| Amanda Lynn Whitehead, NP | |
|
233 Longtown Rd, Columbia, SC 29229-8550 | |
| (803) 865-2122 | |
| Not Available |
| Full Name | Amanda Lynn Whitehead |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 233 Longtown Rd, Columbia, 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 |
|---|---|---|---|
| 1194565515 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Camden | Camden, SC | Home health agency |
| Amedisys Home Health Of Lexington | Lexington, SC | Home health agency |
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Family Practice Llc | 4284658865 | 4 |
| Lexington Health Inc | 2567872070 | 906 |
| Entity Name | Providence Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528066115 PECOS PAC ID: 4284658865 Enrollment ID: O20060123000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Lynn Whitehead, NP 324 Avensong Trl, Elgin, SC 29045-7141 Ph: () - | Amanda Lynn Whitehead, NP 233 Longtown Rd, Columbia, SC 29229-8550 Ph: (803) 865-2122 |
Richard Hall Iii, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-6095 Fax: 803-758-0120 | |
Dr. Latonya Brailsford, DNP, APRN,FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 Read St Ste I-4, Columbia, SC 29204 Phone: 843-465-2438 | |
Laketa D Riley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 | |
Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129 | |
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496 | |
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 | |
Tisheila Diane Whitted, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-434-7910 |