| Brenda L Poalillo, APRN | |
|
595 W Carolina Ave, Varnville, SC 29944-4735 | |
| (803) 943-1217 | |
| (803) 943-1208 |
| Full Name | Brenda L Poalillo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 595 W Carolina Ave, Varnville, 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 |
|---|---|---|---|
| 1184145658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20760 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
| Transylvania Regional Hospital, Inc | Brevard, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 662 |
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 662 |
| Southeastern Medical Group Pc | 8921030719 | 24 |
| Entity Name | Beaufort County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871335018 PECOS PAC ID: 7810809365 Enrollment ID: O20050208000354 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100107000067 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda L Poalillo, APRN 595 W Carolina Ave, Varnville, SC 29944-4735 Ph: (803) 943-1217 | Brenda L Poalillo, APRN 595 W Carolina Ave, Varnville, SC 29944-4735 Ph: (803) 943-1217 |
Mrs. Victoria R Reynolds, CPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Pine Street, Varnville, SC 29944 Phone: 803-943-5228 Fax: 803-943-4591 | |
Jenna Gossett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 843-991-9892 | |
Mrs. Sharon Lynn W Shealy, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Pine Street, Varnville, SC 29944 Phone: 803-943-5228 Fax: 803-943-4591 | |
Mrs. Pamela J Moore, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Pine Street, Varnville, SC 29944 Phone: 803-943-5228 Fax: 803-943-4591 | |
Melanie Widener Brant, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 803-943-2771 | |
Felicia Jonelle Ferguson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 803-943-2771 |