Amanda Beck Bucao (NPI# 1235796871, PAC ID# 3678809290) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235796871 |
| PAC ID by PECOS | 3678809290 |
| Professional Enrollment ID | I20190719001125 |
| Full Name | Amanda Beck Bucao |
| Organization Legal Name | OHIO VALLEY PHYSICIANS INC |
| Address |
571 Memorial Ave N Allendale SC 29810-2713 |
| Phone Number | 8882211826 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729032966 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 571 Memorial Ave N, Allendale, SC 29810-2713 | 8882211826 | OHIO VALLEY PHYSICIANS INC |
| 1644 Jackson St, Barnwell, SC 29812-2156 | 8882211826 | OHIO VALLEY PHYSICIANS INC |
| Organization Legal Name | OHIO VALLEY PHYSICIANS INC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tabitha Lynn Smith | Nurse Practitioner | Ohio Valley Physicians Inc | 705 Washington St, Ravenswood, WV 26164-1729 |
| Kayla Bellamy | Nurse Practitioner | Ohio Valley Physicians Inc | 3471 Belle Terre Blvd, Suite A1, Myrtle Beach, SC 29579-8405 |
| Wilhelmenia Miesha Patterson | Physician Assistant | Ohio Valley Physicians Inc | 238 S Coit St, Florence, SC 29501-4422 |
| Iwona Gasior | Physician Assistant | Ohio Valley Physicians Inc | 306 Airport Dr, Moncks Corner, SC 29461-2629 |
| Van S Mask | Emergency Medicine | Ohio Valley Physicians Inc | 420 Silver Bridge Plz, Gallipolis, OH 45631-1861 |
| Cortney Scott Estes | Clinical Social Worker | Ohio Valley Physicians Inc | 2550 Carter Ave, Ashland, KY 41101-7830 |
| Anacorita Ellisor | Family Medicine | Ohio Valley Physicians Inc | 709 Mill St, Camden, SC 29020-4738 |
| Brandi Powell Russ | Nurse Practitioner | Ohio Valley Physicians Inc | 115 Short St, Suite C, Kingstree, SC 29556-3924 |
| Teresa J Back | Nurse Practitioner | Ohio Valley Physicians Inc | 1238 Mddle Fork Rd, Inez, KY 41224-0219 |
| Vanessa L Mathieu | Nurse Practitioner | Ohio Valley Physicians Inc | 8310 S Ky Route 321, Hagerhill, KY 41222-8631 |
| Street Address |
571 MEMORIAL AVE N |
| City | ALLENDALE |
| State | SC |
| Zip | 29810-2713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Richard Port | Family Medicine | 623 Memorial Ave N, Allendale, SC 29810-2715 |
| City | ALLENDALE |
| Zip Code | 29810 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALLENDALE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.