Ms Mary Regina Dortenzo, RN-ANP | |
216 Edgefield Ave Nw, Aiken, SC 29801-3910 | |
(803) 648-4224 | |
(803) 641-7600 |
Full Name | Ms Mary Regina Dortenzo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 28 Years |
Location | 216 Edgefield Ave Nw, Aiken, 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 |
---|---|---|---|
1215105085 | NPI | - | NPPES |
NP1564 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 4097 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Newberry, SC | Home health agency |
Pruitthealth Home Health-low Country | Bluffton, SC | Home health agency |
Amedisys Home Health Of Lexington | Lexington, SC | Home health agency |
Aiken Regional Medical Center | Aiken, SC | Hospital |
Lexington Medical Center | West columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healogics Specialty Physicians Of South Carolina Llc | 8325261209 | 14 |
Entity Name | Healogics Specialty Physicians Of South Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033531850 PECOS PAC ID: 8325261209 Enrollment ID: O20140521002244 |
Entity Name | Wal-mart Stores East , Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922415165 PECOS PAC ID: 6204749997 Enrollment ID: O20141024000133 |
Entity Name | Care1 Sc, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639530058 PECOS PAC ID: 1355634833 Enrollment ID: O20160720002415 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Regina Dortenzo, RN-ANP 2030 Powers Ferry Rd Se, Ste 120, Atlanta, GA 30339-5016 Ph: (803) 648-4224 | Ms Mary Regina Dortenzo, RN-ANP 216 Edgefield Ave Nw, Aiken, SC 29801-3910 Ph: (803) 648-4224 |
Lindsay K Pizzuto, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801 Phone: 803-644-4403 Fax: 803-644-4405 | |
Catherine Rutherfurd Rudnick, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Beaufort St Ne, Aiken, SC 29801 Phone: 803-502-4685 | |
Sarah Brennan Heilig, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1029 York St Ne, Aiken, SC 29801 Phone: 803-648-4119 | |
Kristin Braveboy Haddock, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Society Hill Dr Ste 100, Aiken, SC 29803 Phone: 803-648-7774 Fax: 803-648-7490 | |
Amaya Edge, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2062 Whiskey Rd, Aiken, SC 29803 Phone: 980-205-5134 | |
Mrs. Ashley Protzman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Aiken Mall Dr, Aiken, SC 29803 Phone: 803-648-1464 | |
Shailah Bevan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 Legare Rd, Aiken, SC 29803 Phone: 803-262-8814 |