Kristin Braveboy Haddock, APRN | |
420 Society Hill Dr Ste 100, Aiken, SC 29803-1731 | |
(803) 648-7774 | |
(803) 648-7490 |
Full Name | Kristin Braveboy Haddock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 420 Society Hill Dr Ste 100, Aiken, 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 |
---|---|---|---|
1053384073 | NPI | - | NPPES |
NP0888 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2601 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Newberry, SC | Home health agency |
Aiken Regional Medical Center | Aiken, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aiken Professional Association Llc | 0446430805 | 47 |
Entity Name | Aiken Professional Association Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639479801 PECOS PAC ID: 0446430805 Enrollment ID: O20110202000685 |
Mailing Address | Practice Location Address |
---|---|
Kristin Braveboy Haddock, APRN 367 S. Gulph Rd, Att: Ipm Credentialing, King Of Prussia, PA 19406-3121 Ph: (803) 648-7774 | Kristin Braveboy Haddock, APRN 420 Society Hill Dr Ste 100, Aiken, SC 29803-1731 Ph: (803) 648-7774 |
Lindsay K Pizzuto, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801 Phone: 803-644-4403 Fax: 803-644-4405 | |
Catherine Rutherfurd Rudnick, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Beaufort St Ne, Aiken, SC 29801 Phone: 803-502-4685 | |
Sarah Brennan Heilig, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1029 York St Ne, Aiken, SC 29801 Phone: 803-648-4119 | |
Amaya Edge, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2062 Whiskey Rd, Aiken, SC 29803 Phone: 980-205-5134 | |
Mrs. Ashley Protzman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Aiken Mall Dr, Aiken, SC 29803 Phone: 803-648-1464 | |
Shailah Bevan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 Legare Rd, Aiken, SC 29803 Phone: 803-262-8814 |