<unavail> in Columbia, SC - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Columbia, South Carolina. The current practice location for is 3000 Ne Medical Park, Ste 101, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 736-0731. The mailing address for is 3000 Ne Medical Park, Ste 101, Columbia, South Carolina and phone number is (803) 736-0731.

is licensed to practice in South Carolina (license number 13110). The clinic also participates in the medicare program and its NPI number is 1861504441. 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) 736-0731.

Contact Information


	3000 Ne Medical Park Ste 101 Columbia SC 29223-6251
	(803) 736-0731
	(803) 736-0753

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	3000 Ne Medical Park, Columbia, South Carolina
Authorized Official Name and Position	Robert E Hartvigsen (OWNER)
Authorized Official Contact	8037360731
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3000 Ne Medical Park Ste 101 Columbia SC 29223-6251 Ph: (803) 736-0731	3000 Ne Medical Park Ste 101 Columbia SC 29223-6251 Ph: (803) 736-0731

NPI Details:

NPI Number	1861504441
Provider Enumeration Date	08/31/2006
Last Update Date	04/20/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	7315944147
Medicare Enrollment ID	O20061108000545

Medical Identifiers

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

Identifier	Type	State	Issuer
1861504441	NPI	-	NPPES
GP4509	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	13110 (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	Robert E Hartvigsen
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1386604601 PECOS PAC ID: 9032138524 Enrollment ID: I20051114001007

Provider Name	Linda S Shealy
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1083858708 PECOS PAC ID: 7618028085 Enrollment ID: I20090624000504

Reviews and Comments

Family Medicine in Columbia, SC

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Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040

- Medicare Primary Care in Columbia, SC