| Shana J Mackin, NP-C | |
|
2591 N Fraser St, Georgetown, SC 29440-6411 | |
| (843) 546-3410 | |
| (843) 527-6964 |
| Full Name | Shana J Mackin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 2591 N Fraser St, Georgetown, South Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538755301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 24524 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Conway Medical Center | Conway, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cora South Carolina Llc | 3173766334 | 98 |
| Sc Pain And Spine Specialists, Llc | 4587836275 | 5 |
| Entity Name | Patricia R Grant Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902081078 PECOS PAC ID: 5698858348 Enrollment ID: O20080219000209 |
| Entity Name | Sc Pain & Spine Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003197328 PECOS PAC ID: 4587836275 Enrollment ID: O20110929000776 |
| Mailing Address | Practice Location Address |
|---|---|
| Shana J Mackin, NP-C 4731 Highway 17, Murrells Inlet, SC 29576-5127 Ph: (843) 839-7246 | Shana J Mackin, NP-C 2591 N Fraser St, Georgetown, SC 29440-6411 Ph: (843) 546-3410 |
Ms. Angela Carter Sheridan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-651-0044 Fax: 843-357-0766 | |
Erica Kouns, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 N Fraser St, Georgetown, SC 29440 Phone: 843-692-1000 | |
Melissa Baker Patterson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-3428 | |
Darlene Arnette Fludd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2482 Powell Rd, Georgetown, SC 29440 Phone: 843-887-3274 Fax: 843-887-3817 | |
Kesha Lynnette Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8189 Choppee Rd, Georgetown, SC 29440 Phone: 843-545-8723 Fax: 843-545-8346 | |
Brian Joseph Griggs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 Fax: 843-520-8403 | |
Barbara Lee Williamson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2020 Highmarket St, Georgetown, SC 29440 Phone: 843-436-1333 Fax: 843-436-1335 |