Thomas C Kickham, DO - Medicare General Practice in Walhalla, SC

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Thomas C Kickham, DO is a medicare enrolled "General Practice" physician in Walhalla, South Carolina. His current practice location is 200 Booker Dr, Walhalla, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 656-3076.

Thomas C Kickham is licensed to practice in South Carolina (license number 241) 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 1669434437.

Contact Information

Thomas C Kickham, DO
200 Booker Dr,
Walhalla, SC 29691-2278
(864) 656-3076
(843) 985-9562

Map and Direction




Physician's Profile

Full NameThomas C Kickham
GenderMale
SpecialityGeneral Practice
Location200 Booker Dr, Walhalla, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669434437
  • Provider Enumeration Date: 04/05/2006
  • Last Update Date: 12/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597758870
  • Enrollment ID: I20100303000692

Medical Identifiers

Medical identifiers for Thomas C Kickham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669434437NPI-NPPES
000925306AMedicaidGA
002419MedicaidSC
89066G1MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 241 (South Carolina)Secondary
208D00000XGeneral Practice 241 (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. Thomas C Kickham allows following entities to bill medicare on his behalf.
Entity NameSouth Carolina Dept Of Mental Health Accounting Office
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376595041
PECOS PAC ID: 9032021175
Enrollment ID: O20031105000630
Entity NameAnmed Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710918321
PECOS PAC ID: 1951215243
Enrollment ID: O20031119000738
Entity NameClemson University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093990707
PECOS PAC ID: 1850393786
Enrollment ID: O20121206000375

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. Thomas C Kickham 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 AddressPractice Location Address
Thomas C Kickham, DO
800 N Fant St,
Anderson, SC 29621-5708

Ph: (864) 512-1335		Thomas C Kickham, DO
200 Booker Dr,
Walhalla, SC 29691-2278

Ph: (864) 656-3076

Reviews and Comments


General Practice Doctors in Walhalla, SC


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.