Kristie Wade, FNP | |
308 Chester Ave, Great Falls, SC 29055-1104 | |
(803) 482-2129 | |
Not Available |
Full Name | Kristie Wade |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 308 Chester Ave, Great Falls, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447797816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 106459 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 24388 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Musc Health Chester Medical Center | Chester, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lowcountry Urgent Care Llc | 9739210337 | 82 |
Entity Name | Medical University Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
Entity Name | Carolina Family Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
Entity Name | Lowcountry Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326364100 PECOS PAC ID: 9739210337 Enrollment ID: O20100625000517 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002986 |
Entity Name | Musc Community Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
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Kristie Wade, FNP 859 Daisywood Ln, Chester, SC 29706-8799 Ph: () - | Kristie Wade, FNP 308 Chester Ave, Great Falls, SC 29055-1104 Ph: (803) 482-2129 |