Raddon Llc in Columbia, SC - Medicare Clinic/Center

Raddon Llc is a medicare enrolled primary clinic (Clinic/center) in Columbia, South Carolina. The current practice location for Raddon Llc is 114 Gateway Corporate Blvd Ste 220, Columbia, South Carolina. For appointments, you can reach them via phone at (770) 335-9797. The mailing address for Raddon Llc is 114 Gateway Corporate Blvd Ste 220, Columbia, South Carolina and phone number is (770) 335-9797.

Raddon Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1861972853. 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 (770) 335-9797.

Contact Information

	Raddon Llc
	114 Gateway Corporate Blvd Ste 220 Columbia SC 29203-9785
	(770) 335-9797
	(803) 849-8247

Map and Direction

Primary Care Clinic Profile

Full Name	Raddon Llc
Speciality	Clinic/Center
Location	114 Gateway Corporate Blvd Ste 220, Columbia, South Carolina
Authorized Official Name and Position	Roger N Phillips (MANAGER)
Authorized Official Contact	7703359797
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Raddon Llc 114 Gateway Corporate Blvd Ste 220 Columbia SC 29203-9785 Ph: (770) 335-9797	Raddon Llc 114 Gateway Corporate Blvd Ste 220 Columbia SC 29203-9785 Ph: (770) 335-9797

NPI Details:

NPI Number	1861972853
Provider Enumeration Date	08/18/2018
Last Update Date	06/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	1456744242
Medicare Enrollment ID	O20220129000271

Medical Identifiers

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

Identifier	Type	State	Issuer
1861972853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (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. Raddon Llc acts as a billing entity for following providers:

Provider Name	Juanita Linn Williams
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1770071573 PECOS PAC ID: 5890040158 Enrollment ID: I20210324000953

Provider Name	Evelynn M Pennington
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1053952457 PECOS PAC ID: 6406249242 Enrollment ID: I20220131001825

Reviews and Comments

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Raddon Llc - Medicare Primary Care in Columbia, SC