- Medicare in West Columbia, SC

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is a medicare enrolled "Clinic/center - Multi-specialty" provider in West Columbia, South Carolina. Their current practice location is 103 Sum Mor Dr, West Columbia, South Carolina. You can reach out to their office (for appointments etc.) via phone at (803) 254-4699.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1386150613.

Contact Information

103 Sum Mor Dr,
West Columbia, SC 29169-4828
(803) 254-4699
(803) 851-1235

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Multi-specialty
Location103 Sum Mor Dr, West Columbia, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386150613
  • Provider Enumeration Date: 12/22/2017
  • Last Update Date: 09/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244590370
  • Enrollment ID: O20180208002719

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386150613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameRyan Bowers
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1679899488
PECOS PAC ID: 6002096658
Enrollment ID: I20110214000842
Provider NameJohn Evans Stavrakos
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1063426724
PECOS PAC ID: 3274563440
Enrollment ID: I20161003000443
Provider NameAshley Torroni Hazelrigg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477017606
PECOS PAC ID: 2769725423
Enrollment ID: I20190521000279
Provider NameAngelina Dow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376137745
PECOS PAC ID: 2961891999
Enrollment ID: I20211113000041
Provider NameHannah Rhea Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285228403
PECOS PAC ID: 0042694416
Enrollment ID: I20220902001130

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. 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

Po Box 2632,
Lexington, SC 29071-2632

Ph: (803) 218-9886
103 Sum Mor Dr,
West Columbia, SC 29169-4828

Ph: (803) 254-4699

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.