Patricia Siefferman, NP-C | |
901 W Greenwood St, Suite 5, Abbeville, SC 29620-5717 | |
(864) 366-9938 | |
(864) 366-0818 |
Full Name | Patricia Siefferman |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 901 W Greenwood St, Abbeville, 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 |
---|---|---|---|
1093709453 | NPI | - | NPPES |
000733048IJK | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 27377 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 17559 (South Carolina) | Primary |
Entity Name | Prince Avenue Primary Care, L.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386676211 PECOS PAC ID: 4688668346 Enrollment ID: O20040414000612 |
Mailing Address | Practice Location Address |
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Patricia Siefferman, NP-C 12192 Augusta Rd, 12192 Augusta Road, Lavonia, GA 30553-1209 Ph: (706) 356-1072 | Patricia Siefferman, NP-C 901 W Greenwood St, Suite 5, Abbeville, SC 29620-5717 Ph: (864) 366-9938 |
Brandon Everett Scott, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Thomson Cir, Abbeville, SC 29620 Phone: 864-366-5011 | |
Linda Lorraine Williams, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 W Greenwood St Suite 5, Abbeville, SC 29620 Phone: 864-366-9938 Fax: 864-366-0818 | |
Davis Renee Migdalas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 W Greenwood St Ste 6, Abbeville, SC 29620 Phone: 864-366-9010 Fax: 864-366-9012 | |
Mrs. Katie Chandler Mumblow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Brooks St, Abbeville, SC 29620 Phone: 864-459-2121 | |
Mrs. Emily Horne Wallace, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Thomson Cir, Abbeville, SC 29620 Phone: 864-366-5011 | |
Mrs. Jennifer Wright, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 W Greenwood St Ste 1, Abbeville, SC 29620 Phone: 864-366-9681 Fax: 864-366-5600 |