Amberlee Peace, PA

Individual provider Active NPI Physician Assistant · Greenville, SC

NPI 1962863464 · NPPES record last updated Feb 19, 2024

Key facts

NPI
1962863464
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
23019554 (NY)
Practice address
220 N Main St Ste 500
Greenville, SC 29601-2129
Phone
(800) 275-3243
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Che Senior Psychological Services, PC (227 clinicians)
Che Behavioral Health Services of South Carolina PC (6 clinicians)

Practice addresses (Care Compare)

135 Vanderbilt Ave
Staten Island, NY 10304-2604
Phone (800) 275-3243

220 N Main St
Suite 500
Greenville, SC 29601-2129
Phone (800) 275-3243

250 Beach 17TH St
Far Rockaway, NY 11691-4420
Phone (800) 275-3243

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY, SC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190215000679 NY Practitioner - Physician Assistant 7911245014 Reassigns benefits to 4 organizations
I20230823002519 SC Practitioner - Physician Assistant 7911245014 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4435SCMDChiropractor
23019554NYMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4435 SC
Physician Assistant 363A00000X 23019554 NY Yes

Addresses

Primary practice location

220 N Main St Ste 500
Greenville, SC 29601-2129

Mailing address

168 Hollow Tree CT
Lugoff, SC 29078-8618
Phone (585) 735-6707

Other providers in Greenville, SC

All providers in Greenville, SC · Physician Assistant in South Carolina

Sources for this page

Verify at the official NPI Registry.