| Mrs Jennifer Lynn Mooneyham, PA-C | |
|
429 Roper Mountain Rd Ste B, Greenville, SC 29615-4254 | |
| (864) 331-2505 | |
| (864) 331-2510 |
| Full Name | Mrs Jennifer Lynn Mooneyham |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 429 Roper Mountain Rd Ste B, Greenville, South Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467164293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Mcg Health, Affiliated With Med Col | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caroline R. Price Md Pa | 3779745294 | 3 |
| Wellstar Medical Group Llc | 6709065402 | 3059 |
| Entity Name | Caroline R. Price MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730225178 PECOS PAC ID: 3779745294 Enrollment ID: O20120430000433 |
| Entity Name | Aucc Aiken Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932741857 PECOS PAC ID: 9032544374 Enrollment ID: O20200115001378 |
| Entity Name | Wellstar Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275992240 PECOS PAC ID: 6709065402 Enrollment ID: O20230821000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Lynn Mooneyham, PA-C 429 Roper Mountain Rd Ste B, Greenville, SC 29615-4254 Ph: (864) 331-2505 | Mrs Jennifer Lynn Mooneyham, PA-C 429 Roper Mountain Rd Ste B, Greenville, SC 29615-4254 Ph: (864) 331-2505 |
Mr. Alec Ted Sims, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 213 Mills Ave, Greenville, SC 29605 Phone: 864-272-3300 Fax: 864-272-3311 |
Summer Toms, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 550, Greenville, SC 29605 Phone: 864-455-6800 Fax: 864-455-6825 |
Priya Harper, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7060 Fax: 864-797-7065 |
Lisa Sherman Haselden, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 950 W Faris Rd, Greenville, SC 29605 Phone: 864-271-3444 Fax: 864-255-7877 |
Ms. Natalie Brown Dixon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2905 White Horse Rd, Greenville, SC 29611 Phone: 864-331-0560 Fax: 864-241-9277 |
Jillian Rose Kent, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 |
Mrs. Mary Jeannette Leonardi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3443 Pelham Rd, Suite 200, Greenville, SC 29615 Phone: 864-254-9330 |