| Kim Waldenmaier, NP | |
|
101 E Wood St Ste 330, Spartanburg, SC 29303-3040 | |
| (864) 560-6522 | |
| (888) 972-8644 |
| Full Name | Kim Waldenmaier |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 101 E Wood St Ste 330, Spartanburg, 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 |
|---|---|---|---|
| 1851373021 | NPI | - | NPPES |
| 7003918 | Medicaid | NC | |
| NP0915 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN2669 (South Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | APN2669 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis-downtown | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Greenville Specialty Care Llc | 1850779976 | 242 |
| Entity Name | Upstate Carolina Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750348595 PECOS PAC ID: 0941298244 Enrollment ID: O20040505000288 |
| Entity Name | St Francis Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871895771 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259 |
| Entity Name | Bon Secours Medical Group Greenville Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Waldenmaier, NP Po Box 678207, Dallas, TX 75267-8207 Ph: (800) 841-4236 | Kim Waldenmaier, NP 101 E Wood St Ste 330, Spartanburg, SC 29303-3040 Ph: (864) 560-6522 |
David H Whiteside, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Boiling Springs Rd, Suite 2500, Spartanburg, SC 29303 Phone: 864-585-5433 Fax: 864-591-4053 | |
Heidi Elizabeth Walsh, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Dillon Dr, Spartanburg, SC 29307 Phone: 865-560-2227 | |
Nicole Elizabeth Longo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303 Phone: 864-582-6396 Fax: 864-582-1608 | |
Shakira Leake, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Mrs. Jacqueline C. Myers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 N Pine St, Spartanburg, SC 29302 Phone: 864-541-0649 | |
Melony C Fowler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 853 N Church St, Suite 620, Spartanburg, SC 29303 Phone: 864-573-7511 Fax: 864-560-1690 | |
Dr. Amanda Boniface Rogers, DNP, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2995 Reidville Rd Ste 210, Spartanburg, SC 29301 Phone: 864-253-8140 Fax: 864-587-0051 |