Sallie Jo Rivera, FNP-BC, MSN, CIC | |
325 Georgia Ave Ste 200, North Augusta, SC 29841-3848 | |
(803) 442-5750 | |
(803) 442-5751 |
Full Name | Sallie Jo Rivera |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 325 Georgia Ave Ste 200, North Augusta, 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 |
---|---|---|---|
1841620218 | NPI | - | NPPES |
206147 | Other | IL | MEDICARE PTAN (GROUP) |
F400129560 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN267435 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Neighborhood Improvement Project Inc | 7315851078 | 50 |
Entity Name | Umg Prompt Care South Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629462122 PECOS PAC ID: 9830401660 Enrollment ID: O20150707002716 |
Entity Name | Umg Primary Care South Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851747190 PECOS PAC ID: 0244523959 Enrollment ID: O20160718002103 |
Mailing Address | Practice Location Address |
---|---|
Sallie Jo Rivera, FNP-BC, MSN, CIC Po Box 1705, Augusta, GA 30903-1705 Ph: (706) 724-7263 | Sallie Jo Rivera, FNP-BC, MSN, CIC 325 Georgia Ave Ste 200, North Augusta, SC 29841-3848 Ph: (803) 442-5750 |
Ashley Marie Dickert, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Allen Court, North Augusta, SC 29860 Phone: 803-510-0007 | |
Kimberly Emia May, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Burning Tree Pl, North Augusta, SC 29860 Phone: 478-456-0003 | |
Linsey Caines, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Walnut Ln Ste 101, North Augusta, SC 29860 Phone: 803-599-7680 Fax: 949-695-2162 | |
Mrs. Alyssa Megan Taylor Hodge, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Edgefield Rd, North Augusta, SC 29841 Phone: 803-426-8882 | |
Charlaine Conger, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Lake Murray Dr, North Augusta, SC 29841 Phone: 803-292-9250 | |
Amanda Byers, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Edgefield Rd, North Augusta, SC 29841 Phone: 803-426-8882 | |
Mrs. Courtney Mclendon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Allen Court, North Augusta, SC 29860 Phone: 803-510-0007 Fax: 803-510-0144 |