Kaoru Joan Pridgen, MD in Columbia, SC - Medicare Family Practice

Kaoru Joan Pridgen, MD is a medicare enrolled "Family Medicine" physician in Columbia, South Carolina. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Three Rivers Medical Associates Pa and her current practice location is 1301 Taylor St Ste 5k, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (839) 200-7805.

Kaoru Joan Pridgen is licensed to practice in South Carolina (license number 25856) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790755353.

Contact Information

	Kaoru Joan Pridgen, MD
	1301 Taylor St Ste 5k, Columbia, SC 29201-2952
	(839) 200-7805
	(803) 891-7085

Map and Direction

Physician's Profile

Full Name	Kaoru Joan Pridgen
Gender	Female
Speciality	Family Practice
Experience	23 Years
Location	1301 Taylor St Ste 5k, Columbia, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kaoru Joan Pridgen graduated from medical school in 2001

NPI Data:

NPI Number: 1790755353
Provider Enumeration Date: 01/25/2006
Last Update Date: 01/18/2022

Medicare PECOS Information:

PECOS PAC ID: 9032126990
Enrollment ID: I20060317000163

Medical Identifiers

Medical identifiers for Kaoru Joan Pridgen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790755353	NPI	-	NPPES
258562	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	25856 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health Of Lexington	Lexington, SC	Home health agency
Prisma Health Baptist Parkridge	Columbia, SC	Hospital
Prisma Health Richland Hospital	Columbia, SC	Hospital
Prisma Health Baptist	Columbia, SC	Hospital
Lexington Medical Center	West columbia, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Three Rivers Medical Associates Pa	1557267663	14

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. Kaoru Joan Pridgen allows following entities to bill medicare on her behalf.

Entity Name	Palmetto Primary Care Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287

Entity Name	Three Rivers Medical Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445597 PECOS PAC ID: 1557267663 Enrollment ID: O20031210000142

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. Kaoru Joan Pridgen 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
Kaoru Joan Pridgen, MD 7430 College St, Irmo, SC 29063-2903 Ph: (839) 200-7810	Kaoru Joan Pridgen, MD 1301 Taylor St Ste 5k, Columbia, SC 29201-2952 Ph: (839) 200-7805

Reviews and Comments

Family Medicine Doctors in Columbia, SC

Pamela I Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7033 Saint Andrews Rd Ste 101, Columbia, SC 29212 Phone: 803-749-1155 Fax: 803-749-1786
Dr. Elmer Gordon Long, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1818 Henderson St, Columbia, SC 29201 Phone: 803-758-2600 Fax: 803-253-8896
Dr. Charles Joseph Carter Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3209 Colonial Dr, Columbia, SC 29203 Phone: 803-434-6113 Fax: 803-434-7231
April Tamara Singleton Clarke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2012 Harden St Ste 112, Columbia, SC 29204 Phone: 803-434-6116 Fax: 803-434-8545
Dr. Hance H Oliver, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Forest Dr Ste 300, Columbia, SC 29204 Phone: 803-749-5101 Fax: 803-933-3045
Justin Andrew Mullner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3209 Colonial Drive, Family Medicine Department, Columbia, SC 29203 Phone: 803-434-6116 Fax: 803-434-8545
Kristian Jorgensen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3209 Colonial Dr, Columbia, SC 29203 Phone: 803-434-7399

Kaoru Joan Pridgen, MD - Medicare Family Practice in Columbia, SC