Mrs Mary Lee Addis, APN - Medicare Nurse Practitioner in Camden, SC

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Mrs Mary Lee Addis, APN is a medicare enrolled "Nurse Practitioner - Family" in Camden, South Carolina. Her current practice location is 1111 Mill St, Camden, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 425-1330.

Mrs Mary Lee Addis is licensed to practice in South Carolina (license number APN 138) 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 1780604579.

Contact Information

Mrs Mary Lee Addis, APN
1111 Mill St,
Camden, SC 29020-3763
(803) 425-1330
(803) 425-0324

Map and Direction




Provider's Profile

Full NameMrs Mary Lee Addis
GenderFemale
SpecialityNurse Practitioner - Family
Location1111 Mill St, Camden, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780604579
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 03/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7719882349
  • Enrollment ID: I20031205000233

Medical Identifiers

Medical identifiers for Mrs Mary Lee Addis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780604579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APN 138 (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 Lee Addis allows following entities to bill medicare on her behalf.
Entity NameKershaw Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033593454
PECOS PAC ID: 6608176987
Enrollment ID: O20151119000104

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 Lee Addis 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
Mrs Mary Lee Addis, APN
Po Box 7003,
Camden, SC 29021-7003

Ph: (803) 425-1330		Mrs Mary Lee Addis, APN
1111 Mill St,
Camden, SC 29020-3763

Ph: (803) 425-1330

Reviews and Comments


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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).

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