| Veronica S Wactor, NP | |
|
2401 Sunset Blvd, West Columbia, SC 29169-4717 | |
| (866) 389-2727 | |
| (401) 652-9787 |
| Full Name | Veronica S Wactor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 2401 Sunset Blvd, West Columbia, 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 |
|---|---|---|---|
| 1417286949 | NPI | - | NPPES |
| AA46545925 | Other | SC | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4023 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health Medical Group-midlands | 5991099707 | 881 |
| Entity Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376595041 PECOS PAC ID: 9032021175 Enrollment ID: O20031105000630 |
| Entity Name | Medcare Express - North Charleston Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457579617 PECOS PAC ID: 7618074899 Enrollment ID: O20070523000200 |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Veronica S Wactor, NP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Veronica S Wactor, NP 2401 Sunset Blvd, West Columbia, SC 29169-4717 Ph: (866) 389-2727 |
Ashley Nix, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1612 Airport Blvd, West Columbia, SC 29169 Phone: 803-380-6399 Fax: 877-484-7187 | |
June Taylor Clark, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 Phone: 800-491-0909 | |
Sommer Lane Kitchin, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1053 Center St, West Columbia, SC 29169 Phone: 800-491-0909 | |
Tisheila Diane Whitted, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 | |
Teresa Biediger Bowers, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2728 Sunset Blvd, Suite 402, West Columbia, SC 29169 Phone: 803-794-7511 Fax: 803-794-7751 | |
Heather Shaw, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169 Phone: 803-699-9073 Fax: 866-527-0937 | |
Amy S Shenkar, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 |