Mrs Melody Young Deangelis, APRN | |
115 Brushy Creek Rd, Easley, SC 29642-1120 | |
(864) 635-0376 | |
(864) 442-6848 |
Full Name | Mrs Melody Young Deangelis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 115 Brushy Creek Rd, Easley, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205387883 | NPI | - | NPPES |
NP4354 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 20519 (South Carolina) | Primary |
Entity Name | Csp Enterprises Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821637760 PECOS PAC ID: 3072949320 Enrollment ID: O20200204001672 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melody Young Deangelis, APRN Po Box 1315, Easley, SC 29641-1315 Ph: (864) 635-0376 | Mrs Melody Young Deangelis, APRN 115 Brushy Creek Rd, Easley, SC 29642-1120 Ph: (864) 635-0376 |
Alison F Hart, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Franklin Square Way Ste A, Easley, SC 29642 Phone: 864-442-4110 Fax: 864-442-4126 | |
Natalie Isbell Ragsdale, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr Ste 100, Easley, SC 29640 Phone: 864-442-7618 Fax: 864-442-7155 | |
Danielle Sheffield, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5269 Calhoun Memorial Hwy, Easley, SC 29640 Phone: 866-389-2727 | |
Mrs. Norah Chinenye Ezike, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Franklin Square Way, Easley, SC 29642 Phone: 864-442-4110 | |
Ms. Cathy M Ford, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 807 S Pendleton St, Easley, SC 29640 Phone: 864-307-9212 Fax: 888-498-4287 | |
Adam Lance Schendel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Franklin Square Way Ste A, Easley, SC 29642 Phone: 864-442-4110 | |
Jennifer Leigh Fowler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Franklin Square Way Ste A, Easley, SC 29642 Phone: 864-442-4110 Fax: 864-442-4126 |