Lillian Turnage Pack, | |
634 Fairview Rd, Simpsonville, SC 29680-6707 | |
(864) 621-0238 | |
Not Available |
Full Name | Lillian Turnage Pack |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 634 Fairview Rd, Simpsonville, 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 |
---|---|---|---|
1619651288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 27477 (South Carolina) | Primary |
Entity Name | Providence House Calls Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689912495 PECOS PAC ID: 1759528250 Enrollment ID: O20130430000366 |
Mailing Address | Practice Location Address |
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Lillian Turnage Pack, 634 Fairview Rd, Simpsonville, SC 29680-6707 Ph: () - | Lillian Turnage Pack, 634 Fairview Rd, Simpsonville, SC 29680-6707 Ph: (864) 621-0238 |
Calissa Leshell Brooks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 698 Fairview Rd, Simpsonville, SC 29680 Phone: 864-962-8991 | |
Angela Michelle Stoller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 14, Simpsonville, SC 29681 Phone: 864-527-8600 Fax: 864-527-8636 | |
Guendalina Chesney, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 719 Se Main St Bldg B, Simpsonville, SC 29681 Phone: 864-522-5400 | |
Mrs. Michelle Allyn Clayton Benton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Halehaven Dr, Simpsonville, SC 29681 Phone: 864-230-0721 | |
Candice Elaine Gilliland, FNP-CS Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 35 Ray E Talley Ct, Simpsonville, SC 29680 Phone: 864-967-7028 | |
Crystal Adodo Oramadike, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 698 Fairview Rd, Simpsonville, SC 29680 Phone: 866-389-2727 | |
Dianne English, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 698 Fairview Rd, Simpsonville, SC 29680 Phone: 866-389-2727 |