Physicians Health & Injury Clinic is a medicare enrolled "General Practice" provider in Sumter, South Carolina. Their current practice location is
711 Bultman Drive, Sumter, South Carolina. You can reach out to their office (for appointments etc.) via phone at
(803) 773-3421.
Physicians Health & Injury Clinic is licensed to practice in South Carolina (license number 7414) and it also participates in the medicare program. Physicians Health & Injury Clinic
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 1306037676.
Healthcare Provider's Profile
| Full Name | Physicians Health & Injury Clinic |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 711 Bultman Drive, Sumter, 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: 1306037676
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 08/05/2007
Medicare PECOS Information:
- PECOS PAC ID: 4486688504
- Enrollment ID: O20050919000827
Medical Identifiers
Medical identifiers for Physicians Health & Injury Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306037676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 1773 (South Carolina) | Secondary |
| 111N00000X | Chiropractor | 1857 (South Carolina) | Secondary |
| 208D00000X | General Practice | 7414 (South Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Physicians Health & Injury Clinic acts as a billing entity for following providers:
| Provider Name | Brent D Carraway |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1104996255
PECOS PAC ID: 4486688512
Enrollment ID: I20050919000847 |
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| Provider Name | Duangmani Friday |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1538239694
PECOS PAC ID: 4587843008
Enrollment ID: I20110128000744 |
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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. Physicians Health & Injury Clinic 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 |
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Physicians Health & Injury Clinic
711 Bultman Drive,
Sumter, SC 29150
Ph: (803) 773-3421 | Physicians Health & Injury Clinic
711 Bultman Drive,
Sumter, SC 29150
Ph: (803) 773-3421 |
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