Holbrook Wyman Raynal, MD, DHA in Clinton, SC

Holbrook Wyman Raynal, MD, DHA is a medicare enrolled "Family Medicine" physician in Clinton, South Carolina. His current practice location is 210 S Broad St, Clinton, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 833-0973.

Holbrook Wyman Raynal is licensed to practice in South Carolina (license number 8942) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124099874.

Contact Information

	Holbrook Wyman Raynal, MD, DHA
	210 S Broad St, Clinton, SC 29325-2505
	(864) 833-0973
	(864) 833-9571

Map and Direction

Physician's Profile

Full Name	Holbrook Wyman Raynal
Gender	Male
Speciality	Family Medicine
Location	210 S Broad St, Clinton, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124099874
Provider Enumeration Date: 01/31/2006
Last Update Date: 09/10/2013

Medicare PECOS Information:

PECOS PAC ID: 4981654241
Enrollment ID: I20050125000834

Medical Identifiers

Medical identifiers for Holbrook Wyman Raynal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124099874	NPI	-	NPPES
089424	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	8942 (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. Holbrook Wyman Raynal allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

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. Holbrook Wyman Raynal 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
Holbrook Wyman Raynal, MD, DHA 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044	Holbrook Wyman Raynal, MD, DHA 210 S Broad St, Clinton, SC 29325-2505 Ph: (864) 833-0973

Reviews and Comments

Family Medicine Doctors in Clinton, SC

Burgess Murray Mauldin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22725 Highway 76 E, Clinton, SC 29325 Phone: 864-833-9100 Fax: 864-833-9458
Michelle L Hagenbuch, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Plaza Circle, Suite J, Clinton, SC 29325 Phone: 864-938-9690 Fax: 864-833-9039
Miranda Taylor Gaillard, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 129 S Broad St, Clinton, SC 29325 Phone: 864-373-7246
Neal Robert Goodbar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 S Broad St, Clinton, SC 29325 Phone: 864-833-1973 Fax: 864-833-9571
Dan Hibner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 28373 Hwy 76 Whitten Center, Clinton, SC 29325 Phone: 864-938-3600 Fax: 864-938-3393

Holbrook Wyman Raynal, MD, DHA - Medicare Family Medicine in Clinton, SC