Skylyn Wellness Center, Inc. is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" provider in Spartanburg, South Carolina. Their current practice location is
1770 Skylyn Dr, Spartanburg, South Carolina. You can reach out to their office (for appointments etc.) via phone at
(864) 583-8308.
Skylyn Wellness Center, Inc. is licensed to practice in South Carolina (license number 14638) and it also participates in the medicare program. Skylyn Wellness Center, Inc.
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 1124124185.
Healthcare Provider's Profile
| Full Name | Skylyn Wellness Center, Inc. |
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| Type | Facility |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1770 Skylyn Dr, Spartanburg, 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: 1124124185
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 08/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870685639
- Enrollment ID: O20070824000011
Medical Identifiers
Medical identifiers for Skylyn Wellness Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124124185 | NPI | - | NPPES |
| GCH324 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2495 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 14638 (South Carolina) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3647 (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.
Skylyn Wellness Center, Inc. acts as a billing entity for following providers:
| Provider Name | James F. Devoe |
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| Provider Type | Practitioner - Interventional Pain Management |
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| Provider Identifiers | NPI Number: 1699846550
PECOS PAC ID: 3072416734
Enrollment ID: I20040216000792 |
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| Provider Name | John V Dawidowicz |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1295711190
PECOS PAC ID: 2062504822
Enrollment ID: I20070824000010 |
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| Provider Name | Daniel Dawson Atkinson |
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| Provider Type | Practitioner - Anesthesiology |
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| Provider Identifiers | NPI Number: 1679983811
PECOS PAC ID: 2466778931
Enrollment ID: I20190822000086 |
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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. Skylyn Wellness Center, Inc. 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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Skylyn Wellness Center, Inc.
Po Box 173,
Drayton, SC 29333-0173
Ph: (864) 583-8308 | Skylyn Wellness Center, Inc.
1770 Skylyn Dr,
Spartanburg, SC 29307-1045
Ph: (864) 583-8308 |
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