| Dr Leonie Lorraine Rose Bovino, PHD, AGACNP-BC, FAHA | |
|
1330 Haile St, Camden, SC 29020-3002 | |
| (803) 432-6771 | |
| Not Available |
| Full Name | Dr Leonie Lorraine Rose Bovino |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1330 Haile St, Camden, 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 |
|---|---|---|---|
| 1558894303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 27337 (South Carolina) | Primary |
| 363L00000X | Nurse Practitioner | A27337 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kershawhealth | Camden, SC | Hospital |
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Providence Health | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health Medical Group-midlands | 5991099707 | 919 |
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| 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 |
|---|---|
| Dr Leonie Lorraine Rose Bovino, PHD, AGACNP-BC, FAHA Po Box 23321, New York, NY 10087-0332 Ph: () - | Dr Leonie Lorraine Rose Bovino, PHD, AGACNP-BC, FAHA 1330 Haile St, Camden, SC 29020-3002 Ph: (803) 432-6771 |
Mrs. Alycia Strickland Abdulla, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 E Dekalb St Ste B, Camden, SC 29020 Phone: 803-767-4465 Fax: 803-767-4120 | |
Ashley Divers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1344 Haile St, Camden, SC 29020 Phone: 803-432-1996 | |
Melinda Branham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 93 Burbage St, Camden, SC 29020 Phone: 803-243-2612 | |
Leigh Pate, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 E Dekalb St Ste C, Camden, SC 29020 Phone: 803-713-0806 | |
Dr. Jessica Epps Wilkes, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 E Dekalb St # C, Camden, SC 29020 Phone: 803-713-0806 Fax: 803-713-0526 | |
Nadine Cantave, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2010 W Dekalb St, Camden, SC 29020 Phone: 305-388-1484 | |
Brittany Wilder, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Bayberry Ct, Camden, SC 29020 Phone: 904-343-6555 |