| Lakeisha Shunte Henderson, NP | |
|
6119 White Horse Rd Ste 14, Greenville, SC 29611-3838 | |
| (864) 614-7001 | |
| Not Available |
| Full Name | Lakeisha Shunte Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 6119 White Horse Rd Ste 14, Greenville, 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 |
|---|---|---|---|
| 1346613213 | NPI | - | NPPES |
| NP3551 | Medicaid | SC | |
| F0915346 | Other | TX | BOARD CERTIFICATION AANP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 19844 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis-downtown | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Street Health Physicians Group Of South Carolina Llc | 3375959075 | 27 |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Entity Name | Oak Street Health Physicians Group Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023614914 PECOS PAC ID: 3375959075 Enrollment ID: O20210303003162 |
| Entity Name | Musc Affiliate Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700465648 PECOS PAC ID: 6305241027 Enrollment ID: O20210818002996 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeisha Shunte Henderson, NP Po Box 740013, Atlanta, GA 30374-0013 Ph: (312) 733-9730 | Lakeisha Shunte Henderson, NP 6119 White Horse Rd Ste 14, Greenville, SC 29611-3838 Ph: (864) 614-7001 |
Jennifer Hardy Singletary, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Verdae Blvd Ste 150, Greenville, SC 29607 Phone: 864-720-1900 Fax: 864-720-1901 | |
Tracey Ann Hoxie, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3807 White Horse Rd Ste Dande, Greenville, SC 29611 Phone: 864-236-5688 | |
Matthew Keaton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 357 Woodruff Rd, Greenville, SC 29607 Phone: 864-522-8350 | |
Jason Collins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7000 | |
Krystal Pierce, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Lovett Dr, Greenville, SC 29607 Phone: 801-869-4100 Fax: 208-869-4119 | |
Mary Katelyn Hodges, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2210 Laurens Rd, Greenville, SC 29607 Phone: 864-288-8280 | |
Mr. Matthew Fischer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 864-454-8125 |