Mrs Mary Alyson Nijem Lerstang, NP is a medicare enrolled "Internal Medicine" in Simpsonville, South Carolina. Her current practice location is
312 Harrison Bridge Rd, Simpsonville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 603-5600.
Mrs Mary Alyson Nijem Lerstang is licensed to practice in South Carolina (license number 21011) 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 1851653091.
Provider's Profile
| Full Name | Mrs Mary Alyson Nijem Lerstang |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 312 Harrison Bridge Rd, Simpsonville, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851653091
- Provider Enumeration Date: 06/13/2012
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779732383
- Enrollment ID: I20120925000533
Medical Identifiers
Medical identifiers for Mrs Mary Alyson Nijem Lerstang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851653091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | RN155655 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 21011 (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. Mrs Mary Alyson Nijem Lerstang allows following entities to bill medicare on her behalf.
| Entity Name | Valdosta Medical Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538200035
PECOS PAC ID: 9234197286
Enrollment ID: O20041222000501 |
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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. Mrs Mary Alyson Nijem Lerstang 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 |
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Mrs Mary Alyson Nijem Lerstang, NP
9 Hawthorne Park Ct,
Greenville, SC 29615-3194
Ph: (864) 603-5600 | Mrs Mary Alyson Nijem Lerstang, NP
312 Harrison Bridge Rd,
Simpsonville, SC 29680-7133
Ph: (864) 603-5600 |
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