| Diana Lee Collins, | |
|
148 Sauls St, Lake City, SC 29560-2677 | |
| (843) 374-3621 | |
| Not Available |
| Full Name | Diana Lee Collins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 148 Sauls St, Lake City, 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 |
|---|---|---|---|
| 1033534151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 18807 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 18807 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Health Florence Medical Center | Florence, SC | Hospital |
| Musc Medical Center | Charleston, SC | Hospital |
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical University Hospital Authority | 1557268950 | 199 |
| Musc Community Physicians | 6507260668 | 984 |
| Lower Florence County Hosptial | 6608802152 | 4 |
| Entity Name | Medical University Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Lee Collins, Po Box 603898, Charlotte, NC 28260-3898 Ph: (843) 792-6200 | Diana Lee Collins, 148 Sauls St, Lake City, SC 29560-2677 Ph: (843) 374-3621 |
Mrs. Margaret Elaine Tanner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 N Acline St, Lake City, SC 29560 Phone: 843-394-8822 Fax: 843-394-8856 | |
Mrs. Allison Campbell, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 N Acline St, Lake City, SC 29560 Phone: 843-394-8822 | |
Ms. Sarah Lisa Frierson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1278 Moore St, Lake City, SC 29560 Phone: 843-389-7251 | |
Mrs. Omega Denise Graham, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 378 Wallace St, Lake City, SC 29560 Phone: 843-373-0569 | |
Dominique Sophia Destiny Speaks, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 652 N Matthews Rd, Lake City, SC 29560 Phone: 843-432-3677 | |
Jessica Mckenzie Grimsley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 276 N Ron Mcnair Blvd, Lake City, SC 29560 Phone: 843-394-5471 |