Alicia Pendergrass, FNP - Medicare Nurse Practitioner in Irmo, SC

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Alicia Pendergrass, FNP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Irmo, South Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lexington Health Inc and her current practice location is 1 Wellness Blvd Ste 203, Irmo, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 749-9920.

Alicia Pendergrass is licensed to practice in South Carolina (license number 19686) 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 1063883767.

Contact Information

Alicia Pendergrass, FNP
1 Wellness Blvd Ste 203,
Irmo, SC 29063-2873
(803) 749-9920
(803) 749-9916

Map and Direction




Provider's Profile

Full NameAlicia Pendergrass
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1 Wellness Blvd Ste 203, Irmo, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alicia Pendergrass graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1063883767
  • Provider Enumeration Date: 10/07/2015
  • Last Update Date: 12/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981904398
  • Enrollment ID: I20151207002142

Medical Identifiers

Medical identifiers for Alicia Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063883767NPI-NPPES
NP3611MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0001XNurse Practitioner - Obstetrics & Gynecology 19686 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lexington Medical CenterWest columbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lexington Health Inc2567872070767

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. Alicia Pendergrass allows following entities to bill medicare on her behalf.
Entity NameVitality Medical Centers Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982999249
PECOS PAC ID: 5890964340
Enrollment ID: O20110818000025
Entity NameLexington Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710634753
PECOS PAC ID: 2567872070
Enrollment ID: O20201208000922

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. Alicia Pendergrass 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
Alicia Pendergrass, FNP
Po Box 6069,
West Columbia, SC 29171-6069

Ph: (803) 749-9920		Alicia Pendergrass, FNP
1 Wellness Blvd Ste 203,
Irmo, SC 29063-2873

Ph: (803) 749-9920

Reviews and Comments


Nurse Practitioner Nurses in Irmo, SC

Ashley Nichole Baxley, APRN
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Mrs. Julia P Hoeft, APRN, FNP-C
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Mrs. Stefanie Lee Gunn, APRN
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Mrs. Rachel Strange, APRN
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Phone: 803-749-1111    Fax: 803-749-0050
Janeen Jensen Wood, NP-C
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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.