| Mrs Jessica J Doutaz, MS, AGNP | |
|
805 W Wade Hampton Blvd Ste C, Greer, SC 29650-1311 | |
| (864) 655-6615 | |
| (855) 617-4423 |
| Full Name | Mrs Jessica J Doutaz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 805 W Wade Hampton Blvd Ste C, Greer, 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 |
|---|---|---|---|
| 1194106674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 24954 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iredell Memorial Hospital Inc | Statesville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimed Hospitalists, Pllc | 8022204171 | 45 |
| Entity Name | Optimed Hospitalists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235449125 PECOS PAC ID: 8022204171 Enrollment ID: O20101201000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica J Doutaz, MS, AGNP 805 W Wade Hampton Blvd Ste C, Greer, SC 29650-1311 Ph: (864) 655-6615 | Mrs Jessica J Doutaz, MS, AGNP 805 W Wade Hampton Blvd Ste C, Greer, SC 29650-1311 Ph: (864) 655-6615 |
Christen Regenia Askew, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2755 S Highway 14 Ste 2200, Greer, SC 29650 Phone: 864-849-9555 Fax: 864-849-9556 | |
Hali Hodgin Neely, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3093 Sc-14, Suite 101, Greer, SC 29650 Phone: 864-720-1900 | |
Bryanna Mauk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Memorial Dr, Greer, SC 29650 Phone: 864-848-7005 | |
Mrs. Kristin Nicole Tolley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3308 Brushy Creek Rd, Greer, SC 29650 Phone: 864-752-2000 | |
Cami Lynn Niskanen, NP STUDENT Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2225 River Rd, Greer, SC 29650 Phone: 864-423-0686 | |
Dr. Wanda Sexton Samake, DNP, PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 John St Unit 5b, Greer, SC 29651 Phone: 864-990-5664 Fax: 864-990-5674 | |
Heather Ann Traynham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2755 S Highway 14 Ste 2200, Greer, SC 29650 Phone: 864-849-9555 Fax: 864-849-9556 |