Mrs Theresa Calderon, DNP APRN FNP-C - Medicare Nurse Practitioner in Greenwood, SC

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Mrs Theresa Calderon, DNP APRN FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Greenwood, South Carolina. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Self Medical Group, Physicians Services Group Pc and her current practice location is 115 Overland Dr, Greenwood, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 227-6641.

Mrs Theresa Calderon is licensed to practice in South Carolina (license number 25802) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083965347.

Contact Information

Mrs Theresa Calderon, DNP APRN FNP-C
115 Overland Dr,
Greenwood, SC 29646-4053
(864) 227-6641
(864) 227-3953

Map and Direction




Provider's Profile

Full NameMrs Theresa Calderon
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location115 Overland Dr, Greenwood, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Theresa Calderon graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1083965347
  • Provider Enumeration Date: 09/27/2012
  • Last Update Date: 11/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658612569
  • Enrollment ID: I20220407000833

Medical Identifiers

Medical identifiers for Mrs Theresa Calderon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083965347NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 142059 (Alaska)Secondary
363LF0000XNurse Practitioner - Family 25802 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Self Regional HealthcareGreenwood, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Self Medical Group6002953916326
Physicians Services Group Pc76182156905

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 Theresa Calderon allows following entities to bill medicare on her behalf.
Entity NameSelf Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982836847
PECOS PAC ID: 6002953916
Enrollment ID: O20091027000071
Entity NamePhysicians Services Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700357076
PECOS PAC ID: 7618215690
Enrollment ID: O20190218001221
Entity NameCareconnectmd South Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306565973
PECOS PAC ID: 3678934775
Enrollment ID: O20230807000480

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 Theresa Calderon 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
Mrs Theresa Calderon, DNP APRN FNP-C
1650 Cowles St,
Fairbanks, AK 99701-5907

Ph: (907) 458-6450		Mrs Theresa Calderon, DNP APRN FNP-C
115 Overland Dr,
Greenwood, SC 29646-4053

Ph: (864) 227-6641

Reviews and Comments


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Cathleen J Nixon, FNP
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Phone: 864-227-5020    
Dr. Leslie Mactaggart Myers, DNP, APRN, ANP-BC
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Whitney D Lyerly Wilson, DNP
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Phone: 864-227-6741    Fax: 864-227-6021
Caitlin Jennings, PMHNP-BC, MSN
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Phone: 864-229-7120    
Natalie Nicole Sheppard, NP
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Practice Location: 105 Vinecrest Ct Ste 300, Greenwood, SC 29646
Phone: 864-223-6625    
Rachel L Case, NP
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Practice Location: 421 Epting Ave, Greenwood, SC 29646
Phone: 864-227-6818    Fax: 864-227-0850

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.