<unavail> in Spartanburg, SC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Spartanburg, South Carolina. The current practice location for is 210 Westgate Mall D1, Suite 6, Spartanburg, South Carolina. For appointments, you can reach them via phone at (864) 256-1437. The mailing address for is 210 Westgate Mall Dr, Suite 6, Spartanburg, South Carolina and phone number is (864) 256-1437.

is licensed to practice in South Carolina (license number 23670). The clinic also participates in the medicare program and its NPI number is 1104202670. 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) 256-1437.

Contact Information


	210 Westgate Mall D1 Suite 6 Spartanburg SC 29301-1371
	(864) 256-1437
	(864) 751-4385

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	210 Westgate Mall D1, Spartanburg, South Carolina
Authorized Official Name and Position	Shaneen Brown (OWNER)
Authorized Official Contact	8642561437
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
210 Westgate Mall Dr Suite 6 Spartanburg SC 29301-1371 Ph: (864) 256-1437	210 Westgate Mall D1 Suite 6 Spartanburg SC 29301-1371 Ph: (864) 256-1437

NPI Details:

NPI Number	1104202670
Provider Enumeration Date	08/06/2015
Last Update Date	12/10/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	0840583613
Medicare Enrollment ID	O20160801002515

Medical Identifiers

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

Identifier	Type	State	Issuer
1104202670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	23670 (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	Shaneen Latriece Brown
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1174907471 PECOS PAC ID: 1759674526 Enrollment ID: I20160802000844

Reviews and Comments

Clinic/Center in Spartanburg, SC

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 New Cut Rd, Spartanburg, SC 29303 Phone: 864-599-3050 Fax: 864-599-3051
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2273 Hayne St., Spartanburg, SC 29301 Phone: 864-541-0555 Fax: 864-345-7898
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- Medicare Primary Care in Spartanburg, SC