Tanner Elijah Koon, NP in Spartanburg, SC - Medicare Nurse Practitioner

Tanner Elijah Koon, NP is a medicare enrolled "Nurse Practitioner - Family" in Spartanburg, South Carolina. His current practice location is 101 E Wood St, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 560-7025.

Tanner Elijah Koon is licensed to practice in South Carolina (license number 27805) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801671862.

Contact Information

	Tanner Elijah Koon, NP
	101 E Wood St, Spartanburg, SC 29303-3040
	(864) 560-7025
	(864) 560-7388

Map and Direction

Provider's Profile

Full Name	Tanner Elijah Koon
Gender	Male
Speciality	Nurse Practitioner - Family
Location	101 E Wood St, Spartanburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801671862
Provider Enumeration Date: 08/29/2023
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0143684175
Enrollment ID: I20230911000398

Medical Identifiers

Medical identifiers for Tanner Elijah Koon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801671862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	27805 (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. Tanner Elijah Koon allows following entities to bill medicare on his behalf.

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686

Entity Name	Pelham Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329

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. Tanner Elijah Koon 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
Tanner Elijah Koon, NP Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304	Tanner Elijah Koon, NP 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-7025

Reviews and Comments

Nurse Practitioner Nurses in Spartanburg, SC

David H Whiteside, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Boiling Springs Rd, Suite 2500, Spartanburg, SC 29303 Phone: 864-585-5433 Fax: 864-591-4053
Heidi Elizabeth Walsh, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 322 N Pine St, Spartanburg, SC 29302 Phone: 864-582-5099 Fax: 864-597-1260
Shakira Leake, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366
Mrs. Jacqueline C. Myers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 N Pine St, Spartanburg, SC 29302 Phone: 864-541-0649
Melony C Fowler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 853 N Church St, Suite 620, Spartanburg, SC 29303 Phone: 864-573-7511 Fax: 864-560-1690
Dr. Amanda Boniface Rogers, DNP, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2995 Reidville Rd Ste 210, Spartanburg, SC 29301 Phone: 864-253-8140 Fax: 864-587-0051
Erin Lavette Farr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 841 E Main St Ste C, Spartanburg, SC 29302 Phone: 864-285-4533 Fax: 864-285-4432

Tanner Elijah Koon, NP - Medicare Nurse Practitioner in Spartanburg, SC