| Ayesha Monay Mccormick, AGNP-C | |
|
2611 Forest Dr Ste 200, Columbia, SC 29204-2371 | |
| (803) 779-3263 | |
| (803) 779-3207 |
| Full Name | Ayesha Monay Mccormick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 2611 Forest Dr Ste 200, 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 |
|---|---|---|---|
| 1215644489 | NPI | - | NPPES |
| 319785 | Other | NC | NC BOARD OF NURSING |
| 95074286 | Other | CA | CA BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | APN.29792 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palmetto Pain Management Llc | 9234307521 | 11 |
| Entity Name | Palmetto Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861411738 PECOS PAC ID: 9234307521 Enrollment ID: O20110712000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Ayesha Monay Mccormick, AGNP-C 2611 Forest Dr Ste 200, Columbia, SC 29204-2371 Ph: (037) 793-2638 | Ayesha Monay Mccormick, AGNP-C 2611 Forest Dr Ste 200, Columbia, SC 29204-2371 Ph: (803) 779-3263 |
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 | |
Latonya Brailsford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Whispering Pines Cir, Columbia, SC 29205 Phone: 803-351-9405 Fax: 803-219-3836 | |
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 |