| Ms Mary Regina Dortenzo, RN-ANP | |
|
176 Mcswain Dr, West Columbia, SC 29169-4825 | |
| (803) 767-4465 | |
| (803) 767-4120 |
| Full Name | Ms Mary Regina Dortenzo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 176 Mcswain Dr, West 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 |
|---|---|---|---|
| 1215105085 | NPI | - | NPPES |
| NP1564 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 4097 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Lexington | Lexington, SC | Home health agency |
| Aiken Regional Medical Center | Aiken, SC | Hospital |
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hyper Healing | 3577821958 | 9 |
| Entity Name | Healogics Specialty Physicians Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033531850 PECOS PAC ID: 8325261209 Enrollment ID: O20140521002244 |
| Entity Name | Wal-mart Stores East Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922415165 PECOS PAC ID: 6204749997 Enrollment ID: O20141024000133 |
| Entity Name | Hyper Healing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508381567 PECOS PAC ID: 3577821958 Enrollment ID: O20190115001342 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Regina Dortenzo, RN-ANP 176 Mcswain Dr, West Columbia, SC 29169-4825 Ph: (803) 767-4465 | Ms Mary Regina Dortenzo, RN-ANP 176 Mcswain Dr, West Columbia, SC 29169-4825 Ph: (803) 767-4465 |
Ashley Nix, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1612 Airport Blvd, West Columbia, SC 29169 Phone: 803-380-6399 Fax: 877-484-7187 | |
June Taylor Clark, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 Phone: 800-491-0909 | |
Sommer Lane Kitchin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1053 Center St, West Columbia, SC 29169 Phone: 800-491-0909 | |
Teresa Biediger Bowers, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2728 Sunset Blvd, Suite 402, West Columbia, SC 29169 Phone: 803-794-7511 Fax: 803-794-7751 | |
Heather Shaw, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169 Phone: 803-699-9073 Fax: 866-527-0937 | |
Amy S Shenkar, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 | |
Dr. Elizabeth M Mcmicken, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 Sunset Ct, West Columbia, SC 29169 Phone: 803-796-2222 Fax: 803-796-7839 |