| Mrs Marie Fenelon, NP | |
| 
					1926 India Hook Rd, Rock Hill, SC 29732-1218  | |
| (704) 904-3367 | |
| Not Available | 
| Full Name | Mrs Marie Fenelon | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1926 India Hook Rd, Rock Hill, 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 | 
|---|---|---|---|
| 1518328418 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20086 (South Carolina) | Primary | 
| Entity Name | Providence House Calls Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689912495 PECOS PAC ID: 1759528250 Enrollment ID: O20130430000366  | 
| Entity Name | Elite Patient Care Of South Carolina Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866  | 
| Entity Name | Miriam Medical Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487361127 PECOS PAC ID: 0143685438 Enrollment ID: O20230419002467  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Marie Fenelon, NP 10053 Highland Creek Cir, Fort Mill, SC 29707-7700 Ph: (704) 904-3367  | Mrs Marie Fenelon, NP 1926 India Hook Rd, Rock Hill, SC 29732-1218 Ph: (704) 904-3367  | 
Mrs. Mary Jo Barreto, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Winthrop University Health Services, Rock Hill, SC 29733 Phone: 803-323-2206 Fax: 803-323-3332  | |
Kenyate Bradley, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2450 India Hook Rd, Rock Hill, SC 29732 Phone: 803-366-7443  | |
Ms. Wanda Kaye Clark, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1151 Camden Ave, Rock Hill, SC 29732 Phone: 803-909-6363 Fax: 803-909-6364  | |
Marta Pacheco,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1617 Shetland Ln, Rock Hill, SC 29730 Phone: 540-797-4361  | |
Andrea Blakeman, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1131 Saluda St, Rock Hill, SC 29730 Phone: 803-325-7744 Fax: 803-325-1117  | |
Sarah Elizabeth Christ, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Amendment Ave, Rock Hill, SC 29732 Phone: 803-324-7607 Fax: 800-332-4409  | |
Sarah Lyn Ruhland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 197 Piedmont Blvd Ste 100, Rock Hill, SC 29732 Phone: 803-324-1950 Fax: 803-324-1933  |