Dr Temisan L Etikerentse, MD in Moncks Corner, SC

Dr Temisan L Etikerentse, MD is a medicare enrolled "Internal Medicine" physician in Moncks Corner, South Carolina. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Liberty Doctors Llc, Cogent Healthcare Of Georgia Pc and his current practice location is 110 Executive Pkwy, Moncks Corner, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 899-9099.

Dr Temisan L Etikerentse is licensed to practice in South Carolina (license number 20234) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710986757.

Contact Information

	Dr Temisan L Etikerentse, MD
	110 Executive Pkwy, Moncks Corner, SC 29461-3930
	(843) 899-9099
	(843) 899-9091

Map and Direction

Physician's Profile

Full Name	Dr Temisan L Etikerentse
Gender	Male
Speciality	Internal Medicine
Experience	33 Years
Location	110 Executive Pkwy, Moncks Corner, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Temisan L Etikerentse graduated from medical school in 1991

NPI Data:

NPI Number: 1710986757
Provider Enumeration Date: 07/20/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0244126662
Enrollment ID: I20040427000113

Medical Identifiers

Medical identifiers for Dr Temisan L Etikerentse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710986757	NPI	-	NPPES
JB021564	Other	SC	JUA
571134452	Other		FEDERAL IN
GP3914	Medicaid	SC
20 20234	Other	SC	STATE REGISTRATION
20234	Other	SC	MEDICAL LICENSE
202346	Medicaid	SC
562413454	Other	SC	SECONDARY TAX ID
562413454	Other		FEDERAL IN
75767	Other	SC	SC PCF
9800859	Other	NC	MEDICAL LICENSE
GP3438	Medicaid	SC
JB021584	Other		JUA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	20234 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health Of Charleston	North charleston, SC	Home health agency
Phc Home Health	Charleston, SC	Home health agency
Trident Medical Center	Charleston, SC	Hospital
Aiken Regional Medical Center	Aiken, SC	Hospital
Roper Hospital	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Liberty Doctors Llc	0840466017	40
Cogent Healthcare Of Georgia Pc	2961483607	231

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 Temisan L Etikerentse allows following entities to bill medicare on his behalf.

Entity Name	Liberty Doctors Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700162203 PECOS PAC ID: 0840466017 Enrollment ID: O20120110000683

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 Temisan L Etikerentse 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 Temisan L Etikerentse, MD 783 Navigators Run, Mt. Pleasant, SC 29464-2829 Ph: (843) 886-6729	Dr Temisan L Etikerentse, MD 110 Executive Pkwy, Moncks Corner, SC 29461-3930 Ph: (843) 899-9099

Reviews and Comments

Internal Medicine Doctors in Moncks Corner, SC

Dr. Michael Eugene Field, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3508 S Live Oak Dr, Moncks Corner, SC 29461 Phone: 843-534-1770 Fax: 877-453-3943
Dr. Omolola Ajoke Omotoso, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Executive Parkway, Moncks Corner, SC 29461 Phone: 843-899-9099 Fax: 843-899-9091
Rose Delores Gibbs, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 106 W Main St, Moncks Corner, SC 29461 Phone: 843-761-1995 Fax: 843-761-3257

Dr Temisan L Etikerentse, MD - Medicare Internal Medicine in Moncks Corner, SC