Roman Koryakin, FNP, APRN - Medicare Nurse Practitioner in North Myrtle Beach, SC

Roman Koryakin, FNP, APRN is a medicare enrolled "Nurse Practitioner" in North Myrtle Beach, South Carolina. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southeastern Hospitalist Services Pc and his current practice location is 3816 Highway 17 S, North Myrtle Beach, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 272-1411.

Roman Koryakin is licensed to practice in South Carolina (license number 25075) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033780952.

Contact Information

Roman Koryakin, FNP, APRN
3816 Highway 17 S,
North Myrtle Beach, SC 29582-5069
(843) 272-1411
Not Available

Map and Direction




Provider's Profile

Full NameRoman Koryakin
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location3816 Highway 17 S, North Myrtle Beach, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Roman Koryakin graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1033780952
  • Provider Enumeration Date: 07/02/2021
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123426038
  • Enrollment ID: I20211007000468

Medical Identifiers

Medical identifiers for Roman Koryakin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033780952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 25075 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grand Strand Regional Medical CenterMyrtle beach, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Hospitalist Services Pc3476855420275

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. Roman Koryakin allows following entities to bill medicare on his behalf.
Entity NameMedcare Express - North Charleston Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457579617
PECOS PAC ID: 7618074899
Enrollment ID: O20070523000200
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20090401000270
Entity NameSoutheastern Hospitalist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003280108
PECOS PAC ID: 3476855420
Enrollment ID: O20160125000378

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. Roman Koryakin 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
Roman Koryakin, FNP, APRN
3816 Highway 17 S,
North Myrtle Beach, SC 29582-5069

Ph: (843) 272-1411
Roman Koryakin, FNP, APRN
3816 Highway 17 S,
North Myrtle Beach, SC 29582-5069

Ph: (843) 272-1411

Reviews and Comments


Nurse Practitioner Nurses in North Myrtle Beach, SC

Sandra Lee Payne, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582
Phone: 843-249-1451    
Ms. Stacey Lynn Shaw, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2423 Highway 17 S, North Myrtle Beach, SC 29582
Phone: 843-919-0700    Fax: 843-919-0727
Joann Kay Williams,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582
Phone: 866-389-2727    
Mrs. Tisha Michelle Brown, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582
Phone: 866-389-2727    
Mrs. Barbie Suggs Anderson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582
Phone: 843-361-0705    
Tracey Michelle Lewis, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2021 N Myrtle Point Blvd Ste 102, North Myrtle Beach, SC 29582
Phone: 843-366-3060    Fax: 843-366-3069

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.