| Jerri Nicole Masanovich, NP | |
|
171b Monroe Ln, Lexington, SC 29072-3904 | |
| (803) 358-8496 | |
| (866) 614-3887 |
| Full Name | Jerri Nicole Masanovich |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 171b Monroe Ln, Lexington, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366922866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22146 (South Carolina) | Primary |
| Entity Name | Springwood Lake Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841797081 PECOS PAC ID: 8022363977 Enrollment ID: O20180615002551 |
| Entity Name | Geriatric Health And Wellness Ltd Co. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598311359 PECOS PAC ID: 9335471317 Enrollment ID: O20191023003186 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerri Nicole Masanovich, NP 1209 Lownsdale Rd, West Columbia, SC 29170-3178 Ph: (803) 920-6376 | Jerri Nicole Masanovich, NP 171b Monroe Ln, Lexington, SC 29072-3904 Ph: (803) 358-8496 |
Eva Varoqua, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Brevard Pkwy, Lexington, SC 29073 Phone: 803-951-1880 Fax: 803-951-0384 | |
Dr. Clarence E Coker Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2006 Augusta Hwy, Lexington, SC 29072 Phone: 803-785-4747 Fax: 803-785-4750 | |
Mrs. Brittany Christin Petrilli, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 Powell Dr, Lexington, SC 29072 Phone: 803-957-8400 | |
William H Crigler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4711 Sunset Blvd, Lexington, SC 29072 Phone: 803-356-3609 Fax: 803-356-3941 | |
Thomas D Bryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5535 Platt Springs Rd, Lexington, SC 29073 Phone: 803-951-1880 Fax: 803-951-0384 | |
Wendy Leigh Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 W Main St, Lexington, SC 29072 Phone: 803-358-6100 Fax: 803-358-6105 | |
Daniel H Dunbar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Old Cherokee Road, Lexington, SC 29072 Phone: 803-314-9110 Fax: 803-314-9111 |