| Mrs Lisa B Colasurdo, APRN | |
|
1220 Parkside Acorn Dr, Inman, SC 29349-8344 | |
| (864) 516-1783 | |
| Not Available |
| Full Name | Mrs Lisa B Colasurdo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 1220 Parkside Acorn Dr, Inman, 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 |
|---|---|---|---|
| 1447246616 | NPI | - | NPPES |
| P00695569 | Other | SC | RR MEDICARE PTAN |
| GP4988 | Other | SC | MEDICAID GROUP ID |
| NP0491 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN 875 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Pelham Medical Center | Greer, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Physicians Of Spartanburg, Pc | 2961561568 | 10 |
| Entity Name | Family Physicians Of Spartanburg, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629228382 PECOS PAC ID: 2961561568 Enrollment ID: O20081112000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa B Colasurdo, APRN 1220 Parkside Acorn Dr, Inman, SC 29349-8344 Ph: (864) 516-1783 | Mrs Lisa B Colasurdo, APRN 1220 Parkside Acorn Dr, Inman, SC 29349-8344 Ph: (864) 516-1783 |
Kishimjan Beishenalievna Ketner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Holly Springs Church Rd, Inman, SC 29349 Phone: 864-921-4479 Fax: 864-734-4887 | |
Mrs. Sherry Foster Eison, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 368 Garnet Valley Dr, Inman, SC 29349 Phone: 864-208-4726 | |
Ms. Niccole Marie Shockey, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5535 Highway 9 Ste A, Inman, SC 29349 Phone: 864-764-1050 | |
Mrs. Amber Christine Flynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12230 Asheville Hwy, Inman, SC 29349 Phone: 864-472-2144 | |
Victoria Michelle Cochran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Harris St, Inman, SC 29349 Phone: 864-360-1699 | |
Mrs. Dana Nicole Mccarter, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1220 Parkside Acorn Dr, Inman, SC 29349 Phone: 864-272-0388 | |
Emily Meshey Kaufman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12230 Asheville Hwy, Inman, SC 29349 Phone: 864-472-2144 Fax: 864-472-4696 |