| Beth Lynn Dickerson, NP | |
|
450 Old Greenville Hwy, Clemson, SC 29631-1670 | |
| (864) 653-8964 | |
| Not Available |
| Full Name | Beth Lynn Dickerson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 450 Old Greenville Hwy, Clemson, 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 |
|---|---|---|---|
| 1700949120 | NPI | - | NPPES |
| NP1107 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 300251 (North Carolina) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 18068 (South Carolina) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Lynn Dickerson, NP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-2286 | Beth Lynn Dickerson, NP 450 Old Greenville Hwy, Clemson, SC 29631-1670 Ph: (864) 653-8964 |
Ruth Anne Etter, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 Tiger Blvd, Clemson, SC 29631 Phone: 866-389-2727 | |
Mrs. Pamela Carraway Hitt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Tiger Blvd, Clemson, SC 29631 Phone: 864-653-6724 | |
Dr. Rosanne Harkey Pruitt, PHD, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Sullivan Ctr, 106 Edwards Hall, Clemson, SC 29634 Phone: 864-656-5528 Fax: 864-656-5488 | |
Paula J Watt, PHD, APRN-BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Edwards Hall, Clemson, SC 29634 Phone: 864-656-3076 Fax: 864-656-7694 | |
Brandi Leigh Harper, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Tiger Blvd, Clemson, SC 29631 Phone: 864-653-6724 | |
Pattie B Burriss, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-654-6800 | |
Hilary Koster, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Chapman Hill Rd, Clemson, SC 29631 Phone: 864-455-6900 Fax: 864-455-6469 |