Palmetto Wellness & Injury Center Of Bennettsville Llc is a medicare enrolled "Family Medicine" provider in Bennettsville, South Carolina. Their current practice location is
102 Lindsay Ave, Bennettsville, South Carolina. You can reach out to their office (for appointments etc.) via phone at
(843) 479-6102.
Palmetto Wellness & Injury Center Of Bennettsville Llc is licensed to practice in South Carolina (license number 23493) and it also participates in the medicare program. Palmetto Wellness & Injury Center Of Bennettsville Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124240999.
Healthcare Provider's Profile
| Full Name | Palmetto Wellness & Injury Center Of Bennettsville Llc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 102 Lindsay Ave, Bennettsville, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124240999
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 03/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305938267
- Enrollment ID: O20070823000010
Medical Identifiers
Medical identifiers for Palmetto Wellness & Injury Center Of Bennettsville Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124240999 | NPI | - | NPPES |
| CH2668 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2688 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 23493 (South Carolina) | Primary |
| 207Q00000X | Family Medicine | 29388 (South Carolina) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Palmetto Wellness & Injury Center Of Bennettsville Llc acts as a billing entity for following providers:
| Provider Name | Raymond H Stroup |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1528032554
PECOS PAC ID: 4082677349
Enrollment ID: I20041109000120 |
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| Provider Name | Veronica Efros |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1093042178
PECOS PAC ID: 6901077221
Enrollment ID: I20110919000234 |
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| Provider Name | Tyler Hall |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1962046938
PECOS PAC ID: 4486077872
Enrollment ID: I20200701002288 |
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| Provider Name | Cutter Vb Newton |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1245811991
PECOS PAC ID: 8123437399
Enrollment ID: I20220809000443 |
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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. Palmetto Wellness & Injury Center Of Bennettsville Llc 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 Address | Practice Location Address |
|---|
Palmetto Wellness & Injury Center Of Bennettsville Llc
102 Lindsay Ave, Po Box 432,
Bennettsville, SC 29512-3102
Ph: (843) 479-6102 | Palmetto Wellness & Injury Center Of Bennettsville Llc
102 Lindsay Ave,
Bennettsville, SC 29512-3102
Ph: (843) 479-6102 |
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