Katrina Raye Flagg, PMHNP | |
108 E Main St, Westminster, SC 29693-1715 | |
(864) 784-1950 | |
Not Available |
Full Name | Katrina Raye Flagg |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 108 E Main St, Westminster, 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 |
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1104600170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 27781 (South Carolina) | Primary |
Entity Name | Vivify Psychiatric Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871377671 PECOS PAC ID: 6305299629 Enrollment ID: O20240201004377 |
Mailing Address | Practice Location Address |
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Katrina Raye Flagg, PMHNP Po Box 321, Westminster, SC 29693-0321 Ph: (864) 301-1303 | Katrina Raye Flagg, PMHNP 108 E Main St, Westminster, SC 29693-1715 Ph: (864) 784-1950 |
Katie Lyn Barker, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W Main St, Westminster, SC 29693 Phone: 864-647-1820 Fax: 864-236-4898 | |
Amanda Christi Cronlund, RN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 258 Patterson Rd, Westminster, SC 29693 Phone: 864-718-5355 | |
Leeann G Butts, RNFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St, Westminster, SC 29693 Phone: 864-647-1820 Fax: 864-647-0403 |