| Tamara Jean Vasquez, APRN | |
|
St James Health And Wellness, 1189 Tibwin Road, Mcclellanville, SC 29458 | |
| (843) 887-3274 | |
| (860) 489-3325 |
| Full Name | Tamara Jean Vasquez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | St James Health And Wellness, Mcclellanville, South Carolina |
| 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 |
|---|---|---|---|
| 1730685694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7937 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 25138 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Myrtle beach, SC | Home health agency |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerwell Senior Primary Care Sc Jv Pc | 5294190252 | 14 |
| Entity Name | St James Health And Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366568594 PECOS PAC ID: 1658280334 Enrollment ID: O20050810000151 |
| Entity Name | Centerwell Senior Primary Care Sc Jv Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962101501 PECOS PAC ID: 5294190252 Enrollment ID: O20230426000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Jean Vasquez, APRN St James Health And Wellness, 1189 Tibwin Road, Mcclellanville, SC 29458 Ph: (843) 887-3274 | Tamara Jean Vasquez, APRN St James Health And Wellness, 1189 Tibwin Road, Mcclellanville, SC 29458 Ph: (843) 887-3274 |
Mrs. Debra Elizabeth Erich, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 580 Romain Road, Mcclellanville, SC 29458 Phone: 843-364-0464 | |
Mrs. Jane M Cooper, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1189 Tibwin Road, Mcclellanville, SC 29458 Phone: 843-887-3274 Fax: 843-887-3929 |