| Katie Lauren Fogle, APRN, FNP-C | |
|
2275 India Hook Rd, Rock Hill, SC 29732-1223 | |
| (803) 329-1500 | |
| Not Available |
| Full Name | Katie Lauren Fogle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2275 India Hook Rd, Rock Hill, 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 |
|---|---|---|---|
| 1841969359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 27246 (South Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3016644 (Kentucky) | Secondary |
| Entity Name | Carolina Community Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801418942 PECOS PAC ID: 5092891598 Enrollment ID: O20200604000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Lauren Fogle, APRN, FNP-C 2275 India Hook Rd, Po Box 993, Rock Hill, SC 29732 Ph: (803) 329-1500 | Katie Lauren Fogle, APRN, FNP-C 2275 India Hook Rd, Rock Hill, SC 29732-1223 Ph: (803) 329-1500 |
Mrs. Mary Jo Barreto, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Winthrop University Health Services, Rock Hill, SC 29733 Phone: 803-323-2206 Fax: 803-323-3332 | |
Miss Kristene C Diggins, FNP, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Lakeshore Pkwy, Rock Hill, SC 29730 Phone: 704-441-7675 | |
Ms. Wanda Kaye Clark, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1151 Camden Ave, Rock Hill, SC 29732 Phone: 803-909-6363 Fax: 803-909-6364 | |
Marta Pacheco, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1617 Shetland Ln, Rock Hill, SC 29730 Phone: 540-797-4361 | |
Andrea Blakeman, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1131 Saluda St, Rock Hill, SC 29730 Phone: 803-325-7744 Fax: 803-325-1117 | |
Sarah Elizabeth Christ, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Amendment Ave, Rock Hill, SC 29732 Phone: 803-324-7607 Fax: 800-332-4409 | |
Mr. Gerald Alfred Bracete, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Lakeshore Pkwy, Rock Hill, SC 29730 Phone: 803-909-6363 |