| Candace Whitfield, | |
|
21 S Shirley Ave, Honea Path, SC 29654-1503 | |
| (864) 512-7879 | |
| (864) 512-7037 |
| Full Name | Candace Whitfield |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 21 S Shirley Ave, Honea Path, 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 |
|---|---|---|---|
| 1710307103 | NPI | - | NPPES |
| SC32387482 | Other | SC | MEDICARE |
| SC32386608 | Other | MEDICARE | |
| NP2827 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 18873 (South Carolina) | Primary |
| 207QA0505X | Family Medicine - Adult Medicine | 18773 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Health Services Of Self Regional Healthcare | Greenwood, SC | Home health agency |
| Anmed Health | Anderson, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anmed Health | 1951215243 | 223 |
| Entity Name | Anmed Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639102270 PECOS PAC ID: 1951215243 Enrollment ID: O20040130000302 |
| Entity Name | Anmed Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164746392 PECOS PAC ID: 1951215243 Enrollment ID: O20040315000478 |
| Entity Name | Anmed Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005727 PECOS PAC ID: 1951215243 Enrollment ID: O20040723000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Whitfield, Po Box 100174, Columbia, SC 29202-3174 Ph: (864) 369-0552 | Candace Whitfield, 21 S Shirley Ave, Honea Path, SC 29654-1503 Ph: (864) 512-7879 |
Tonja Leann Lindle, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 512b E Greer St, Honea Path, SC 29654 Phone: 864-369-5003 Fax: 864-860-0265 | |
Stacey G Branyon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 S Shirley Ave, Honea Path, SC 29654 Phone: 864-369-0552 Fax: 864-369-1826 |