Peggy Yvonne Lively, ARNP - Medicare Nurse Practitioner in Surfside Beach, SC

Peggy Yvonne Lively, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Surfside Beach, South Carolina. Her current practice location is 1120 Glenns Bay Rd, Surfside Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 215-5492.

Peggy Yvonne Lively is licensed to practice in South Carolina (license number 3938) 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 1033239678.

Contact Information

Peggy Yvonne Lively, ARNP
1120 Glenns Bay Rd,
Surfside Beach, SC 29575-4757
(843) 215-5492
Not Available

Map and Direction




Provider's Profile

Full NamePeggy Yvonne Lively
GenderFemale
SpecialityNurse Practitioner - Family
Location1120 Glenns Bay Rd, Surfside Beach, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033239678
  • Provider Enumeration Date: 03/29/2007
  • Last Update Date: 09/12/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3678603347
  • Enrollment ID: I20100608000204

Medical Identifiers

Medical identifiers for Peggy Yvonne Lively such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033239678NPI-NPPES
NP1563MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3938 (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. Peggy Yvonne Lively allows following entities to bill medicare on her behalf.
Entity NameGeorgetown Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982604021
PECOS PAC ID: 8224942123
Enrollment ID: O20031114000600
Entity NameWaccamaw Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972503910
PECOS PAC ID: 9133036932
Enrollment ID: O20031126000386

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. Peggy Yvonne Lively 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
Peggy Yvonne Lively, ARNP
1916 Shell Ct,
Surfside Beach, SC 29575-4630

Ph: (954) 895-0222
Peggy Yvonne Lively, ARNP
1120 Glenns Bay Rd,
Surfside Beach, SC 29575-4757

Ph: (843) 215-5492

Reviews and Comments


Nurse Practitioner Nurses in Surfside Beach, SC

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Phone: 843-238-1461    
Ms. Linda M Delfosse, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 1912 Shell Ct, Surfside Beach, SC 29575
Phone: 843-626-2847    
Melanie H Porter, NP
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Medicare: Medicare Enrolled
Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575
Phone: 843-238-5654    Fax: 843-238-1624
Mrs. Susan Edwards Surratt, FNP
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Medicare: Medicare Enrolled
Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575
Phone: 843-238-1461    Fax: 843-828-0622

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.