Bruce H Wellmon Dpm Pa is a
Durable Medical Equipment & Medical Supplies based in Gaffney, South Carolina. Bruce H Wellmon Dpm Pa is licensed to practice in South Carolina (license number 86) and their current practice location is
101 Professional Park, Gaffney, South Carolina. It can be reached at their office (for appointments etc.) via phone at
(864) 487-5516.
NPI number for Bruce H Wellmon Dpm Pa is 1821282146 and their current mailing address is Po Box 1436, Gaffney, South Carolina. Bruce H Wellmon Dpm Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1821282146.
Healthcare Provider's Profile
| Full Name | Bruce H Wellmon Dpm Pa |
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| Type | Facility |
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| Speciality | Durable Medical Equipment & Medical Supplies |
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| Location | 101 Professional Park, Gaffney, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821282146
- Provider Enumeration Date: 08/29/2007
- Last Update Date: 08/29/2022
Medical Identifiers
Medical identifiers for Bruce H Wellmon Dpm Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821282146 | NPI | - | NPPES |
| DM0706 | Other | SC | MEDICAID DME |
| 8908156 | Medicaid | NC | |
| PD0868 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 86 (South Carolina) | Secondary |
| 213E00000X | Podiatrist | 216 (North Carolina) | Secondary |
| 213E00000X | Podiatrist | 1738 (Florida) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 86 (South Carolina) | Primary |
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. Bruce H Wellmon Dpm Pa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bruce H Wellmon Dpm Pa
Po Box 1436,
Gaffney, SC 29342-1436
Ph: (864) 487-5516 | Bruce H Wellmon Dpm Pa
101 Professional Park,
Gaffney, SC 29340
Ph: (864) 487-5516 |
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