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 | 6 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 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 511574 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 23867 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Afc Urgent Care And Family Care Of Wnc Pllc | 2567713332 | 49 |
Carolinas Physicians Network Inc | 3375449655 | 1613 |
Eastland Urgent Care | 6305852591 | 28 |
Steele Creek Urgent Care | 9234130907 | 22 |
Carolinas Physicians Network Inc | 3375449655 | 1613 |
Entity Name | Carolinas Physicians Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
Entity Name | Eastland Urgent Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467481127 PECOS PAC ID: 6305852591 Enrollment ID: O20060224000538 |
Entity Name | Arboretum Urgent Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457380313 PECOS PAC ID: 8325059991 Enrollment ID: O20060510000344 |
Entity Name | Steele Creek Urgent Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750317921 PECOS PAC ID: 9234130907 Enrollment ID: O20070123000481 |
Entity Name | Bobby P Kearney,md Pain Management Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669663175 PECOS PAC ID: 1456446061 Enrollment ID: O20070927000409 |
Entity Name | Afc Urgent Care And Family Care Of Wnc Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679066658 PECOS PAC ID: 2567713332 Enrollment ID: O20180919000143 |
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: Not Enrolled in Medicare Practice Location: 222 S Van Lingle Mungo Blvd, Pageland, SC 29728 Phone: 843-675-5000 |