Brooke Scupp, - Physician Assistant in Irmo, SC

Brooke Scupp, is a Physician Assistant - Medical based in Irmo, South Carolina. Brooke Scupp is licensed to practice in * (Not Available) (license number ) and her current practice location is 473 Woodhouse Loop, Irmo, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 422-3754.

NPI number for Brooke Scupp is 1093309668 and her current mailing address is 473 Woodhouse Loop, Irmo, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093309668.

Contact Information

Brooke Scupp,
473 Woodhouse Loop,
Irmo, SC 29063-7781
(803) 422-3754
Not Available



Provider's Profile

Full NameBrooke Scupp
GenderFemale
SpecialityPhysician Assistant - Medical
Location473 Woodhouse Loop, Irmo, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093309668
  • Provider Enumeration Date: 02/24/2021
  • Last Update Date: 02/24/2021

Medical Identifiers

Medical identifiers for Brooke Scupp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093309668NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brooke Scupp is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brooke Scupp,
473 Woodhouse Loop,
Irmo, SC 29063-7781

Ph: (803) 422-3754
Brooke Scupp,
473 Woodhouse Loop,
Irmo, SC 29063-7781

Ph: (803) 422-3754

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Physician Assistant Nurses in Irmo, SC

Kimberly Dunbar Cooney, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063
Phone: 803-749-1111    Fax: 803-749-0050
Ms. Cynthia Denise Hutson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063
Phone: 803-749-1111    Fax: 803-749-0050
Mrs. Cassandra Nicole Parra-ferro, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1 Wellness Blvd, Suite 200, Irmo, SC 29063
Phone: 803-749-1111    Fax: 803-749-0050
Lisa Creswell Myrick, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063
Phone: 803-749-1111    Fax: 803-749-0050
Virginia Elizabeth Hyatt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1846 Dutch Fork Rd, Irmo, SC 29063
Phone: 803-781-5200    Fax: 803-781-3843
Stephanie C Peterson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063
Phone: 803-749-1111    Fax: 803-749-0050

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