<unavail> in Clemson, SC - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Clemson, South Carolina. The current practice location for is 400 Pendleton Rd, Clemson, South Carolina. For appointments, you can reach them via phone at (225) 620-6222. The mailing address for is 400 Pendleton Rd, Clemson, South Carolina and phone number is (864) 722-5315.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1528428299. 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 (225) 620-6222.

Contact Information


	400 Pendleton Rd Clemson SC 29631-2211
	(225) 620-6222
	(864) 722-5319

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	400 Pendleton Rd, Clemson, South Carolina
Authorized Official Name and Position	Jacque Shadle (CEO)
Authorized Official Contact	2254450038
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 Pendleton Rd Clemson SC 29631-2211 Ph: (864) 722-5315	400 Pendleton Rd Clemson SC 29631-2211 Ph: (225) 620-6222

NPI Details:

NPI Number	1528428299
Provider Enumeration Date	02/24/2016
Last Update Date	06/01/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	3577853969
Medicare Enrollment ID	O20160525002871

Medical Identifiers

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

Identifier	Type	State	Issuer
1528428299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (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. acts as a billing entity for following providers:

Provider Name	Brian K Mccormick
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1861584419 PECOS PAC ID: 5890775779 Enrollment ID: I20040721001407

Provider Name	Jason E Gosnell
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1750519278 PECOS PAC ID: 9234384314 Enrollment ID: I20130220000378

Provider Name	Benjamin David Williamson
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1871047787 PECOS PAC ID: 8224324736 Enrollment ID: I20160909001032

Reviews and Comments

Family Medicine in Clemson, SC

Redfern Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Rd, Clemson, SC 29634 Phone: 864-656-0692
Clemson Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-654-6800 Fax: 864-654-7672
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Old Greenville Hwy, Clemson, SC 29631 Phone: 864-653-8964 Fax: 864-653-8963
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Frontage Rd Ste 1, Clemson, SC 29631 Phone: 864-654-6034 Fax: 864-654-0342
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 522 College Ave, Suite 1, Clemson, SC 29631 Phone: 864-654-7841 Fax: 864-654-7641
Clemson University-redfern Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Rd, Clemson University, Clemson, SC 29634 Phone: 864-656-2233 Fax: 864-656-0760
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 Pearman Dairy Rd, Ste 1, Clemson, SC 29633 Phone: 864-722-0283

- Medicare Primary Care in Clemson, SC