Mrs Lisa B Colasurdo, APRN | |
3021 Reidville Rd, Spartanburg, SC 29301-5643 | |
(864) 576-9201 | |
(864) 576-6584 |
Full Name | Mrs Lisa B Colasurdo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 3021 Reidville Rd, Spartanburg, 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 |
---|---|---|---|
1447246616 | NPI | - | NPPES |
P00695569 | Other | SC | RR MEDICARE PTAN |
GP4988 | Other | SC | MEDICAID GROUP ID |
NP0491 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN 875 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spartanburg Medical Center | Spartanburg, SC | Hospital |
Pelham Medical Center | Greer, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Physicians Of Spartanburg, Pc | 2961561568 | 8 |
Entity Name | Family Physicians Of Spartanburg, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629228382 PECOS PAC ID: 2961561568 Enrollment ID: O20081112000172 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa B Colasurdo, APRN 3021 Reidville Rd, Spartanburg, SC 29301-5643 Ph: (864) 576-9201 | Mrs Lisa B Colasurdo, APRN 3021 Reidville Rd, Spartanburg, SC 29301-5643 Ph: (864) 576-9201 |
David H Whiteside, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Boiling Springs Rd, Suite 2500, Spartanburg, SC 29303 Phone: 864-585-5433 Fax: 864-591-4053 | |
Heidi Elizabeth Walsh, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 322 N Pine St, Spartanburg, SC 29302 Phone: 864-582-5099 Fax: 864-597-1260 | |
Shakira Leake, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Mrs. Jacqueline C. Myers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 N Pine St, Spartanburg, SC 29302 Phone: 864-541-0649 | |
Melony C Fowler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 853 N Church St, Suite 620, Spartanburg, SC 29303 Phone: 864-573-7511 Fax: 864-560-1690 | |
Dr. Amanda Boniface Rogers, DNP, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2995 Reidville Rd Ste 210, Spartanburg, SC 29301 Phone: 864-253-8140 Fax: 864-587-0051 | |
Erin Lavette Farr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 841 E Main St Ste C, Spartanburg, SC 29302 Phone: 864-285-4533 Fax: 864-285-4432 |