Mrs Kim Marie Ellis, NP-C | |
302 University Pkwy, Aiken, SC 29801-6302 | |
(803) 641-5883 | |
Not Available |
Full Name | Mrs Kim Marie Ellis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 302 University Pkwy, Aiken, 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 |
---|---|---|---|
1952762528 | NPI | - | NPPES |
NP3758 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN 20053 RX (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trident Medical Center | Charleston, SC | Hospital |
Roper Hospital | Charleston, SC | Hospital |
Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palmetto Primary Care Physicians Llc | 4880508068 | 132 |
Entity Name | Palmetto Primary Care Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
Entity Name | Sound Physicians Emergency Medicine Of South Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730636168 PECOS PAC ID: 2163702739 Enrollment ID: O20161219000460 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kim Marie Ellis, NP-C Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071 | Mrs Kim Marie Ellis, NP-C 302 University Pkwy, Aiken, SC 29801-6302 Ph: (803) 641-5883 |
Lindsay K Pizzuto, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801 Phone: 803-644-4403 Fax: 803-644-4405 | |
Catherine Rutherfurd Rudnick, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Beaufort St Ne, Aiken, SC 29801 Phone: 803-502-4685 | |
Sarah Brennan Heilig, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1029 York St Ne, Aiken, SC 29801 Phone: 803-648-4119 | |
Kristin Braveboy Haddock, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Society Hill Dr Ste 100, Aiken, SC 29803 Phone: 803-648-7774 Fax: 803-648-7490 | |
Amaya Edge, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2062 Whiskey Rd, Aiken, SC 29803 Phone: 980-205-5134 | |
Mrs. Ashley Protzman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Aiken Mall Dr, Aiken, SC 29803 Phone: 803-648-1464 | |
Ms. Tracy Stichert, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801 Phone: 803-641-4403 Fax: 803-644-4405 |