| Peter A Bertelli, MSN, APRN, PMHNP-BC | |
|
244 Latitude Ln Ste 104, Lake Wylie, SC 29710-8125 | |
| (803) 809-3184 | |
| (803) 615-4662 |
| Full Name | Peter A Bertelli |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 244 Latitude Ln Ste 104, Lake Wylie, 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 |
|---|---|---|---|
| 1235766338 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sandalwood Mental Health Pllc | 0648712638 | 2 |
| Sandalwood Mental Health Pllc | 0648712638 | 2 |
| Sandalwood Mental Health Pllc | 0648712638 | 2 |
| Entity Name | Sandalwood Mental Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710662341 PECOS PAC ID: 0648712638 Enrollment ID: O20240605002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter A Bertelli, MSN, APRN, PMHNP-BC Po Box 1081, Clover, SC 29710-4081 Ph: (803) 809-3184 | Peter A Bertelli, MSN, APRN, PMHNP-BC 244 Latitude Ln Ste 104, Lake Wylie, SC 29710-8125 Ph: (803) 809-3184 |
Kristen Carter Cole, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4607 Charlotte Hwy Ste 120, Lake Wylie, SC 29710 Phone: 803-694-7745 Fax: 843-790-1883 | |
Jenna Carter, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4609 Charlotte Hwy, Lake Wylie, SC 29710 Phone: 803-228-4038 Fax: 980-414-8094 | |
Mrs. Freedom Lee Proctor, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1516 Village Harbor Dr, Lake Wylie, SC 29710 Phone: 803-752-4200 Fax: 803-752-4300 | |
Mrs. Claudia Moulden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4341 Charlotte Hwy Ste 202, Lake Wylie, SC 29710 Phone: 803-992-5864 Fax: 864-448-1467 | |
Amanda C Ivey, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1200 Village Harbor Dr, Lake Wylie, SC 29710 Phone: 803-631-2858 Fax: 803-631-2862 |