Ms Mary Regina Dortenzo, RN-ANP - Medicare Nurse Practitioner in Aiken, SC

Ms Mary Regina Dortenzo, RN-ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Aiken, South Carolina. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Healogics Specialty Physicians Of South Carolina Llc and her current practice location is 216 Edgefield Ave Nw, Aiken, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 648-4224.

Ms Mary Regina Dortenzo is licensed to practice in South Carolina (license number 4097) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215105085.

Contact Information

Ms Mary Regina Dortenzo, RN-ANP
216 Edgefield Ave Nw,
Aiken, SC 29801-3910
(803) 648-4224
(803) 641-7600



Provider's Profile

Full NameMs Mary Regina Dortenzo
GenderFemale
SpecialityNurse Practitioner
Experience28 Years
Location216 Edgefield Ave Nw, Aiken, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Mary Regina Dortenzo graduated from nursing school in 1996
  NPI Data:
  • NPI Number: 1215105085
  • Provider Enumeration Date: 02/14/2008
  • Last Update Date: 06/30/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9537239512
  • Enrollment ID: I20100625000084

Medical Identifiers

Medical identifiers for Ms Mary Regina Dortenzo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215105085NPI-NPPES
NP1564MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4097 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeNewberry, SCHome health agency
Trinity Home Health Of AikenAiken, SCHome health agency
Pruitthealth Home Health-low CountryBluffton, SCHome health agency
Amedisys Home Health Of LexingtonLexington, SCHome health agency
Aiken Regional Medical CenterAiken, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healogics Specialty Physicians Of South Carolina Llc832526120912

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Mary Regina Dortenzo allows following entities to bill medicare on her behalf.
Entity NameHealogics Specialty Physicians Of South Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033531850
PECOS PAC ID: 8325261209
Enrollment ID: O20140521002244

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Entity NameWal-mart Stores East, Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922415165
PECOS PAC ID: 6204749997
Enrollment ID: O20141024000133

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Entity NameCare1 Sc, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639530058
PECOS PAC ID: 1355634833
Enrollment ID: O20160720002415

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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. Ms Mary Regina Dortenzo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mary Regina Dortenzo, RN-ANP
2030 Powers Ferry Rd Se, Ste 120,
Atlanta, GA 30339-5016

Ph: (803) 648-4224
Ms Mary Regina Dortenzo, RN-ANP
216 Edgefield Ave Nw,
Aiken, SC 29801-3910

Ph: (803) 648-4224

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Nurse Practitioner Nurses in Aiken, SC

Lindsay K Pizzuto, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801
Phone: 803-644-4403    Fax: 803-644-4405
Catherine Rutherfurd Rudnick, MSN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 222 Beaufort St Ne, Aiken, SC 29801
Phone: 803-502-4685    
Sarah Brennan Heilig, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1029 York St Ne, Aiken, SC 29801
Phone: 803-648-4119    
Kristin Braveboy Haddock, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 Society Hill Dr Ste 100, Aiken, SC 29803
Phone: 803-648-7774    Fax: 803-648-7490
Amaya Edge, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2062 Whiskey Rd, Aiken, SC 29803
Phone: 980-205-5134    
Mrs. Ashley Protzman, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 850 Aiken Mall Dr, Aiken, SC 29803
Phone: 803-648-1464    
Shailah Bevan, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 820 Legare Rd, Aiken, SC 29803
Phone: 803-262-8814    

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