| Lillian Turnage Pack, | |
|
1530 Drayton Road, Spartanburg, SC 29307-1058 | |
| (864) 560-8777 | |
| (864) 560-4580 |
| Full Name | Lillian Turnage Pack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 1530 Drayton Road, Spartanburg, South Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619651288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 27477 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spartanburg Regional Home Health | Spartanburg, SC | Home health agency |
| Interim Healthcare Of The Upstate | Greenville, SC | Home health agency |
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence House Calls Llc | 1759528250 | 17 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Lillian Turnage Pack, Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Lillian Turnage Pack, 1530 Drayton Road, Spartanburg, SC 29307-1058 Ph: (864) 560-8777 |
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 |