| Madina Santiago Jucaban, FNP-C | |
|
146 E Hospital Dr Ste 140, West Columbia, SC 29169-4800 | |
| (803) 791-2203 | |
| Not Available |
| Full Name | Madina Santiago Jucaban |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 146 E Hospital Dr Ste 140, West Columbia, 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 |
|---|---|---|---|
| 1417553116 | NPI | - | NPPES |
| NP7673 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 24397 (South Carolina) | Primary |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Madina Santiago Jucaban, FNP-C Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 791-2203 | Madina Santiago Jucaban, FNP-C 146 E Hospital Dr Ste 140, West Columbia, SC 29169-4800 Ph: (803) 791-2203 |
Ashley Nix, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1612 Airport Blvd, West Columbia, SC 29169 Phone: 803-380-6399 Fax: 877-484-7187 | |
June Taylor Clark, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 Phone: 800-491-0909 | |
Sommer Lane Kitchin, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1053 Center St, West Columbia, SC 29169 Phone: 800-491-0909 | |
Tisheila Diane Whitted, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 | |
Teresa Biediger Bowers, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2728 Sunset Blvd, Suite 402, West Columbia, SC 29169 Phone: 803-794-7511 Fax: 803-794-7751 | |
Heather Shaw, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169 Phone: 803-699-9073 Fax: 866-527-0937 | |
Amy S Shenkar, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 |