| Mrs Willetta Rj Palmer, ARNP | |
|
4500 Forest Dr, Columbia, SC 29206-3105 | |
| (803) 738-9522 | |
| Not Available |
| Full Name | Mrs Willetta Rj Palmer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 4500 Forest Dr, Columbia, 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 |
|---|---|---|---|
| 1033326590 | NPI | - | NPPES |
| NP5401 | Medicaid | SC | |
| 21873 | Other | SC | NURSING LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 21873 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 21873 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Urgent Cares Llc | 8628502598 | 173 |
| Entity Name | It's Your Move |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396214987 PECOS PAC ID: 4880056837 Enrollment ID: O20230808003840 |
| 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 Willetta Rj Palmer, ARNP Po Box 749306, Atlanta, GA 30374-9306 Ph: () - | Mrs Willetta Rj Palmer, ARNP 4500 Forest Dr, Columbia, SC 29206-3105 Ph: (803) 738-9522 |
Richard Hall Iii, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-6095 Fax: 803-758-0120 | |
Latonya Brailsford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Whispering Pines Cir, Columbia, SC 29205 Phone: 803-351-9405 Fax: 803-219-3836 | |
Laketa D Riley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 | |
Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129 | |
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496 | |
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 | |
Tisheila Diane Whitted, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-434-7910 |