| Mr Benson Elliott Bagwell, FNP-BC | |
|
111 Evergreen Dr, Clemson, SC 29631-2057 | |
| (202) 631-1232 | |
| Not Available |
| Full Name | Mr Benson Elliott Bagwell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 111 Evergreen Dr, Clemson, 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 |
|---|---|---|---|
| 1639703820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61040729 (Washington) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Sea Mar Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
| Entity Name | Greater Lakes Mental Health Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225039811 PECOS PAC ID: 7315836350 Enrollment ID: O20040315001162 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benson Elliott Bagwell, FNP-BC 111 Evergreen Dr, Clemson, SC 29631-2057 Ph: (202) 631-1232 | Mr Benson Elliott Bagwell, FNP-BC 111 Evergreen Dr, Clemson, SC 29631-2057 Ph: (202) 631-1232 |
Ruth Anne Etter, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 Tiger Blvd, Clemson, SC 29631 Phone: 866-389-2727 | |
Mrs. Pamela Carraway Hitt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Tiger Blvd, Clemson, SC 29631 Phone: 864-653-6724 | |
Dr. Rosanne Harkey Pruitt, PHD, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Sullivan Ctr, 106 Edwards Hall, Clemson, SC 29634 Phone: 864-656-5528 Fax: 864-656-5488 | |
Paula J Watt, PHD, APRN-BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Edwards Hall, Clemson, SC 29634 Phone: 864-656-3076 Fax: 864-656-7694 | |
Brandi Leigh Harper, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Tiger Blvd, Clemson, SC 29631 Phone: 864-653-6724 | |
Pattie B Burriss, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-654-6800 | |
Hilary Koster, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Chapman Hill Rd, Clemson, SC 29631 Phone: 864-455-6900 Fax: 864-455-6469 |