| Blair Gault, | |
|
115 Thomas St Ste B, Union, SC 29379-2147 | |
| (864) 582-2411 | |
| Not Available |
| Full Name | Blair Gault |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 115 Thomas St Ste B, Union, 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 |
|---|---|---|---|
| 1003395385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 22024 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regenesis Organization Community Health Center | 8022928001 | 34 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194710426 PECOS PAC ID: 8022928001 Enrollment ID: O20050127000120 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548528714 PECOS PAC ID: 8022928001 Enrollment ID: O20160816002916 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457745952 PECOS PAC ID: 8022928001 Enrollment ID: O20170127000968 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982248852 PECOS PAC ID: 8022928001 Enrollment ID: O20210120001241 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558946376 PECOS PAC ID: 8022928001 Enrollment ID: O20220630000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Gault, Po Box 5158, Spartanburg, SC 29304-5158 Ph: (864) 582-2411 | Blair Gault, 115 Thomas St Ste B, Union, SC 29379-2147 Ph: (864) 582-2411 |
Kelly Edmonds Barrington, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 407 W South St # 4298846, Union, SC 29379 Phone: 864-429-8846 Fax: 864-429-9093 | |
Tyra Lynn Taylor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Furman L Fendley Hwy Ste C, Union, SC 29379 Phone: 864-427-8380 Fax: 864-427-8308 | |
Mrs. Marilou Gericka Sanders, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 440 N Duncan Byp, Union, SC 29379 Phone: 864-424-9576 | |
Tina M Fowler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 327 W South St, Union, SC 29379 Phone: 864-441-0802 Fax: 864-441-0801 | |
Sally Gallman Robinson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 W South St, Union, SC 29379 Phone: 864-429-8846 Fax: 864-429-9093 | |
Katherine Coindreau, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Thomas St, Union, SC 29379 Phone: 864-582-2411 |