| Dana Marie Liles, NP | |
|
501 Carnes Crossing Blvd Ste B, Summerville, SC 29486-0407 | |
| (843) 212-8080 | |
| (843) 203-2299 |
| Full Name | Dana Marie Liles |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 501 Carnes Crossing Blvd Ste B, Summerville, 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 |
|---|---|---|---|
| 1356990451 | NPI | - | NPPES |
| NP6358 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 23265 (South Carolina) | Primary |
| 163W00000X | Registered Nurse | 75048 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
| Roper Hospital | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Patient Care Of South Carolina Pc | 1951672617 | 157 |
| Roper Saint Francis Physicians Network | 5193874824 | 478 |
| Ch Specialty Services Sc Llc | 6608182993 | 150 |
| Entity Name | Roper Saint Francis Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124431606 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405 |
| Entity Name | Ch Specialty Services Sc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275915522 PECOS PAC ID: 6608182993 Enrollment ID: O20150901002450 |
| Entity Name | Elite Patient Care Of South Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Marie Liles, NP Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 402-5001 | Dana Marie Liles, NP 501 Carnes Crossing Blvd Ste B, Summerville, SC 29486-0407 Ph: (843) 212-8080 |
Nicholas Arthur Hathaway, FNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 W 4th St N, Summerville, SC 29483 Phone: 843-873-0681 | |
Marie Davis Rataj, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 92 Springview Lane, South Carolina Sleep Medicine, Summerville, SC 29485 Phone: 843-871-4006 Fax: 843-871-4074 | |
Mrs. Caroline M Yerich, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 N Cedar St, Summerville, SC 29483 Phone: 843-871-9440 Fax: 843-871-5932 | |
Kristina M Dibartolo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 Springview Ln # A, Summerville, SC 29485 Phone: 843-832-9113 Fax: 843-832-9114 | |
Jody Kay Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 89 Old Trolley Rd Ste 200, Summerville, SC 29485 Phone: 737-226-6740 | |
Katherine Ellis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2016 1st Ave, Summerville, SC 29486 Phone: 843-432-3109 | |
Norma June Taveras, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 N Cedar St Ste 100, Summerville, SC 29483 Phone: 843-821-2480 |