| Lisa Barksdale, SLP | |
|
200 Patewood Dr, Suite B400, Greenville, SC 29615-3593 | |
| (864) 454-4368 | |
| (864) 241-9232 |
| Full Name | Lisa Barksdale |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 10 Years |
| Location | 200 Patewood Dr, Greenville, 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 |
|---|---|---|---|
| 1528458353 | NPI | - | NPPES |
| SA1528 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 5664 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group South Carolina, Llc | 5395158653 | 17 |
| Provider Name | Prisma Health University Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Provider Name | Privia Medical Group South Carolina, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649875816 PECOS PAC ID: 5395158653 Enrollment ID: O20210105001174 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Barksdale, SLP 300 E Mcbee Ave # 4thfl, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Lisa Barksdale, SLP 200 Patewood Dr, Suite B400, Greenville, SC 29615-3593 Ph: (864) 454-4368 |
Kaitlyn Ashley Fencik, M.A. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 343 Prado Way, Greenville, SC 29607 Phone: 732-608-4098 | |
Mrs. Mary Carolyn Gilkinson, MSR, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1380 | |
Andrea L. Murdock, S.L.P. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1350 | |
Kyler Meredith Evans, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 35 Brendan Way, Greenville, SC 29615 Phone: 864-775-6685 Fax: 864-551-4440 | |
Olivia Catherine Bair, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Griffith Rd, Greenville, SC 29607 Phone: 864-990-1918 | |
Kaley Sanford Jennings, MSP, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Augusta St, Greenville, SC 29605 Phone: 864-370-0131 | |
Lauren O'brien, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1547 Wade Hampton Blvd, Greenville, SC 29609 Phone: 864-659-0604 |