| Jill D Clemment, CRNA | |
|
7 Independence Pt Ste 3002nd, Greenville, SC 29615-4566 | |
| (864) 522-3700 | |
| (864) 522-3705 |
| Full Name | Jill D Clemment |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 7 Independence Pt Ste 3002nd, Greenville, 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 |
|---|---|---|---|
| 1801840269 | NPI | - | NPPES |
| 20031911 | Other | SC | SELECT HEALTH GROUP |
| AN0605 | Medicaid | SC | |
| 20033826 | Other | SC | SELECT HEALTH IND ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN857 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 857 (South Carolina) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Prisma Health-upstate |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill D Clemment, CRNA 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Jill D Clemment, CRNA 7 Independence Pt Ste 3002nd, Greenville, SC 29615-4566 Ph: (864) 522-3700 |
Paul Derek Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Ashley Ann Alguire, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Mr. J Ross Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Caroline Marvin Bedingfield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
George R Sweet, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Anesthesia Dept, Greenville, SC 29605 Phone: 864-455-7111 | |
Jennifer Webb George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7111 Fax: 864-455-6441 | |
Amanda Tipton Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-522-2286 |