| Shakisha T Redmond, PAC | |
|
2605 Kinard St, Suite 200, Newberry, SC 29108-2967 | |
| (803) 405-1900 | |
| (803) 405-1919 |
| Full Name | Shakisha T Redmond |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2605 Kinard St, Newberry, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881741890 | NPI | - | NPPES |
| 1202PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | A889 (South Carolina) | Primary |
| Entity Name | MUSC Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Shakisha T Redmond, PAC 1818 Henderson St, Columbia, SC 29201-2619 Ph: (803) 276-2186 | Shakisha T Redmond, PAC 2605 Kinard St, Suite 200, Newberry, SC 29108-2967 Ph: (803) 405-1900 |
Madelyn Garcia, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2605 Kinard St, Suite 200, Newberry, SC 29108 Phone: 803-405-1900 Fax: 803-405-1919 |
Mary Margaret Bates, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2704 Kinard St, Newberry, SC 29108 Phone: 803-321-6254 |
Rajendra Shrestha, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1410 Wilson Rd, Newberry, SC 29108 Phone: 803-276-2186 |
Joshua Formaneck, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1410 Wilson Rd, Newberry, SC 29108 Phone: 803-276-2186 |
Alison Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2306 Harrington St Ste 1, Newberry, SC 29108 Phone: 803-321-3035 Fax: 803-331-3034 |
Kristin Bishop Bayuk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2306 Harrington St Ste 1, Newberry, SC 29108 Phone: 803-260-9123 |