Prisma Health Primary Care Fountain Inn - Medicare Primary Care in Fountain Inn, SC

Prisma Health Primary Care Fountain Inn is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Fountain Inn, South Carolina. The current practice location for Prisma Health Primary Care Fountain Inn is 200 N. Nelson Drive, Fountain Inn, South Carolina. For appointments, you can reach them via phone at (864) 522-6270. The mailing address for Prisma Health Primary Care Fountain Inn is 300 E Mcbee Ave Fl 4, Greenville, South Carolina and phone number is (864) 522-8603.

Prisma Health Primary Care Fountain Inn is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205414828. 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) 522-6270.

Contact Information

Prisma Health Primary Care Fountain Inn
200 N. Nelson Drive
Fountain Inn
SC 29644
(864) 522-6270
(864) 522-6275

Map and Direction


Primary Care Clinic Profile

Full NamePrisma Health Primary Care Fountain Inn
SpecialityClinic/Center
Location200 N. Nelson Drive, Fountain Inn, South Carolina
Authorized Official Name and PositionPolly H. Miller (VP, PAYOR STRATEGIES & ALIGNMENT)
Authorized Official Contact8645222286
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prisma Health Primary Care Fountain Inn
300 E Mcbee Ave Fl 4
Greenville
SC 29601-2842

Ph: (864) 522-8603
Prisma Health Primary Care Fountain Inn
200 N. Nelson Drive
Fountain Inn
SC 29644

Ph: (864) 522-6270

NPI Details:

NPI Number1205414828
Provider Enumeration Date04/02/2021
Last Update Date04/22/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5698063162
Medicare Enrollment IDO20210422000284

Medical Identifiers

Medical identifiers for Prisma Health Primary Care Fountain Inn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205414828NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Fountain Inn, SC

Prisma Health Primary Care Fountain Inn
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 200 N Nelson Dr, Fountain Inn, SC 29644
Phone: 864-522-6270    Fax: 864-522-6275

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.