Peggy Yvonne Lively, ARNP | |
1120 Glenns Bay Rd, Surfside Beach, SC 29575-4757 | |
(843) 215-5492 | |
Not Available |
Full Name | Peggy Yvonne Lively |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1120 Glenns Bay Rd, Surfside Beach, 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 |
---|---|---|---|
1033239678 | NPI | - | NPPES |
NP1563 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3938 (South Carolina) | Primary |
Entity Name | Georgetown Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
Entity Name | Waccamaw Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
Mailing Address | Practice Location Address |
---|---|
Peggy Yvonne Lively, ARNP 1916 Shell Ct, Surfside Beach, SC 29575-4630 Ph: (954) 895-0222 | Peggy Yvonne Lively, ARNP 1120 Glenns Bay Rd, Surfside Beach, SC 29575-4757 Ph: (843) 215-5492 |
Michelle Lynn Rottner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 | |
Lindsey Thomas Budhoo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 | |
Hristina Y Dixon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 | |
Ms. Linda M Delfosse, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1912 Shell Ct, Surfside Beach, SC 29575 Phone: 843-626-2847 | |
Melanie H Porter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 Fax: 843-238-1624 | |
Mrs. Susan Edwards Surratt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 Fax: 843-828-0622 |