| Lisa Marie Burgess, FNP-C | |
|
5500 Front St # 260, Summerville, SC 29486-7735 | |
| (843) 376-2670 | |
| (843) 376-2790 |
| Full Name | Lisa Marie Burgess |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 5500 Front St # 260, Summerville, 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 |
|---|---|---|---|
| 1073132502 | NPI | - | NPPES |
| NP6925 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 23847 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trident Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ppcp Specialty Physicians , Llc | 2466723028 | 18 |
| Entity Name | Ppcp Specialty Physicians , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780123984 PECOS PAC ID: 2466723028 Enrollment ID: O20170801001865 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Burgess, FNP-C Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071 | Lisa Marie Burgess, FNP-C 5500 Front St # 260, Summerville, SC 29486-7735 Ph: (843) 376-2670 |
Nicholas Arthur Hathaway, FNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 W 4th St N, Summerville, SC 29483 Phone: 843-873-0681 | |
Marie Davis Rataj, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 92 Springview Lane, South Carolina Sleep Medicine, Summerville, SC 29485 Phone: 843-871-4006 Fax: 843-871-4074 | |
Mrs. Caroline M Yerich, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 N Cedar St, Summerville, SC 29483 Phone: 843-871-9440 Fax: 843-871-5932 | |
Susan Marie Taylor, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 148 Apache Dr, Summerville, SC 29483 Phone: 843-708-0694 | |
Kristina M Dibartolo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Springview Ln # A, Summerville, SC 29485 Phone: 843-832-9113 Fax: 843-832-9114 | |
Jody Kay Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 89 Old Trolley Rd Ste 200, Summerville, SC 29485 Phone: 737-226-6740 | |
Katherine Ellis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2016 1st Ave, Summerville, SC 29486 Phone: 843-432-3109 |