Dr Elaine B Baxley, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Lugoff, South Carolina. Her current practice location is
643 Highway 1 S, Lugoff, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 243-0988.
Dr Elaine B Baxley is licensed to practice in South Carolina (license number 12579) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831150226.
Physician's Profile
| Full Name | Dr Elaine B Baxley |
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| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 643 Highway 1 S, Lugoff, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831150226
- Provider Enumeration Date: 03/28/2006
- Last Update Date: 07/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143405035
- Enrollment ID: I20110419000263
Medical Identifiers
Medical identifiers for Dr Elaine B Baxley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831150226 | NPI | - | NPPES |
| 125796 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 12579 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 12579 (South Carolina) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 12579 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Elaine B Baxley allows following entities to bill medicare on her behalf.
| Entity Name | Kershaw Hospital Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316322027
PECOS PAC ID: 2668773698
Enrollment ID: O20151221002384 |
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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. Dr Elaine B Baxley 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 |
|---|
Dr Elaine B Baxley, MD
1606 Lakeview Ave,
Camden, SC 29020-2929
Ph: (803) 243-0988 | Dr Elaine B Baxley, MD
643 Highway 1 S,
Lugoff, SC 29078-9174
Ph: (803) 243-0988 |
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