Individual ProviderDeanna Fiegel BevanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressSumter County Health Department, 105 North Magnolia St, Sumter, SC 29150(803) 773-5511(803) 783-2777PECOS EnrollmentBased on the most recent information from CMS, provider Deanna Fiegel Bevan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1720173172Provider TypeIndividualFull NameBevan, Deanna FiegelTitleMrs.CredentialMSN, RN, FNPCGenderFemaleSole ProprietorNoEnumeration Date10/3/2006Last Updated7/8/2007Contact InformationPractice LocationPractice AddressSumter County Health Department, 105 North Magnolia St, Sumter, SC 29150Phone(803) 773-5511Fax(803) 773-6366Mailing LocationMailing Address448 Fountain Lake Rd, Columbia, SC 29209-5717Phone(803) 783-2777FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF 74South CarolinaProvider IdentifiersIDDescriptionIssuerIDNP0538DescriptionMedicaidIssuerUnlistedSouth Carolina