| Wound Care Clinic - Esu, Inc. | |
|
1000 Towne Center Blvd Suite 705 Pooler GA 31322-4052 | |
| (912) 272-9494 | |
| (912) 998-0041 |
| Full Name | Wound Care Clinic - Esu, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Towne Center Blvd, Pooler, Georgia |
| Authorized Official Name and Position | Paula Kreissler (PRESIDENT/CEO) |
| Authorized Official Contact | 9122729494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Clinic - Esu, Inc. Po Box 9910 Savannah GA 31412-0110 Ph: (912) 272-9494 | Wound Care Clinic - Esu, Inc. 1000 Towne Center Blvd Suite 705 Pooler GA 31322-4052 Ph: (912) 272-9494 |
| NPI Number | 1154319408 |
|---|---|
| Provider Enumeration Date | 10/11/2005 |
| Last Update Date | 02/16/2012 |
| Medicare PECOS PAC ID | 9436178910 |
|---|---|
| Medicare Enrollment ID | O20051114000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154319408 | NPI | - | NPPES |
| 559348415A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Marci A Woo-sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942438189 PECOS PAC ID: 1557409794 Enrollment ID: I20091110000123 |
| Provider Name | Barbara M Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376873794 PECOS PAC ID: 2264491729 Enrollment ID: I20100309000065 |
| Provider Name | Anny Most |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073803326 PECOS PAC ID: 5294795985 Enrollment ID: I20110725000312 |
| Provider Name | Tasha N Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679710040 PECOS PAC ID: 3375690282 Enrollment ID: I20121205000092 |
| Provider Name | Dana M Tomko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265777346 PECOS PAC ID: 1951554724 Enrollment ID: I20130102000308 |
| Provider Name | Sarah Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720385412 PECOS PAC ID: 9133359227 Enrollment ID: I20160809002609 |
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