Lori Kaye Ellenburg, APRN | |
123 Wg Acker Dr Ste B, Pickens, SC 29671-2739 | |
(864) 878-2435 | |
Not Available |
Full Name | Lori Kaye Ellenburg |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 123 Wg Acker Dr Ste B, Pickens, 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 |
---|---|---|---|
1043738057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 21169 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis-downtown | Greenville, SC | Hospital |
Cannon Memorial Hospital | Pickens, SC | Hospital |
Prisma Health Baptist Easley Hospital | Easley, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Francis Physician Services Inc | 6608826821 | 93 |
Cannon Memorial Hospital | 8123930666 | 23 |
Entity Name | Cannon Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497744254 PECOS PAC ID: 8123930666 Enrollment ID: O20040115000729 |
Entity Name | Cannon Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700890084 PECOS PAC ID: 8123930666 Enrollment ID: O20040315000489 |
Entity Name | St Francis Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457057622 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259 |
Mailing Address | Practice Location Address |
---|---|
Lori Kaye Ellenburg, APRN Po Box 919, Pickens, SC 29671-0919 Ph: (864) 897-8286 | Lori Kaye Ellenburg, APRN 123 Wg Acker Dr Ste B, Pickens, SC 29671-2739 Ph: (864) 878-2435 |
Mary Kathryn C West, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 716 E Cedar Rock St, Pickens, SC 29671 Phone: 864-878-4739 | |
Glenda G. Snyder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 123 Wg Acker Dr Ste B, Pickens, SC 29671 Phone: 864-878-2435 Fax: 864-898-1055 | |
Ms. Maxine Elizabeth Williams, APRN - FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Mcdaniel Ave, Pickens, SC 29671 Phone: 864-898-5823 Fax: 864-898-5568 |