| Mary Tabatha Simon, FNP | |
|
290 Enterprise Dr, Easley, SC 29642-8280 | |
| (864) 365-0290 | |
| Not Available |
| Full Name | Mary Tabatha Simon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 290 Enterprise Dr, Easley, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902282270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 24643 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 19600 (South Carolina) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Tabatha Simon, FNP 3 Professional Park Dr, Ste 21, Johnson City, TN 37604-6529 Ph: (423) 434-6300 | Mary Tabatha Simon, FNP 290 Enterprise Dr, Easley, SC 29642-8280 Ph: (864) 365-0290 |
Alison F Hart, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Franklin Square Way Ste A, Easley, SC 29642 Phone: 864-442-4110 Fax: 864-442-4126 | |
Natalie Isbell Ragsdale, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr Ste 100, Easley, SC 29640 Phone: 864-442-7618 Fax: 864-442-7155 | |
Danielle Sheffield, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5269 Calhoun Memorial Hwy, Easley, SC 29640 Phone: 866-389-2727 | |
Mrs. Norah Chinenye Ezike, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Franklin Square Way, Easley, SC 29642 Phone: 864-442-4110 | |
Adam Lance Schendel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Franklin Square Way Ste A, Easley, SC 29642 Phone: 864-442-4110 | |
Mrs. Lisa Ann Finch, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4741 Highway 153 Ste B, Easley, SC 29642 Phone: 888-506-5558 Fax: 864-900-4676 | |
Jennifer Leigh Fowler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Franklin Square Way Ste A, Easley, SC 29642 Phone: 864-442-4110 Fax: 864-442-4126 |