Sara Ashley Mccracken, | |
776 2nd St E, Estill, SC 29918-4926 | |
(803) 625-2548 | |
(803) 625-2801 |
Full Name | Sara Ashley Mccracken |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 776 2nd St E, Estill, 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 |
---|---|---|---|
1639684657 | NPI | - | NPPES |
21497 | Other | SC | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 21497 (South Carolina) | Primary |
Entity Name | Beaufort Jasper Hampton Comprehensive Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262 |
Mailing Address | Practice Location Address |
---|---|
Sara Ashley Mccracken, Po Box 357, Ridgeland, SC 29936-2605 Ph: () - | Sara Ashley Mccracken, 776 2nd St E, Estill, SC 29918-4926 Ph: (803) 625-2548 |
John R Pyles, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Road, Estill, SC 29918 Phone: 803-625-4600 | |
Jade A Lee, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 776 2nd St E, Estill, SC 29918 Phone: 803-625-2548 | |
Ashlyn E Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 776 2nd St E, Estill, SC 29918 Phone: 803-625-2548 Fax: 803-625-2801 |