| Mrs Stefanie Lynn Cretella, PA-C | |
|
459 N Highway 52, Moncks Corner, SC 29461-3924 | |
| (843) 899-3870 | |
| (843) 899-3877 |
| Full Name | Mrs Stefanie Lynn Cretella |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 459 N Highway 52, Moncks Corner, 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 |
|---|---|---|---|
| 1942535570 | NPI | - | NPPES |
| 1117PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 1496 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Urgent Cares Llc | 8628502598 | 183 |
| 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 | Novant Health Urgent Cares Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841026382 PECOS PAC ID: 8628502598 Enrollment ID: O20241114002376 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stefanie Lynn Cretella, PA-C Po Box 749306, Atlanta, GA 30374-9306 Ph: () - | Mrs Stefanie Lynn Cretella, PA-C 459 N Highway 52, Moncks Corner, SC 29461-3924 Ph: (843) 899-3870 |
Cindy L Fiacco, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 115 Executive Pkwy, Moncks Corner, SC 29461 Phone: 843-761-2815 Fax: 843-899-4723 | |
Svetlana Stuck, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 Executive Pkwy, Moncks Corner, SC 29461 Phone: 843-899-9099 | |
Kennedy Jordahl, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2061 Highway 52, Moncks Corner, SC 29461 Phone: 843-761-8824 | |
Lucy N. Lapoint, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Executive Park Way, Moncks Corner, SC 29461 Phone: 843-899-9099 | |
Julia Megan Raye, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3508 S Live Oak Dr Ste 200, Moncks Corner, SC 29461 Phone: 843-723-8823 Fax: 843-606-8059 | |
Lindsey Taylor Eriksen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 730 Stony Landing Rd Ste 100, Moncks Corner, SC 29461 Phone: 843-761-6556 Fax: 843-761-2660 | |
Ashlyn Burns, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2061 Highway 52, Moncks Corner, SC 29461 Phone: 843-761-8800 |