Ms Tracy Raphaela Neilan, NP | |
3495 Iron Horse Rd, Ladson, SC 29456-4319 | |
(843) 793-5970 | |
Not Available |
Full Name | Ms Tracy Raphaela Neilan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 3495 Iron Horse Rd, Ladson, 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 |
---|---|---|---|
1639462591 | NPI | - | NPPES |
NP7662 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 17574 (South Carolina) | Primary |
363LF0000X | Nurse Practitioner - Family | F336742-1 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Musc Health At Home, By Bayada- Charleston | Charleston, SC | Home health agency |
Musc Medical Center | Charleston, SC | Hospital |
Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Medical Associates | 6305758574 | 1311 |
Entity Name | University Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
Entity Name | Palmetto Primary Care Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
Entity Name | Charleston Oncology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427140425 PECOS PAC ID: 3173521002 Enrollment ID: O20061201000038 |
Mailing Address | Practice Location Address |
---|---|
Ms Tracy Raphaela Neilan, NP Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071 | Ms Tracy Raphaela Neilan, NP 3495 Iron Horse Rd, Ladson, SC 29456-4319 Ph: (843) 793-5970 |
Haley Mcclure Jones, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Treeland Dr Ste B, Ladson, SC 29456 Phone: 843-277-2240 | |
Wilson Mccall Fitchett, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-793-5970 Fax: 843-419-5391 | |
Chiquita Anderson, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9698 Patriot Blvd Apt 928, Ladson, SC 29456 Phone: 843-518-1376 | |
Shelli Gibbs, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 267 Treeland Dr, Suite C, Ladson, SC 29456 Phone: 843-277-2240 | |
Ashley Nicole Simpson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3445 Ingleside Blvd, Ladson, SC 29456 Phone: 843-797-4200 | |
Jeremy M Lloyd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4278 Ladson Rd, Ladson, SC 29456 Phone: 843-203-2240 Fax: 843-203-2241 | |
Anna Wayne Streisel, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9565 Highway 78 Bldg 100, Ladson, SC 29456 Phone: 843-476-4702 Fax: 843-476-4290 |