| Amanda T Haltiwanger, FNP | |
|
600 N Wheeler Ave, Prosperity, SC 29127-8400 | |
| (803) 364-4852 | |
| (803) 364-2014 |
| Full Name | Amanda T Haltiwanger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 600 N Wheeler Ave, Prosperity, 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 |
|---|---|---|---|
| 1649432477 | NPI | - | NPPES |
| AA27983093 | Other | SC | MEDICARE PTAN |
| NP1242 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN3585 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Clinton | Clinton, SC | Home health agency |
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Westgate Family Physicians Pa | 6204992712 | 5 |
| Entity Name | Lovelace Family Medicine Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366429987 PECOS PAC ID: 6002719655 Enrollment ID: O20040130000193 |
| Entity Name | Westgate Family Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174577258 PECOS PAC ID: 6204992712 Enrollment ID: O20090309000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda T Haltiwanger, FNP Po Box 630, 600 N Wheeler Ave, Prosperity, SC 29127-0630 Ph: (803) 364-4852 | Amanda T Haltiwanger, FNP 600 N Wheeler Ave, Prosperity, SC 29127-8400 Ph: (803) 364-4852 |
Lauren Svensen Daniels, APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 N Wheeler Ave, Prosperity, SC 29127 Phone: 803-364-4852 Fax: 803-364-2014 | |
Rhonda L Cook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Wheeler Ave, Prosperity, SC 29127 Phone: 803-364-4852 Fax: 803-364-2014 | |
Lindsay W Piersol, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N. Wheeler Avenue, Prosperity, SC 29127 Phone: 803-364-4852 Fax: 803-364-2014 |