Robin Theo Mitchell, FNP-BC | |
110 Sasanqua Dr, Graniteville, SC 29829 | |
(803) 392-1811 | |
(803) 761-6247 |
Full Name | Robin Theo Mitchell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 110 Sasanqua Dr, Graniteville, 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 |
---|---|---|---|
1659785582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 18793 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 18793 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lexington Health Inc | 2567872070 | 767 |
Guardian Biologics Llc | 8123481470 | 14 |
Entity Name | Doctors Care, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366499048 PECOS PAC ID: 6204731300 Enrollment ID: O20040112000069 |
Entity Name | Sound Physicians Emergency Medicine Of South Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730636168 PECOS PAC ID: 2163702739 Enrollment ID: O20161219000460 |
Entity Name | Lexington County Health Services District Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194380600 PECOS PAC ID: 7618871799 Enrollment ID: O20191118002076 |
Entity Name | Lexington Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Entity Name | Guardian Biologics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033890876 PECOS PAC ID: 8123481470 Enrollment ID: O20230905000374 |
Entity Name | Rebirth Advanced Healing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174390413 PECOS PAC ID: 5698125581 Enrollment ID: O20240111001258 |
Mailing Address | Practice Location Address |
---|---|
Robin Theo Mitchell, FNP-BC 367 S. Gulph Rd, Attn: Ipm Credentialing, King Of Prussia, PA 19406-3121 Ph: (803) 392-1811 | Robin Theo Mitchell, FNP-BC 110 Sasanqua Dr, Graniteville, SC 29829 Ph: (803) 392-1811 |
Mrs. Candace C Waters, MSN, FNP-BC, CDE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Bettis Academy Rd, Graniteville, SC 29829 Phone: 803-392-3724 Fax: 803-234-5593 |