| Nicholas Kent Petrus, PA-C | |
|
22580 Highway 76 E, Laurens, SC 29360-8460 | |
| (864) 939-1070 | |
| Not Available |
| Full Name | Nicholas Kent Petrus |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 22580 Highway 76 E, Laurens, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588212088 | NPI | - | NPPES |
| 3948PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3330 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newberry County Memorial Hospital | Newberry, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Self Medical Group | 6002953916 | 363 |
| Newberry County Memorial Hospital | 8123927464 | 14 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Kent Petrus, PA-C 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Nicholas Kent Petrus, PA-C 22580 Highway 76 E, Laurens, SC 29360-8460 Ph: (864) 939-1070 |
Stephanie Erin Leonard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 443-813-1639 | |
Jenna Michelle Schreiner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 864-984-0571 | |
Kendell Cantrell Mature, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22580 Highway 76 E Ste 300, Laurens, SC 29360 Phone: 864-725-4673 |