Mrs Jessica J Doutaz, MS, AGNP | |
805 W Wade Hampton Blvd Ste C, Greer, SC 29650-1311 | |
(864) 655-6615 | |
(855) 617-4423 |
Full Name | Mrs Jessica J Doutaz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 805 W Wade Hampton Blvd Ste C, Greer, 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 |
---|---|---|---|
1194106674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 24954 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Greer Memorial Hospital | Greer, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centerwell Senior Primary Care Sc Pc | 2860804796 | 34 |
Entity Name | Centerwell Senior Primary Care Sc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376907790 PECOS PAC ID: 2860804796 Enrollment ID: O20201216002926 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica J Doutaz, MS, AGNP 805 W Wade Hampton Blvd Ste C, Greer, SC 29650-1311 Ph: (864) 655-6615 | Mrs Jessica J Doutaz, MS, AGNP 805 W Wade Hampton Blvd Ste C, Greer, SC 29650-1311 Ph: (864) 655-6615 |
Christen Regenia Askew, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 S Highway 14 Ste 2200, Greer, SC 29650 Phone: 864-849-9555 Fax: 864-849-9556 | |
Mrs. Kristin Nicole Tolley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3308 Brushy Creek Rd, Greer, SC 29650 Phone: 864-752-2000 | |
Cami Lynn Niskanen, NP STUDENT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2225 River Rd, Greer, SC 29650 Phone: 864-423-0686 | |
Dr. Wanda Sexton Samake, DNP, PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 John St Unit 5b, Greer, SC 29651 Phone: 864-990-5664 Fax: 864-990-5674 | |
Heather Ann Traynham, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 S Highway 14 Ste 2200, Greer, SC 29650 Phone: 864-849-9555 Fax: 864-849-9556 | |
Melissa Hope Suttell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 206a S Main St, Greer, SC 29650 Phone: 864-989-0230 Fax: 864-334-1880 | |
Elizabeth Ireland, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 W Wade Hampton Blvd, Greer, SC 29650 Phone: 864-968-9144 |