Kasey Ann Miles, | |
3085 Taylor Rd, Cayce, SC 29033-2745 | |
(803) 258-8240 | |
Not Available |
Full Name | Kasey Ann Miles |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3085 Taylor Rd, Cayce, 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 |
---|---|---|---|
1639959778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 28635 (South Carolina) | Primary |
Entity Name | Impact Physician Group South Carolina Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215521752 PECOS PAC ID: 9638579352 Enrollment ID: O20210616002604 |
Mailing Address | Practice Location Address |
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Kasey Ann Miles, 3085 Taylor Rd, Cayce, SC 29033-2745 Ph: (803) 258-8240 | Kasey Ann Miles, 3085 Taylor Rd, Cayce, SC 29033-2745 Ph: (803) 258-8240 |
Mrs. Donna B. Padgett, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3799 12th Street Ext Ste 110, Cayce, SC 29033 Phone: 803-755-3337 Fax: 803-955-2225 | |
Mrs. Michelle B Surrett, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3799 12th Street Ext Ste 110, Cayce, SC 29033 Phone: 803-755-3337 Fax: 803-955-2225 | |
Mrs. Tiffany Gethers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 State St, Cayce, SC 29033 Phone: 803-939-0174 | |
Penny Lois Melendez-salazar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 Gibraltar Rd, Cayce, SC 29033 Phone: 803-960-3097 | |
Karonda Hardrick, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 State St # 4342, Cayce, SC 29033 Phone: 803-394-1563 | |
Mikelle Gaston, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 Sandy Ln, Cayce, SC 29033 Phone: 803-237-6143 |