Jillian Melissa Siniscalchi, AGP-NP | |
4303 Live Oak Dr, Little River, SC 29566-9138 | |
(843) 663-8000 | |
Not Available |
Full Name | Jillian Melissa Siniscalchi |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 4303 Live Oak Dr, Little River, 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 |
---|---|---|---|
1023744919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 26354 (South Carolina) | Primary |
Entity Name | Georgetown Physician Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235475930 PECOS PAC ID: 2365697398 Enrollment ID: O20130225000067 |
Mailing Address | Practice Location Address |
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Jillian Melissa Siniscalchi, AGP-NP Po Box 421718, Georgetown, SC 29442-4203 Ph: (843) 527-7000 | Jillian Melissa Siniscalchi, AGP-NP 4303 Live Oak Dr, Little River, SC 29566-9138 Ph: (843) 663-8000 |
Emily Kolodziej, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Water Grande Blvd, Little River, SC 29566 Phone: 843-366-4085 | |
Jamie Elizabeth Stevens, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3980 Highway 9 E Ste 220, Little River, SC 29566 Phone: 843-390-0877 | |
Ashley Joan Riley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8294 Fax: 843-663-8166 | |
Holly Leanne Poplin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2246 Highway 17, Little River, SC 29566 Phone: 843-663-2220 | |
Lauren Lewis St George, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Water Grande Blvd, Little River, SC 29566 Phone: 843-366-4000 | |
Mrs. Chandler Hardee Heaps, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3793 Mcdowell Lane Medical Park 2, Suite 200, Little River, SC 29566 Phone: 843-390-0877 |