| Edwina Marie Hallman, | |
|
32 River St, Peak, SC 29122 | |
| (803) 945-7475 | |
| (803) 945-0000 |
| Full Name | Edwina Marie Hallman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 32 River St, Peak, 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 |
|---|---|---|---|
| 1689132201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 22678 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health Urgent Care Of South Carolina Pc | 1254703788 | 130 |
| Entity Name | Pinner Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982644290 PECOS PAC ID: 1951402593 Enrollment ID: O20070725000770 |
| Entity Name | Prisma Health Urgent Care Of South Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851000855 PECOS PAC ID: 1254703788 Enrollment ID: O20230210000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Edwina Marie Hallman, 247 Spring Ln, Prosperity, SC 29127-6307 Ph: (619) 944-5206 | Edwina Marie Hallman, 32 River St, Peak, SC 29122 Ph: (803) 945-7475 |
Donna Soppelsa Simmons, APRN BC NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32 River St, Peak, SC 29122 Phone: 803-947-7475 Fax: 803-345-2832 | |
Catherine King Thomas, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 River St, Peak, SC 29122 Phone: 803-945-7475 Fax: 803-945-0000 | |
Lori Turner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32 River St, Peak, SC 29122 Phone: 803-945-7475 Fax: 803-945-0000 |