- Medicare in Goose Creek, SC

  1. Home
is a medicare enrolled "Nurse Practitioner - Primary Care" provider in Goose Creek, South Carolina. Their current practice location is 588 Old Mount Holly Rd, Goose Creek, South Carolina. You can reach out to their office (for appointments etc.) via phone at (843) 376-5595.

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 1326590746.

Contact Information

588 Old Mount Holly Rd,
Goose Creek, SC 29445-2814
(843) 376-5595
(843) 797-7432

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityNurse Practitioner - Primary Care
Location588 Old Mount Holly Rd, Goose Creek, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326590746
  • Provider Enumeration Date: 11/02/2016
  • Last Update Date: 04/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0547526121
  • Enrollment ID: O20171115000656

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326590746NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
208600000XSurgery 10054 (South Carolina)Secondary
208600000XSurgery (* (Not Available))Secondary
208VP0000XPain Medicine - Pain Medicine (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (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 NameAdam B Hall
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1356673479
PECOS PAC ID: 8921289315
Enrollment ID: I20110217000618
Provider NameLloyd Mandel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1225113178
PECOS PAC ID: 8426128877
Enrollment ID: I20121024000132
Provider NameRyan Flanigan
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1568818664
PECOS PAC ID: 4688965791
Enrollment ID: I20160621001455
Provider NameJohn A Inman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225635923
PECOS PAC ID: 0244642049
Enrollment ID: I20201221001075
Provider NameSarah R Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518663210
PECOS PAC ID: 0345614061
Enrollment ID: I20230321001234
Provider NameKrystle Nicole Huron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497507594
PECOS PAC ID: 1759825631
Enrollment ID: I20240702003347

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

588 Old Mount Holly Rd,
Goose Creek, SC 29445-2814

Ph: (843) 376-5595
588 Old Mount Holly Rd,
Goose Creek, SC 29445-2814

Ph: (843) 376-5595

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.