Ms Amy Jeanette Dievendorf, APRN | |
1655 Bernardin Avenue, Suite - 350, Columbia, SC 29204 | |
(803) 253-7575 | |
(803) 253-7571 |
Full Name | Ms Amy Jeanette Dievendorf |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 1655 Bernardin Avenue, Columbia, 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 |
---|---|---|---|
1871802686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4341SC (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Patient Care Of South Carolina Pc | 1951672617 | 131 |
Entity Name | Ch Specialty Services Sc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275915522 PECOS PAC ID: 6608182993 Enrollment ID: O20150901002450 |
Entity Name | Providence Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285253336 PECOS PAC ID: 9638475627 Enrollment ID: O20160328001916 |
Entity Name | Elite Patient Care Of South Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866 |
Mailing Address | Practice Location Address |
---|---|
Ms Amy Jeanette Dievendorf, APRN 330 Seven Springs Way, Suite - 425, Brentwood, TN 37027-5098 Ph: (615) 920-7878 | Ms Amy Jeanette Dievendorf, APRN 1655 Bernardin Avenue, Suite - 350, Columbia, SC 29204 Ph: (803) 253-7575 |
Mr. Joseph Crawford Iii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-256-6511 | |
Richard Hall Iii, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-6095 Fax: 803-758-0120 | |
Latonya Brailsford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 142 Whispering Pines Cir, Columbia, SC 29205 Phone: 803-351-9405 Fax: 803-219-3836 | |
Laketa D Riley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 | |
Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129 | |
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496 | |
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 |