| Amanda Fisher Craddock, | |
|
103 Longwood Ln, Easley, SC 29642-7884 | |
| (864) 367-3161 | |
| Not Available |
| Full Name | Amanda Fisher Craddock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 103 Longwood Ln, Easley, 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 |
|---|---|---|---|
| 1275356206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 29243 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Itrust Wellness Group | 0648532028 | 21 |
| Entity Name | Itrust Wellness Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629517222 PECOS PAC ID: 0648532028 Enrollment ID: O20180322002663 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Fisher Craddock, 103 Longwood Ln, Easley, SC 29642-7884 Ph: (864) 367-3161 | Amanda Fisher Craddock, 103 Longwood Ln, Easley, SC 29642-7884 Ph: (864) 367-3161 |
Mrs. Jacquelyn Nicole Hannah, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-455-7000 Fax: 864-442-8279 | |
Alison F Hart, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 105 Franklin Square Way Ste A, Easley, SC 29642 Phone: 864-442-4110 Fax: 864-442-4126 | |
Natalie Isbell Ragsdale, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Fleetwood Dr Ste 100, Easley, SC 29640 Phone: 864-442-7618 Fax: 864-442-7155 | |
Danielle Sheffield, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5269 Calhoun Memorial Hwy, Easley, SC 29640 Phone: 866-389-2727 | |
Mrs. Norah Chinenye Ezike, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Franklin Square Way, Easley, SC 29642 Phone: 864-442-4110 | |
Adam Lance Schendel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Franklin Square Way Ste A, Easley, SC 29642 Phone: 864-442-4110 | |
Mrs. Lisa Ann Finch, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4741 Highway 153 Ste B, Easley, SC 29642 Phone: 888-506-5558 Fax: 864-900-4676 |