- Medicare Primary Care in Columbia, SC

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is a medicare enrolled primary clinic (General Practice) in Columbia, South Carolina. The current practice location for is 425 Summit Terrace Ct Bldg 1, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 939-6141. The mailing address for is 1494 Lake Murray Blvd Ste B, Columbia, South Carolina and phone number is (803) 939-6141.

is licensed to practice in South Carolina (license number 21520). The clinic also participates in the medicare program and its NPI number is 1851743389. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 939-6141.

Contact Information

425 Summit Terrace Ct Bldg 1
Columbia
SC 29229-7055
(803) 939-6141
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityGeneral Practice
Location425 Summit Terrace Ct Bldg 1, Columbia, South Carolina
Authorized Official Name and PositionAmber Compton (PRACTICE MANAGER)
Authorized Official Contact8037640464
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1494 Lake Murray Blvd Ste B
Columbia
SC 29212-8697

Ph: (803) 939-6141
425 Summit Terrace Ct Bldg 1
Columbia
SC 29229-7055

Ph: (803) 939-6141

NPI Details:

NPI Number1851743389
Provider Enumeration Date07/08/2016
Last Update Date03/04/2021

Medicare PECOS Information:

Medicare PECOS PAC ID3779863097
Medicare Enrollment IDO20161202001477

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851743389NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 21520 (South Carolina)Primary
261QP3300XClinic/center - Pain (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLorone Cowayne Washington
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174628077
PECOS PAC ID: 8921047515
Enrollment ID: I20050906000318
Provider NameJennifer M Paglia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356530497
PECOS PAC ID: 6103915921
Enrollment ID: I20071203000020
Provider NameRegina B Rouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487938825
PECOS PAC ID: 0042484974
Enrollment ID: I20111110000762
Provider NameIthamesia Rodgers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942770086
PECOS PAC ID: 9234470154
Enrollment ID: I20190402002862
Provider NameDestiny Byrd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538740915
PECOS PAC ID: 7416356399
Enrollment ID: I20210526000293
Provider NameSamantha Gwendolyn Hoover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740955251
PECOS PAC ID: 6901204189
Enrollment ID: I20211004001023

Reviews and Comments


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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.