Mr Richard Anthony Mann Jr, FNP-BC | |
901 Lafayette Ave, Cayce, SC 29033-3224 | |
(803) 791-3963 | |
(803) 429-2134 |
Full Name | Mr Richard Anthony Mann Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 901 Lafayette Ave, Cayce, 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 |
---|---|---|---|
1942228044 | NPI | - | NPPES |
GP4350 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 899 (South Carolina) | Primary |
Entity Name | Urgency Room Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164737235 PECOS PAC ID: 5294919841 Enrollment ID: O20110406000698 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Anthony Mann Jr, FNP-BC Po Box 485, Columbia, SC 29202-0485 Ph: (803) 898-8405 | Mr Richard Anthony Mann Jr, FNP-BC 901 Lafayette Ave, Cayce, SC 29033-3224 Ph: (803) 791-3963 |
Mrs. Donna B. Padgett, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3799 12th Street Ext Ste 110, Cayce, SC 29033 Phone: 803-755-3337 Fax: 803-955-2225 | |
Mrs. Michelle B Surrett, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3799 12th Street Ext Ste 110, Cayce, SC 29033 Phone: 803-755-3337 Fax: 803-955-2225 | |
Mrs. Tiffany Gethers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 State St, Cayce, SC 29033 Phone: 803-939-0174 | |
Penny Lois Melendez-salazar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 Gibraltar Rd, Cayce, SC 29033 Phone: 803-960-3097 | |
Kasey Ann Miles, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3085 Taylor Rd, Cayce, SC 29033 Phone: 803-258-8240 | |
Karonda Hardrick, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 State St # 4342, Cayce, SC 29033 Phone: 803-394-1563 | |
Mikelle Gaston, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 Sandy Ln, Cayce, SC 29033 Phone: 803-237-6143 |