| Stacy A West, FNP | |
|
230 Redhawk Way Ste 200, Blythewood, SC 29016-9286 | |
| (803) 419-4949 | |
| (803) 419-6445 |
| Full Name | Stacy A West |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 230 Redhawk Way Ste 200, Blythewood, 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 |
|---|---|---|---|
| 1407540917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 211228 (South Carolina) | Primary |
| Entity Name | Sc House Calls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy A West, FNP Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 419-4949 | Stacy A West, FNP 230 Redhawk Way Ste 200, Blythewood, SC 29016-9286 Ph: (803) 419-4949 |
Delores Holloway, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 314 Heritage Forest Dr, Blythewood, SC 29016 Phone: 843-372-1617 | |
Michelle Lynn Davis, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Blythewood Rd, Blythewood, SC 29016 Phone: 803-673-1971 | |
Mrs. Maureen Okwudinma Nwajiaku, MSN,FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Allerton Ct, Blythewood, SC 29016 Phone: 803-318-5616 |