Integrated Wound Care South Carolina Llc in Columbia, SC

Integrated Wound Care South Carolina Llc is a medicare enrolled primary clinic (General Practice) in Columbia, South Carolina. The current practice location for Integrated Wound Care South Carolina Llc is 1703 Laurel St, Columbia, South Carolina. For appointments, you can reach them via phone at (718) 963-3495. The mailing address for Integrated Wound Care South Carolina Llc is 492c Cedar Ln Ste 514, Teaneck, New Jersey and phone number is (718) 963-3495.

Integrated Wound Care South Carolina Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235823121. 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 (718) 963-3495.

Contact Information

	Integrated Wound Care South Carolina Llc
	1703 Laurel St Columbia SC 29201-2660
	(718) 963-3495
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Integrated Wound Care South Carolina Llc
Speciality	General Practice
Location	1703 Laurel St, Columbia, South Carolina
Authorized Official Name and Position	Diane Lusas (AUTHORIZED OFFICIAL)
Authorized Official Contact	7189633495
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Integrated Wound Care South Carolina Llc 492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: (718) 963-3495	Integrated Wound Care South Carolina Llc 1703 Laurel St Columbia SC 29201-2660 Ph: (718) 963-3495

NPI Details:

NPI Number	1235823121
Provider Enumeration Date	06/05/2023
Last Update Date	06/05/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	0446610711
Medicare Enrollment ID	O20230718002752

Medical Identifiers

Medical identifiers for Integrated Wound Care South Carolina Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235823121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Integrated Wound Care South Carolina Llc acts as a billing entity for following providers:

Provider Name	Diane Lusas
Provider Type	Practitioner - General Practice
Provider Identifiers	NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20230718003021

Provider Name	Christine Moffett
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1164668224 PECOS PAC ID: 6901963123 Enrollment ID: I20230721000934

Reviews and Comments

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Integrated Wound Care South Carolina Llc - Medicare Primary Care in Columbia, SC