Mrs Lisa Marie Creel, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jenkinsville, South Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eau Claire Cooperative Health Center, Inc. and her current practice location is
9017 State Highway 215 S, Jenkinsville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 296-2068.
Mrs Lisa Marie Creel is licensed to practice in South Carolina (license number 23780) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164058681.
Provider's Profile
| Full Name | Mrs Lisa Marie Creel |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 9017 State Highway 215 S, Jenkinsville, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Lisa Marie Creel graduated from nursing school in 2019
NPI Data:
- NPI Number: 1164058681
- Provider Enumeration Date: 03/16/2020
- Last Update Date: 03/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395162051
- Enrollment ID: I20200827000231
Medical Identifiers
Medical identifiers for Mrs Lisa Marie Creel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164058681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 23780 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eau Claire Cooperative Health Center, Inc. | 3274434220 | 47 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Lisa Marie Creel allows following entities to bill medicare on her behalf.
| Entity Name | Doctors Care, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366499048
PECOS PAC ID: 6204731300
Enrollment ID: O20040112000069 |
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| Entity Name | Eau Claire Cooperative Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346249430
PECOS PAC ID: 3274434220
Enrollment ID: O20040114000335 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Marie Creel is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mrs Lisa Marie Creel, FNP-BC
214 Curvewood Rd,
Columbia, SC 29229-7125
Ph: (803) 360-8270 | Mrs Lisa Marie Creel, FNP-BC
9017 State Highway 215 S,
Jenkinsville, SC 29065-9428
Ph: (803) 296-2068 |
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