Erin Faulkenberry Siciliano, APRN | |
7182 Woodrow St Ste 200, Irmo, SC 29063-2958 | |
(803) 749-1111 | |
(803) 749-0050 |
Full Name | Erin Faulkenberry Siciliano |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 7182 Woodrow St Ste 200, Irmo, 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 |
---|---|---|---|
1073220786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 26745 (South Carolina) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 26745 (South Carolina) | Primary |
Entity Name | South Carolina Internal Medicine Associates And Rehabilitation,l.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760483382 PECOS PAC ID: 1759362072 Enrollment ID: O20040525000145 |
Mailing Address | Practice Location Address |
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Erin Faulkenberry Siciliano, APRN 1010 Naples Ave, Cayce, SC 29033-3121 Ph: (803) 238-9913 | Erin Faulkenberry Siciliano, APRN 7182 Woodrow St Ste 200, Irmo, SC 29063-2958 Ph: (803) 749-1111 |
Amanda Dudley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Wellness Blvd Ste 109, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Alicia Pendergrass, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Wellness Blvd Ste 203, Irmo, SC 29063 Phone: 803-749-9920 Fax: 803-749-9916 | |
Ms. Louise C. Holmes, MN,RN, CANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-732-4001 Fax: 803-732-2123 | |
Mrs. Stefanie Lee Gunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Mrs. Rachel Strange, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Janeen Jensen Wood, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Lake Murray Blvd, Irmo, SC 29063 Phone: 803-749-3840 |