Lisa Tan Clayton, MD in Greenville, SC

Lisa Tan Clayton, MD is a medicare enrolled "Pediatrics" physician in Greenville, South Carolina. Her current practice location is 890 S Pleasantburg Dr, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 271-1450.

Lisa Tan Clayton is licensed to practice in South Carolina (license number 22123) 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 1144256082.

Contact Information

	Lisa Tan Clayton, MD
	890 S Pleasantburg Dr, Greenville, SC 29607-2455
	(864) 271-1450
	(864) 271-3914

Map and Direction

Physician's Profile

Full Name	Lisa Tan Clayton
Gender	Female
Speciality	Pediatrics
Location	890 S Pleasantburg Dr, Greenville, 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: 1144256082
Provider Enumeration Date: 06/23/2006
Last Update Date: 05/17/2016

Medicare PECOS Information:

PECOS PAC ID: 9335239003
Enrollment ID: I20071218000453

Medical Identifiers

Medical identifiers for Lisa Tan Clayton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144256082	NPI	-	NPPES
5123190	Other	SC	AETNA
221236	Medicaid	SC
57-1004971003	Other	SC	BCBS OF SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	22123 (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. Lisa Tan Clayton allows following entities to bill medicare on her 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. Lisa Tan Clayton 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
Lisa Tan Clayton, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044	Lisa Tan Clayton, MD 890 S Pleasantburg Dr, Greenville, SC 29607-2455 Ph: (864) 271-1450

Reviews and Comments

Pediatrics Doctors in Greenville, SC

Angela Murray Young, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-864-2207 Fax: 864-241-9211
Mata Adams, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7895
Dominic Bruno Gault, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr, Ste A330, Greenville, SC 29615 Phone: 864-454-5660 Fax: 864-241-9233
Anna Mezey Brownstein, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-220-7270 Fax: 864-241-9211
Dr. Cristina Espindula Fernandes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 W Faris Rd, 2nd Floor, Greenville, SC 29605 Phone: 864-455-8898 Fax: 864-455-5164
Mrs. Linda S Parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 Phone: 864-288-5402 Fax: 864-234-7961
Justin Brantley Holladay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7844 Fax: 864-455-7848

Lisa Tan Clayton, MD - Medicare Pediatrics in Greenville, SC