Mrs Willetta Rozena Jacobs, ARNP | |
1847 S Lake Dr, Lexington, SC 29073-7759 | |
(803) 356-8998 | |
Not Available |
Full Name | Mrs Willetta Rozena Jacobs |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 1847 S Lake Dr, Lexington, 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 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 21873 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
It's Your Move | 4880056837 | 2 |
Doctors Care, Pa | 6204731300 | 194 |
Entity Name | Doctors Care, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366499048 PECOS PAC ID: 6204731300 Enrollment ID: O20040112000069 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mrs Willetta Rozena Jacobs, ARNP 561 Hatteras Dr, Blythewood, SC 29016-9801 Ph: () - | Mrs Willetta Rozena Jacobs, ARNP 1847 S Lake Dr, Lexington, SC 29073-7759 Ph: (803) 356-8998 |
Victoria Fenters, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1316 N Lake Dr, Lexington, SC 29072 Phone: 803-358-1191 | |
Dr. Brooke Patterson, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 Old Cherokee Rd, Lexington, SC 29072 Phone: 803-359-5181 | |
Mrs. Carolyn Birchmore, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 N Lake Dr, Lexington, SC 29072 Phone: 803-358-1191 Fax: 803-358-1180 | |
Amy Loper, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 811 W Main St Ste 207, Lexington, SC 29072 Phone: 803-358-6420 | |
Donna Marie Bridger, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2480 Two Notch Rd, Lexington, SC 29072 Phone: 803-951-5871 Fax: 803-951-5882 | |
Emilee Rikard Campbell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 811 W Main St Ste 201&209, Lexington, SC 29072 Phone: 803-785-4777 Fax: 803-358-6240 |