Mrs Jacqueline Antoinette Hudak, FNP | |
298 Memorial Dr, Seneca, SC 29672-9443 | |
(864) 885-7758 | |
(864) 885-7749 |
Full Name | Mrs Jacqueline Antoinette Hudak |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 298 Memorial Dr, Seneca, 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 |
---|---|---|---|
1104216233 | NPI | - | NPPES |
NP3182 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 19302 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Oconee Memorial Hospital | Seneca, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Greenville Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jacqueline Antoinette Hudak, FNP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Mrs Jacqueline Antoinette Hudak, FNP 298 Memorial Dr, Seneca, SC 29672-9443 Ph: (864) 885-7758 |
Elise Barbara Babineau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Keowee School Rd, Seneca, SC 29672 Phone: 864-884-7129 Fax: 864-882-7240 | |
Carol Meltzer Beckenhauer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12016 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-6141 Fax: 864-882-6680 | |
Shana M Collins-smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12016 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-6141 Fax: 864-882-6680 | |
Adam Christopher Campbell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10630 Clemson Blvd Ste 100, Seneca, SC 29678 Phone: 864-482-6000 | |
Mrs. Jessica Ann Mullis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 263 Stone Pond Way, Seneca, SC 29678 Phone: 803-810-7054 | |
Vanessa Anne Smith, A-GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Keowee School Rd, Seneca, SC 29672 Phone: 864-885-7129 Fax: 864-882-7240 | |
Tracie D Smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Omni Dr, Suite B, Seneca, SC 29672 Phone: 864-482-2350 Fax: 864-482-2355 |