jeremiah Christian Fowler, RN 148 Wall St, Apartment 432, Camden, SC 29020-7656 Ph: (843) 457-1794 | Jeremiah Christian Fowler, RN 1315 Roberts St, Camden, SC 29020-3737 Ph: (803) 432-4311 |
Christopher C Cornor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts Street, Camden, SC 29020 Phone: 803-432-4311 | |
Mrs. Amanda C Fowler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts Street, Camden, SC 29020 Phone: 803-432-4311 Fax: 910-715-1943 | |
Linda George Van Dam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311 | |
Miss Jill Cullipher Souza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts St, Camden, SC 29021 Phone: 803-432-4311 | |
Todd Richard Gustafson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311 | |
Jamie B Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311 |