Mrs Amanda C Fowler, CRNA | |
1315 Roberts Street, Camden, SC 29020-3737 | |
(803) 432-4311 | |
(910) 715-1943 |
Full Name | Mrs Amanda C Fowler |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 1315 Roberts Street, Camden, 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 |
---|---|---|---|
1043412695 | NPI | - | NPPES |
AN1684 | Medicaid | SC | |
89111 | Other | SC | RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 89111 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 077506 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcleod Physician Associates Ii | 8224031307 | 543 |
Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154371433 PECOS PAC ID: 7416851852 Enrollment ID: O20031126000251 |
Entity Name | Mcleod Physician Associates Ii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda C Fowler, CRNA 1315 Roberts Street, Camden, SC 29020-3737 Ph: (803) 432-4311 | Mrs Amanda C Fowler, CRNA 1315 Roberts Street, Camden, SC 29020-3737 Ph: (803) 432-4311 |
Christopher C Cornor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts Street, Camden, SC 29020 Phone: 803-432-4311 | |
Linda George Van Dam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311 | |
Miss Jill Cullipher Souza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts St, Camden, SC 29021 Phone: 803-432-4311 | |
Todd Richard Gustafson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311 | |
Jamie B Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311 | |
Jeremiah Christian Fowler, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311 |