| Mrs Amanda Kornegay Marullo, NP-C | |
|
2580 Woodruff Rd, Simpsonville, SC 29681-5447 | |
| (864) 627-7228 | |
| Not Available |
| Full Name | Mrs Amanda Kornegay Marullo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 2580 Woodruff Rd, Simpsonville, 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 |
|---|---|---|---|
| 1548548167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 17550 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis-downtown | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Greenville Specialty Care Llc | 1850779976 | 242 |
| Entity Name | Bon Secours Medical Group Greenville Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Kornegay Marullo, NP-C 2580 Woodruff Rd, Simpsonville, SC 29681-5447 Ph: (864) 627-7228 | Mrs Amanda Kornegay Marullo, NP-C 2580 Woodruff Rd, Simpsonville, SC 29681-5447 Ph: (864) 627-7228 |
Angela Michelle Stoller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 14, Simpsonville, SC 29681 Phone: 864-527-8600 Fax: 864-527-8636 | |
Guendalina Chesney, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 719 Se Main St Bldg B, Simpsonville, SC 29681 Phone: 864-522-5400 | |
Mrs. Michelle Clayton Benton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Halehaven Dr, Simpsonville, SC 29681 Phone: 864-230-0721 | |
Crystal Adodo Oramadike, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 698 Fairview Rd, Simpsonville, SC 29680 Phone: 866-389-2727 | |
Erika Handley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-0029 | |
Dianne English, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 698 Fairview Rd, Simpsonville, SC 29680 Phone: 866-389-2727 | |
Karla Burton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-522-1550 Fax: 864-522-1555 |