| Randi Bliss Kotal-lee, NP | |
|
390 Keowee School Rd, Seneca, SC 29672-6743 | |
| (864) 885-7129 | |
| (864) 882-7240 |
| Full Name | Randi Bliss Kotal-lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 390 Keowee School Rd, Seneca, 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 |
|---|---|---|---|
| 1932441565 | NPI | - | NPPES |
| NP2705 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | RN218154 (Georgia) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 18472 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health University Medical Group | 8325950983 | 2206 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Randi Bliss Kotal-lee, NP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Randi Bliss Kotal-lee, NP 390 Keowee School Rd, Seneca, SC 29672-6743 Ph: (864) 885-7129 |
Elise Barbara Babineau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Keowee School Rd, Seneca, SC 29672 Phone: 864-884-7129 Fax: 864-882-7240 | |
Carol Meltzer Beckenhauer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12016 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-6141 Fax: 864-882-6680 | |
Shana M Collins-smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12016 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-6141 Fax: 864-882-6680 | |
Adam Christopher Campbell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10630 Clemson Blvd Ste 100, Seneca, SC 29678 Phone: 864-482-6000 | |
Mrs. Jessica Ann Mullis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 263 Stone Pond Way, Seneca, SC 29678 Phone: 803-810-7054 | |
Vanessa Anne Smith, A-GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Keowee School Rd, Seneca, SC 29672 Phone: 864-885-7129 Fax: 864-882-7240 | |
Tracie D Smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Omni Dr, Suite B, Seneca, SC 29672 Phone: 864-482-2350 Fax: 864-482-2355 |