| Kelly Taylor Eastergard, NP | |
|
222 S Van Lingle Mungo Blvd, Pageland, SC 29728-1950 | |
| (843) 675-5000 | |
| (843) 675-5003 |
| Full Name | Kelly Taylor Eastergard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 222 S Van Lingle Mungo Blvd, Pageland, 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 |
|---|---|---|---|
| 1538628110 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Ambulatory Services - St. Francis, Llc | 0840590931 | 58 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962858662 PECOS PAC ID: 3375449655 Enrollment ID: O20031209000106 |
| 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 | Providence House Calls Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689912495 PECOS PAC ID: 1759528250 Enrollment ID: O20130430000366 |
| Entity Name | Bon Secours Ambulatory Services - St. Francis, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124495643 PECOS PAC ID: 0840590931 Enrollment ID: O20151120002171 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Taylor Eastergard, NP 222 S Van Lingle Mungo Blvd, Pageland, SC 29728-1950 Ph: (843) 675-5000 | Kelly Taylor Eastergard, NP 222 S Van Lingle Mungo Blvd, Pageland, SC 29728-1950 Ph: (843) 675-5000 |
Mrs. Mary Katherine Harris, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 S Van Lingle Mungo Blvd, Pageland, SC 29728 Phone: 843-675-5000 | |
Suzette Dennis Dillard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 126 N Pearl St, Pageland, SC 29728 Phone: 438-675-5004 |