| Doreen Mary Massey, FNP | |
| 
					1510 Ribaut Rd, Port Royal, SC 29935-1403  | |
| (843) 770-0676 | |
| Not Available | 
| Full Name | Doreen Mary Massey | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1510 Ribaut Rd, Port Royal, 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 | 
|---|---|---|---|
| 1063463537 | NPI | - | NPPES | 
| 085386985A | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN115838 (Georgia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 24477 (South Carolina) | Primary | 
| Entity Name | Georgia Emergency Medicine Specialists, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316064629 PECOS PAC ID: 1153317151 Enrollment ID: O20040423001126  | 
| Entity Name | Athens Clarke Medical Enterprises Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295370542 PECOS PAC ID: 0547698680 Enrollment ID: O20200324000216  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Doreen Mary Massey, FNP 1510 Ribaut Rd, Port Royal, SC 29935-1403 Ph: (437) 700-6768  | Doreen Mary Massey, FNP 1510 Ribaut Rd, Port Royal, SC 29935-1403 Ph: (843) 770-0676  | 
Miss Monica Walker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1510 Ribaut Rd, Port Royal, SC 29935 Phone: 843-770-0676  | |
Kalysta T Pioggia, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1510 South Ribaut Rd, Port Royal, SC 29935 Phone: 843-770-0676  | |
Denise Kerby, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1810 Richmond Ave, Port Royal, SC 29935 Phone: 843-781-7700  | |
Mr. Brian Joseph Burger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1833 N Paris Ave, Port Royal, SC 29935 Phone: 843-522-1420 Fax: 843-522-1460  | |
Anna Jean Keating, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1833 N Paris Ave, Port Royal, SC 29935 Phone: 843-522-1420  | |
Dr. Melissa Rose Mesenburg, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 13th St, Port Royal, SC 29935 Phone: 843-525-6257  |