Lucille Miley Sanders, CFNP | |
333 Revolutionary Trl, Fairfax, SC 29827-7109 | |
(803) 632-2533 | |
(803) 632-2451 |
Full Name | Lucille Miley Sanders |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 29 Years |
Location | 333 Revolutionary Trl, Fairfax, 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 |
---|---|---|---|
1538170121 | NPI | - | NPPES |
NP0070 | Medicaid | SC | |
49 | Other | SC | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 49 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Charleston East | Charleston, SC | Home health agency |
Allendale County Hospital | Fairfax, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Low Country Health Care System Inc | 4284530940 | 33 |
Entity Name | Low Country Health Care System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053475566 PECOS PAC ID: 4284530940 Enrollment ID: O20031211000944 |
Entity Name | Low Country Health Care System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578659942 PECOS PAC ID: 4284530940 Enrollment ID: O20160524000583 |
Entity Name | Low Country Health Care System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235225608 PECOS PAC ID: 4284530940 Enrollment ID: O20160606001593 |
Entity Name | Low Country Health Care System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821518556 PECOS PAC ID: 4284530940 Enrollment ID: O20181220002947 |
Entity Name | Low Country Health Care System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780112912 PECOS PAC ID: 4284530940 Enrollment ID: O20190610001031 |
Entity Name | Low Country Health Care System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306378310 PECOS PAC ID: 4284530940 Enrollment ID: O20200107003426 |
Mailing Address | Practice Location Address |
---|---|
Lucille Miley Sanders, CFNP 86 Wren St, Barnwell, SC 29812-1529 Ph: (803) 259-5762 | Lucille Miley Sanders, CFNP 333 Revolutionary Trl, Fairfax, SC 29827-7109 Ph: (803) 632-2533 |
Mrs. Erica Leigh O'quinn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451 | |
Mrs. Delois Daniels, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-3285 | |
Mrs. Vicki Lynn Landis, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-3285 | |
Elizabeth Harrison Shuler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 | |
Rebecca Lynn Wilkes, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trail, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451 | |
Mr. James Robert Mynatt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trail, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451 |