Lisa R Rodriguez, APRN | |
2001 2nd Ave Ste 201, Summerville, SC 29486-7887 | |
(843) 793-6980 | |
Not Available |
Full Name | Lisa R Rodriguez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2001 2nd Ave Ste 201, Summerville, 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 |
---|---|---|---|
1316421597 | NPI | - | NPPES |
NP5611 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 22238 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mcleod Health Clarendon | Manning, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carolina Geriatric Specialists, Llc | 2163693532 | 4 |
Entity Name | Sc House Calls Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821 |
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 | Carolina Geriatric Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124313101 PECOS PAC ID: 2163693532 Enrollment ID: O20110914000630 |
Mailing Address | Practice Location Address |
---|---|
Lisa R Rodriguez, APRN 2015 2nd Ave Ste 204, Summerville, SC 29486-7889 Ph: (843) 793-6980 | Lisa R Rodriguez, APRN 2001 2nd Ave Ste 201, Summerville, SC 29486-7887 Ph: (843) 793-6980 |
Nicholas Arthur Hathaway, FNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 W 4th St N, Summerville, SC 29483 Phone: 843-873-0681 | |
Marie Davis Rataj, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 92 Springview Lane, South Carolina Sleep Medicine, Summerville, SC 29485 Phone: 843-871-4006 Fax: 843-871-4074 | |
Mrs. Caroline M Yerich, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 N Cedar St, Summerville, SC 29483 Phone: 843-871-9440 Fax: 843-871-5932 | |
Susan Marie Taylor, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 148 Apache Dr, Summerville, SC 29483 Phone: 843-708-0694 | |
Kristina M Dibartolo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Springview Ln # A, Summerville, SC 29485 Phone: 843-832-9113 Fax: 843-832-9114 | |
Jody Kay Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 89 Old Trolley Rd Ste 200, Summerville, SC 29485 Phone: 737-226-6740 | |
Katherine Ellis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2016 1st Ave, Summerville, SC 29486 Phone: 843-432-3109 |