| Stefanie Tiera Livingston, PMHNP | |
|
4039 Gateway Blvd, Grovetown, GA 30813-3389 | |
| (706) 498-9570 | |
| (678) 369-5762 |
| Full Name | Stefanie Tiera Livingston |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 4039 Gateway Blvd, Grovetown, Georgia |
| 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 |
|---|---|---|---|
| 1487015376 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Personal Recovery Network Llc | 5092611384 | 612 |
| Entity Name | Personal Recovery Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefanie Tiera Livingston, PMHNP 4039 Gateway Blvd, Grovetown, GA 30813-3389 Ph: (706) 498-9570 | Stefanie Tiera Livingston, PMHNP 4039 Gateway Blvd, Grovetown, GA 30813-3389 Ph: (706) 498-9570 |
Ms. Shnita Gregory Wiley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 714 Porter Ln, Grovetown, GA 30813 Phone: 706-399-9624 |
Sarah Ann Spellman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3261 Alexandria Dr, Grovetown, GA 30813 Phone: 518-755-3958 |
Nataly Agabin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813 Phone: 706-922-1600 |
Luiza Roese Crosby, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 932 Sedgefield Cir, Grovetown, GA 30813 Phone: 267-572-1804 |
Luciana Prophet, PMHNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Chesford Dr, Grovetown, GA 30813 Phone: 803-673-6550 |
Kendra R. Baughcum, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 723 Fordham Rd, Grovetown, GA 30813 Phone: 478-387-8501 |
Kimberly Crew Dunn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6236 Freedom Cir, Grovetown, GA 30813 Phone: 706-401-9115 |