Teri Kaye Pettaway, NP in Sumter, SC - Medicare Nurse Practitioner

Teri Kaye Pettaway, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Sumter, South Carolina. Her current practice location is 129 N Washington St, Sumter, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 774-9000.

Teri Kaye Pettaway is licensed to practice in South Carolina (license number 28655) 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 1376322172.

Contact Information

	Teri Kaye Pettaway, NP
	129 N Washington St, Sumter, SC 29150-4949
	(803) 774-9000
	Not Available

Map and Direction

Provider's Profile

Full Name	Teri Kaye Pettaway
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	129 N Washington St, Sumter, 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: 1376322172
Provider Enumeration Date: 09/22/2023
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 8820439961
Enrollment ID: I20240507003650

Medical Identifiers

Medical identifiers for Teri Kaye Pettaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376322172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	28655 (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. Teri Kaye Pettaway allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

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. Teri Kaye Pettaway 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
Teri Kaye Pettaway, NP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 695-6697	Teri Kaye Pettaway, NP 129 N Washington St, Sumter, SC 29150-4949 Ph: (803) 774-9000

Reviews and Comments

Nurse Practitioner Nurses in Sumter, SC

Barbara Ann Cook, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2475 Broad St, Sumter, SC 29150 Phone: 803-778-6555 Fax: 803-773-8226
Mrs. Marion Claire Geddings, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 N Sumter St Ste 315, Sumter, SC 29150 Phone: 803-934-0810
Megan Crandall Lybrand, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 N Sumter St Ste 315, Sumter, SC 29150 Phone: 803-774-9787 Fax: 803-774-9781
Margaret Conant Britt, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 N Sumter St Ste 410, Sumter, SC 29150 Phone: 803-774-9797 Fax: 803-933-3012
Melanie Truesdale Jordan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 N Sumter St Ste 400, Sumter, SC 29150 Phone: 803-774-9465
Jennifer Weich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1229 Alice Dr, Sumter, SC 29150 Phone: 803-905-2273 Fax: 803-905-7775
Meghan K Wachter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 696 Bultman Dr., Sumter, SC 29150 Phone: 803-848-0500 Fax: 803-848-0700

Teri Kaye Pettaway, NP - Medicare Nurse Practitioner in Sumter, SC