| Atreus Llc | |
|
215 Stork Way Seneca SC 29678-1039 | |
| (248) 310-3473 | |
| Not Available |
| Full Name | Atreus Llc |
|---|---|
| Speciality | Otolaryngology |
| Location | 215 Stork Way, Seneca, South Carolina |
| Authorized Official Name and Position | Daniel Frederick Boxwell (PRESIDENT/CEO) |
| Authorized Official Contact | 2483103473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atreus Llc 215 Stork Way Seneca SC 29678-1039 Ph: () - | Atreus Llc 215 Stork Way Seneca SC 29678-1039 Ph: (248) 310-3473 |
| NPI Number | 1154034080 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 7315310976 |
|---|---|
| Medicare Enrollment ID | O20230301000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154034080 | NPI | - | NPPES |
| Provider Name | Tracie D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053381319 PECOS PAC ID: 4183654122 Enrollment ID: I20050818000715 |
| Provider Name | Antine Elaine Stenbit |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659475432 PECOS PAC ID: 2264491703 Enrollment ID: I20060504000729 |
| Provider Name | Virginia T Wright |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942250154 PECOS PAC ID: 5496644643 Enrollment ID: I20080415000559 |
| Provider Name | Daniel Frederick Boxwell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518181148 PECOS PAC ID: 3870627367 Enrollment ID: I20111025000904 |
| Provider Name | Andrea H Storie |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609890094 PECOS PAC ID: 3274750393 Enrollment ID: I20140814000493 |
| Provider Name | Fredda A Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447797675 PECOS PAC ID: 3173893559 Enrollment ID: I20170718000336 |
| Provider Name | Paige R Porrello |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730271024 PECOS PAC ID: 9133180193 Enrollment ID: I20240305000930 |
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