| Mrs Amanda Paige Wooten, AGPCNP-BC | |
|
29 Plantation Park Dr Ste 203, Bluffton, SC 29910-9008 | |
| (854) 235-2830 | |
| Not Available |
| Full Name | Mrs Amanda Paige Wooten |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 29 Plantation Park Dr Ste 203, Bluffton, 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 |
|---|---|---|---|
| 1013610864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 27192 (South Carolina) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 27192 (South Carolina) | Primary |
| Entity Name | Main Street Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922192194 PECOS PAC ID: 8325952963 Enrollment ID: O20031118000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Paige Wooten, AGPCNP-BC 4 Ferebee Ct, Bluffton, SC 29910-6569 Ph: (336) 608-7522 | Mrs Amanda Paige Wooten, AGPCNP-BC 29 Plantation Park Dr Ste 203, Bluffton, SC 29910-9008 Ph: (854) 235-2830 |
Jennifer Dykes Price, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1006 Fording Island Rd, Bluffton, SC 29910 Phone: 866-389-2727 | |
Mrs. Jennifer Jacquelyn Green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 State St, Bluffton, SC 29910 Phone: 843-757-5559 Fax: 843-757-5546 | |
Mrs. Denise Raney Raney, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 132 Bluffton Rd, Bluffton, SC 29910 Phone: 843-706-7090 Fax: 843-706-7078 | |
Mrs. Mary Ellen Groff, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Okatie Ctr Blvd Ste 100, Bluffton, SC 29909 Phone: 843-708-8888 Fax: 843-705-7024 | |
Laura Ann Elizabeth Mccall, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Clark Summit Dr Ste 100, Bluffton, SC 29910 Phone: 843-548-1908 Fax: 844-550-1545 | |
Amy Lynn Dougherty, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Traders Cross Fl 1, Bluffton, SC 29909 Phone: 877-564-3627 |