| Dr Lucretia D Wilson, PMHNP-BC | |
|
201 Sigma Dr Ste 300, Summerville, SC 29486-7722 | |
| (843) 418-8771 | |
| (970) 591-9592 |
| Full Name | Dr Lucretia D Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 201 Sigma Dr Ste 300, 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 |
|---|---|---|---|
| 1184394090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 25299 (South Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 25299 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charleston Counseling Center Pc | 6204125107 | 79 |
| 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 | Charleston Counseling Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323 |
| Entity Name | Direct Access Counseling & Supportive Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20220125000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucretia D Wilson, PMHNP-BC 201 Sigma Dr Ste 300, Summerville, SC 29486-7722 Ph: (843) 418-8771 | Dr Lucretia D Wilson, PMHNP-BC 201 Sigma Dr Ste 300, Summerville, SC 29486-7722 Ph: (843) 418-8771 |
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 |