| Geneva Bradshaw, LPCC | |
|
704 Saint Paul Rd, Camden, SC 29020-1562 | |
| (270) 799-6628 | |
| Not Available |
| Full Name | Geneva Bradshaw |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 20 Years |
| Location | 704 Saint Paul Rd, Camden, 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 |
|---|---|---|---|
| 1609290907 | NPI | - | NPPES |
| 7100417810 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 168477 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sandhills Medical Foundation, Inc. | 8224949821 | 25 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568541597 PECOS PAC ID: 8224949821 Enrollment ID: O20031126000326 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922584481 PECOS PAC ID: 8224949821 Enrollment ID: O20200528000475 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083228779 PECOS PAC ID: 8224949821 Enrollment ID: O20230104003131 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780398461 PECOS PAC ID: 8224949821 Enrollment ID: O20240104003460 |
| Mailing Address | Practice Location Address |
|---|---|
| Geneva Bradshaw, LPCC 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000 | Geneva Bradshaw, LPCC 704 Saint Paul Rd, Camden, SC 29020-1562 Ph: (270) 799-6628 |
Mr. Whitney R Keen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 Liberty Hill Rd., Swcmhc/kershaw Cmhc, Camden, SC 29020 Phone: 803-432-5323 Fax: 803-713-3978 | |
Christina Velasquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Mill St, Camden, SC 29020 Phone: 803-432-6902 | |
Mrs. Tawana N Hayes-newton, M.A., LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 709 Mill St, Camden, SC 29020 Phone: 803-432-6902 | |
Elizabeth Diller, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Mill Street, Camden, SC 29020 Phone: 803-432-6902 | |
Ms. Brenda L Watson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 Liberty Hill Rd, Camden, SC 29020 Phone: 803-432-5323 Fax: 803-713-3978 | |
Kiley Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 Liberty Hill Rd, Camden, SC 29020 Phone: 803-432-5323 | |
Cole Vieira, Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 King St, Camden, SC 29020 Phone: 803-432-6902 |