Mr John Caleb Wates, APRN -BC, FNP | |
155 Ridge Medical Plaza Rd, Edgefield, SC 29824-4531 | |
(803) 637-3146 | |
(803) 637-6597 |
Full Name | Mr John Caleb Wates |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 155 Ridge Medical Plaza Rd, Edgefield, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639284938 | NPI | - | NPPES |
NP2197 | Medicaid | SC | |
RHC552 | Medicaid | SC | |
RHC548 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F3009 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Edgefield County Healthcare An Affiliate Of Self R | Edgefield, SC | Hospital |
Self Regional Healthcare | Greenwood, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Self Regional Healthcare Partners | 1557606118 | 26 |
Entity Name | Self Regional Healthcare Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922582105 PECOS PAC ID: 1557606118 Enrollment ID: O20190129003656 |
Mailing Address | Practice Location Address |
---|---|
Mr John Caleb Wates, APRN -BC, FNP 155 Ridge Medical Plaza Rd, Edgefield, SC 29824-4531 Ph: (803) 637-3146 | Mr John Caleb Wates, APRN -BC, FNP 155 Ridge Medical Plaza Rd, Edgefield, SC 29824-4531 Ph: (803) 637-3146 |
Dr. Patina Sharese Walton-battle, DNP APRN FNP-C PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Gary Hill Rd, Edgefield, SC 29824 Phone: 803-637-1500 | |
Abraham James Weaver, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Ridge Medical Plaza Rd, Edgefield, SC 29824 Phone: 803-637-3146 Fax: 803-637-6597 | |
Mr. David Anthony Sandoval, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Buncombe St, Edgefield, SC 29824 Phone: 803-221-5367 |