Mrs Sharonda Rawls Legette, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Latta, South Carolina. Her current practice location is
122 Latimer St, Latta, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 627-6252.
Mrs Sharonda Rawls Legette is licensed to practice in South Carolina (license number 26266) 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 1821714965.
Provider's Profile
| Full Name | Mrs Sharonda Rawls Legette |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 122 Latimer St, Latta, 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: 1821714965
- Provider Enumeration Date: 10/19/2022
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921477282
- Enrollment ID: I20221207003091
Medical Identifiers
Medical identifiers for Mrs Sharonda Rawls Legette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821714965 | NPI | - | NPPES |
| SCO621 | Other | | MEDICARE |
| NP8996 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 26266 (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 Sharonda Rawls Legette allows following entities to bill medicare on her behalf.
| Entity Name | Caresouth Carolina Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720082571
PECOS PAC ID: 1052221314
Enrollment ID: O20040511000280 |
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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 Sharonda Rawls Legette 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 |
|---|
Mrs Sharonda Rawls Legette, FNP-C
304 Wildwood Dr,
Florence, SC 29506-7238
Ph: (843) 450-2916 | Mrs Sharonda Rawls Legette, FNP-C
122 Latimer St,
Latta, SC 29565-1828
Ph: (843) 627-6252 |
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