| Katherine C Proffer, FNP | |
|
1101 Greythorne Dr, Mount Pleasant, SC 29466-6332 | |
| (864) 686-6163 | |
| (864) 686-6166 |
| Full Name | Katherine C Proffer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1101 Greythorne Dr, Mount Pleasant, 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 |
|---|---|---|---|
| 1225420466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 19313 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Colleton Medical Center | Walterboro, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lowcountry Urgent Care Llc | 9739210337 | 81 |
| Roper Saint Francis Physicians Network | 5193874824 | 530 |
| Entity Name | Palmetto Primary Care Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003827304 PECOS PAC ID: 9032215199 Enrollment ID: O20070507000192 |
| Entity Name | Roper Saint Francis Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124431606 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405 |
| Entity Name | Lowcountry Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326364100 PECOS PAC ID: 9739210337 Enrollment ID: O20100625000517 |
| Entity Name | Wal-mart Stores East LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922415165 PECOS PAC ID: 6204749997 Enrollment ID: O20141024000133 |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982124301 PECOS PAC ID: 9032215199 Enrollment ID: O20171228002000 |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518454818 PECOS PAC ID: 9032215199 Enrollment ID: O20190118001672 |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659872059 PECOS PAC ID: 9032215199 Enrollment ID: O20190930000858 |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457007841 PECOS PAC ID: 9032215199 Enrollment ID: O20221012001595 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine C Proffer, FNP Po Box 751649, Charlotte, NC 28275-1649 Ph: (888) 472-0043 | Katherine C Proffer, FNP 1101 Greythorne Dr, Mount Pleasant, SC 29466-6332 Ph: (864) 686-6163 |
Casey Kaiser Lee, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 871 Lowcountry Blvd Ste 200, Mount Pleasant, SC 29464 Phone: 843-501-1099 |
Emily Kolodziej, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1671 Belle Isle Ave Ste 110j, Mount Pleasant, SC 29464 Phone: 844-994-6633 Fax: 470-300-7913 |
Alison Rose Gardella, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 335 Stonewall Ct, Mount Pleasant, SC 29464 Phone: 732-535-1767 |
Abby Kent, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1012 Anna Knapp Ext, Mount Pleasant, SC 29464 Phone: 843-884-3070 |
Mrs. Kristin Marie Ansley, NURSE PRACTITIONER, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Coleman Blvd, Ste 101, Mount Pleasant, SC 29464 Phone: 843-606-2530 |
Brittney Cook, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1671 Belle Isle Ave Ste 110j, Mount Pleasant, SC 29464 Phone: 844-994-6633 Fax: 470-300-7913 |
Melissa Lynn Heaps, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1054 Johnnie Dodds Blvd, Mount Pleasant, SC 29464 Phone: 843-388-7545 |