| Debra Ann Ort, PMHNP-BC | |
|
104 Bayleaf Ct, Summerville, SC 29486-1814 | |
| (843) 291-8900 | |
| Not Available |
| Full Name | Debra Ann Ort |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 104 Bayleaf Ct, Summerville, 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 |
|---|---|---|---|
| 1396805412 | NPI | - | NPPES |
| 405721 | Other | ME | MHN-MANAGED HEALTH NETWORKS |
| 432811599 | Medicaid | ME | |
| 4346-07 | Other | ME | PACIFICARE BEHAVIORAL HEALTH |
| 9289053 | Other | ME | AETNA |
| 2218713 | Other | ME | CIGNA |
| 200263 | Other | ME | ANTHEM |
| Entity Name | Lafrontera Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023119955 PECOS PAC ID: 0648171330 Enrollment ID: O20040115001022 |
| Entity Name | Southeastern Arizona Behavioral Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760830137 PECOS PAC ID: 2860488368 Enrollment ID: O20040421000934 |
| Entity Name | Sierra Vista Regional Health Center Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043575483 PECOS PAC ID: 3779732854 Enrollment ID: O20121004000679 |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230424000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Ann Ort, PMHNP-BC 104 Bayleaf Ct, Summerville, SC 29486-1814 Ph: (843) 291-8900 | Debra Ann Ort, PMHNP-BC 104 Bayleaf Ct, Summerville, SC 29486-1814 Ph: (843) 291-8900 |
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 |
Alison Rose Gardella, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Callen Blvd Ste 300, Summerville, SC 29486 Phone: 843-789-1800 |
Jody Kay Smith, NP Nurse Practitioner Medicare: Medicare Enrolled 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 |