Jessica Marie Hellman, NURSE PRACTITIONER | |
213 Tanglewood Ct, Ridgeway, SC 29130-7100 | |
(803) 337-3211 | |
Not Available |
Full Name | Jessica Marie Hellman |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 213 Tanglewood Ct, Ridgeway, 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 |
---|---|---|---|
1164046652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 23846 (South Carolina) | Primary |
Entity Name | Pruitthealth Physicians Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20210316000687 |
Mailing Address | Practice Location Address |
---|---|
Jessica Marie Hellman, NURSE PRACTITIONER 213 Tanglewood Ct, Ridgeway, SC 29130-7100 Ph: (803) 479-5289 | Jessica Marie Hellman, NURSE PRACTITIONER 213 Tanglewood Ct, Ridgeway, SC 29130-7100 Ph: (803) 337-3211 |
Sharrell Tonya Odom, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 755 Us Highway 21 S, Ridgeway, SC 29130 Phone: 803-337-2920 Fax: 803-337-3010 | |
Mrs. Addrienne Faith Robinson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Tanglewood Ct, Ridgeway, SC 29130 Phone: 803-337-3211 | |
Angela Evans-morales, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 755 Us Highway 21 S, Ridgeway, SC 29130 Phone: 803-337-2920 Fax: 803-337-3010 |