| Anacorita Ellisor, FNP | |
|
306 Airport Dr, Moncks Corner, SC 29461 | |
| (304) 429-1088 | |
| Not Available |
| Full Name | Anacorita Ellisor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 306 Airport Dr, Moncks Corner, 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 |
|---|---|---|---|
| 1205257730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 19635 (South Carolina) | Primary |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Anacorita Ellisor, FNP Po Box 390, Huntington, WV 25708-0390 Ph: (304) 429-1088 | Anacorita Ellisor, FNP 306 Airport Dr, Moncks Corner, SC 29461 Ph: (304) 429-1088 |
Mrs. Suzanne Morris Blakeley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 306 Airport Dr, Moncks Corner, SC 29461 Phone: 843-761-8272 | |
Mrs. Helene Marchand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 N Highway 52, Suite 8, Moncks Corner, SC 29461 Phone: 843-899-9420 Fax: 843-899-9421 | |
Allison M. Krakeel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 459 N Highway 52, Moncks Corner, SC 29461 Phone: 843-899-3870 Fax: 843-899-3877 | |
Elizabeth Dawn Glauser, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 459 N Highway 52, Moncks Corner, SC 29461 Phone: 843-899-3870 | |
Mrs. Kathleen Marie Lance, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 N Highway 52, Suite #8, Moncks Corner, SC 29461 Phone: 843-899-9420 Fax: 843-899-9421 | |
Kristi A West, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 |