| Ebony Shayteva Jenkins, CRNA | |
|
2720 Sunset Blvd, West Columbia, SC 29169-4810 | |
| (803) 791-2000 | |
| (803) 939-4561 |
| Full Name | Ebony Shayteva Jenkins |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 2720 Sunset Blvd, West Columbia, 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 |
|---|---|---|---|
| 1760241541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28880 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lexington Medical Center | West columbia, SC | Hospital |
| Musc Health Florence Medical Center | Florence, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lexington Health Inc | 2567872070 | 906 |
| Musc Community Physicians | 6507260668 | 1322 |
| Prisma Health University Medical Group | 8325950983 | 2450 |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Ebony Shayteva Jenkins, CRNA Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 791-2203 | Ebony Shayteva Jenkins, CRNA 2720 Sunset Blvd, West Columbia, SC 29169-4810 Ph: (803) 791-2000 |
Hannah Elizabeth Pettigrew, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 | |
Veronica Resendez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 | |
Cara Nicole Adams, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 | |
Aimee Yates Gondi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd., West Columbia, SC 29169 Phone: 803-791-2000 | |
Mrs. Aimee Ahn Durgin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Jeffrey M Scoggin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 Fax: 803-791-2660 | |
Jessica Leigh Rosebrock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 |