| Jennifer Ann Kollock, NP | |
|
220 Castleton Cir, Boiling Springs, SC 29316-6230 | |
| (704) 773-5896 | |
| Not Available |
| Full Name | Jennifer Ann Kollock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 220 Castleton Cir, Boiling Springs, 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 |
|---|---|---|---|
| 1740755891 | NPI | - | NPPES |
| SCG8286067 | Other | SC | MEDICARE PIN |
| NP5525 | Medicaid | SC | |
| SCD922J577 | Other | SC | MEDICARE PIN |
| SCG8286084 | Other | SC | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 22284 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spartanburg Medical Center | 3072425297 | 977 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235170077 PECOS PAC ID: 3072425297 Enrollment ID: O20040322000577 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
| Entity Name | Pelham Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329 |
| Entity Name | Woodruff Road Urgent Care Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598073496 PECOS PAC ID: 7911182084 Enrollment ID: O20110505000224 |
| Entity Name | Cherokee Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285275305 PECOS PAC ID: 5991041212 Enrollment ID: O20191220002041 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ann Kollock, NP Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Jennifer Ann Kollock, NP 220 Castleton Cir, Boiling Springs, SC 29316-6230 Ph: (704) 773-5896 |
Blair Gault, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1888 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 866-389-2727 | |
Mrs. Constance Audrianna Mudda, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-599-0731 Fax: 864-599-0791 | |
Rebecca Joy Brown, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Village Creek Dr, Boiling Springs, SC 29316 Phone: 864-327-9003 Fax: 800-253-0649 | |
Mary Elizabeth Macgregor, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Village Creek Dr, Boiling Springs, SC 29316 Phone: 864-327-9003 | |
Virginia Lee Ivey-mingione, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Parris Bridge Road, Boiling Springs, SC 29316 Phone: 864-599-1998 | |
Jennifer Nicole Gahan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1888 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-599-0920 | |
Felisha Booker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1214 Turning Leaf Cir, Boiling Springs, SC 29316 Phone: 864-814-8660 |