Dr Michelle G Archer, MD is a medicare enrolled "Family Medicine" physician in Little Mountain, South Carolina. Her current practice location is
99 N Mill St, Little Mountain, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 945-1005.
Dr Michelle G Archer is licensed to practice in South Carolina (license number 18878) 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 1598731556.
Physician's Profile
| Full Name | Dr Michelle G Archer |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 99 N Mill St, Little Mountain, 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: 1598731556
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 01/06/2017
Medicare PECOS Information:
- PECOS PAC ID: 6406883537
- Enrollment ID: I20050720000906
Medical Identifiers
Medical identifiers for Dr Michelle G Archer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598731556 | NPI | - | NPPES |
| 188781 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 18878 (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 Michelle G Archer allows following entities to bill medicare on her behalf.
| Entity Name | Newberry County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740794049
PECOS PAC ID: 8123927464
Enrollment ID: O20041007000264 |
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| Entity Name | Kershaw Clinics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033593454
PECOS PAC ID: 6608176987
Enrollment ID: O20151119000104 |
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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 Michelle G Archer 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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Dr Michelle G Archer, MD
Po Box 497,
Newberry, SC 29108-0497
Ph: (803) 945-1005 | Dr Michelle G Archer, MD
99 N Mill St,
Little Mountain, SC 29075-8788
Ph: (803) 945-1005 |
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