| Zanetta Randolph, ARNP | |
|
11 Jenkins St, Mauldin, SC 29662-2412 | |
| (864) 288-1941 | |
| Not Available |
| Full Name | Zanetta Randolph |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 11 Jenkins St, Mauldin, 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 |
|---|---|---|---|
| 1437666427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 22371 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Greer Memorial Hospital | Greer, SC | Hospital |
| Pelham Medical Center | Greer, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerwell Senior Primary Care Sc Pc | 2860804796 | 37 |
| Entity Name | Centerwell Senior Primary Care Sc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376907790 PECOS PAC ID: 2860804796 Enrollment ID: O20201216002926 |
| Mailing Address | Practice Location Address |
|---|---|
| Zanetta Randolph, ARNP 121 Watford Ln, Fountain Inn, SC 29644-9292 Ph: (407) 792-8750 | Zanetta Randolph, ARNP 11 Jenkins St, Mauldin, SC 29662-2412 Ph: (864) 288-1941 |
Erica Michelle Noone, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Butler Rd, Mauldin, SC 29662 Phone: 864-288-8722 Fax: 864-277-8300 | |
Connie Mae Lenagh, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 924 E. Butler Rd, Mauldin, SC 29662 Phone: 864-234-1282 | |
Ms. Judith Ann Dawson-weiss, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 E Butler Rd, Mauldin, SC 29662 Phone: 864-234-1282 Fax: 864-284-9826 | |
Sara Elizabeth Bare, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 E Butler Rd, Mauldin, SC 29662 Phone: 864-288-1847 | |
Apryl Michelle Watson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 E Butler Rd Ste C1, Mauldin, SC 29662 Phone: 864-305-1662 Fax: 864-603-2067 | |
Allison Kingsland, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 224 E Butler Rd, Mauldin, SC 29662 Phone: 864-234-1282 |