Pam Amanda Locke, CRNA | |
606 Black River Rd, Georgetown, SC 29440-3304 | |
(843) 240-8047 | |
Not Available |
Full Name | Pam Amanda Locke |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 606 Black River Rd, Georgetown, 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 |
---|---|---|---|
1144276569 | NPI | - | NPPES |
AN1322 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R72682 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Entity Name | Inlet Anesthesia Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700031002 PECOS PAC ID: 8729143847 Enrollment ID: O20090224000309 |
Entity Name | Georgetown Anesthesia Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104156892 PECOS PAC ID: 7810031242 Enrollment ID: O20100223000196 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
Mailing Address | Practice Location Address |
---|---|
Pam Amanda Locke, CRNA 217 Lumbee Cir, Pawleys Island, SC 29585-4391 Ph: (438) 240-8047 | Pam Amanda Locke, CRNA 606 Black River Rd, Georgetown, SC 29440-3304 Ph: (843) 240-8047 |
Ruvim Leontyev, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 | |
Claudia Chandler Chakides, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 606 Black River Road, Georgetown, SC 29440 Phone: 843-527-7000 | |
Kristen Drenga, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-240-8047 | |
Loy Neal Patterson Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7100 | |
Tina Louise Marrs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 Fax: 843-520-8403 | |
Catherine D Lumpkin, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Highmarket St, Suite 200, Georgetown, SC 29440 Phone: 843-546-8421 Fax: 843-546-1173 |