| Mr Timothy Michael Looney, NP | |
|
233 Longtown Rd, Columbia, SC 29229-8550 | |
| (803) 865-2122 | |
| Not Available |
| Full Name | Mr Timothy Michael Looney |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 233 Longtown Rd, 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 |
|---|---|---|---|
| 1609523380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 27449 (South Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 5015877 (North Carolina) | Secondary |
| Entity Name | Modern Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861051591 PECOS PAC ID: 4789916198 Enrollment ID: O20191104001318 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Michael Looney, NP Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 791-2203 | Mr Timothy Michael Looney, NP 233 Longtown Rd, Columbia, SC 29229-8550 Ph: (803) 865-2122 |
Mr. Joseph Crawford Iii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-256-6511 | |
Richard Hall Iii, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-6095 Fax: 803-758-0120 | |
Latonya Brailsford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 142 Whispering Pines Cir, Columbia, SC 29205 Phone: 803-351-9405 Fax: 803-219-3836 | |
Laketa D Riley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 | |
Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129 | |
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496 | |
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 |