Jessica Lynn Maffett, NP | |
167 S Greenwood Ave, Ware Shoals, SC 29692-1636 | |
(864) 389-4116 | |
Not Available |
Full Name | Jessica Lynn Maffett |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 167 S Greenwood Ave, Ware Shoals, 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 |
---|---|---|---|
1114635984 | NPI | - | NPPES |
26785 | Other | SC | SCLLR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26785 (South Carolina) | Primary |
Entity Name | Self Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Mailing Address | Practice Location Address |
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Jessica Lynn Maffett, NP 103 Lanett St, Greenwood, SC 29649-1029 Ph: (864) 389-4116 | Jessica Lynn Maffett, NP 167 S Greenwood Ave, Ware Shoals, SC 29692-1636 Ph: (864) 389-4116 |
Bennie S Henderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 157 B S Greenwood Ave Ext, Ware Shoals, SC 29692 Phone: 864-456-3447 Fax: 864-725-4979 | |
Mr. John Cenarosa Paguntalan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 157b S Greenwood Ave, Ware Shoals, SC 29692 Phone: 864-456-3447 Fax: 864-725-4979 |