<unavail> in Anderson, SC - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Anderson, South Carolina. The current practice location for is 400 N Fant St, Suite A, Anderson, South Carolina. For appointments, you can reach them via phone at (864) 226-5260. The mailing address for is 400 N Fant St, Suite A, Anderson, South Carolina and phone number is (864) 226-5260.

is licensed to practice in South Carolina (license number 21501). The clinic also participates in the medicare program and its NPI number is 1699724849. 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 (864) 226-5260.

Contact Information


	400 N Fant St Suite A Anderson SC 29621-5720
	(864) 226-5260
	(864) 226-5863

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	400 N Fant St, Anderson, South Carolina
Authorized Official Name and Position	Ekong I. Eta (CEO)
Authorized Official Contact	8642265260
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
400 N Fant St Suite A Anderson SC 29621-5720 Ph: (864) 226-5260	400 N Fant St Suite A Anderson SC 29621-5720 Ph: (864) 226-5260

NPI Details:

NPI Number	1699724849
Provider Enumeration Date	05/07/2006
Last Update Date	12/04/2007

Medicare PECOS Information:

Medicare PECOS PAC ID	2567620099
Medicare Enrollment ID	O20120229000713

Medical Identifiers

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

Identifier	Type	State	Issuer
1699724849	NPI	-	NPPES
215011	Medicaid	SC
GP2896	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	21501 (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. acts as a billing entity for following providers:

Provider Name	Ekong Ito Eta
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1598945081 PECOS PAC ID: 6800821026 Enrollment ID: I20050927000842

Reviews and Comments

Internal Medicine in Anderson, SC

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- Medicare Primary Care in Anderson, SC