Shellyann Kornegay-brooks, LPN is a
Licensed Practical Nurse based in Elgin, South Carolina. Shellyann Kornegay-brooks is licensed to practice in South Carolina (license number 39814) and her current practice location is
132 Sundew Rd, Elgin, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 931-3879.
NPI number for Shellyann Kornegay-brooks is 1023496627 and her current mailing address is 136 Forum Rd, Ste 4 #443, Columbia, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023496627.
Provider's Profile
Full Name | Shellyann Kornegay-brooks |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 132 Sundew Rd, Elgin, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023496627
- Provider Enumeration Date: 05/14/2015
- Last Update Date: 02/03/2022
Medical Identifiers
Medical identifiers for Shellyann Kornegay-brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023496627 | NPI | - | NPPES |
203045590 | Other | NC | PERMANENT CARD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 39814 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shellyann Kornegay-brooks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shellyann Kornegay-brooks, LPN 136 Forum Rd, Ste 4 #443, Columbia, SC 29229 Ph: (800) 776-4974 | Shellyann Kornegay-brooks, LPN 132 Sundew Rd, Elgin, SC 29045-9826 Ph: (803) 931-3879 |
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