Jennifer Kaitlyn Woodell, | |
515 River Crossing Dr Ste 180, Fort Mill, SC 29715-7901 | |
(803) 547-7541 | |
Not Available |
Full Name | Jennifer Kaitlyn Woodell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 515 River Crossing Dr Ste 180, Fort Mill, South Carolina |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639795891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5014414 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 24755 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Medical Center | Rock hill, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eventus Wholehealth Pllc | 6002169539 | 242 |
Eventus Wholehealth Pllc | 6002169539 | 242 |
Eventus Wholehealth Pllc | 6002169539 | 242 |
Piedmont Physician Network Llc | 7911287552 | 96 |
Entity Name | Eventus Wholehealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
Entity Name | Eventus Value Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013680503 PECOS PAC ID: 1254736986 Enrollment ID: O20210818003793 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Kaitlyn Woodell, 14201 Dallas Pkwy Ste 1200, Dallas, TX 75254-2916 Ph: () - | Jennifer Kaitlyn Woodell, 515 River Crossing Dr Ste 180, Fort Mill, SC 29715-7901 Ph: (803) 547-7541 |
Kayla Kipp Mosser, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd Ste 207, Fort Mill, SC 29715 Phone: 803-802-5900 | |
Karen Mcgarvey, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1740 Sc 160 West, Fort Mill, SC 29708 Phone: 866-389-2727 | |
Chinelo Ofoma, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715 Phone: 803-802-5900 Fax: 803-802-7101 | |
Meghan Bynum Fields, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715 Phone: 704-667-3380 | |
Kelly Taylor Williamson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 704 Gold Hill Rd, Fort Mill, SC 29715 Phone: 803-835-0420 | |
Brett Alexandra Wnuk, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 852 Gold Hill Rd Ste 204, Fort Mill, SC 29708 Phone: 803-228-4038 Fax: 866-884-5371 | |
Mrs. Lindsey Nicole Bauman, CPNP-PC, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1171 Market St Ste 201, Fort Mill, SC 29708 Phone: 419-297-3657 |