<unavail> in Spartanburg, SC - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Spartanburg, South Carolina. The current practice location for is 1241 Boiling Springs Rd, Spartanburg, South Carolina. For appointments, you can reach them via phone at (864) 591-0992. The mailing address for is 1241 Boiling Springs Rd, Spartanburg, South Carolina and phone number is (864) 591-0992.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063445971. 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) 591-0992.

Contact Information


	1241 Boiling Springs Rd Spartanburg SC 29303-2258
	(864) 591-0992
	(864) 591-0776

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	1241 Boiling Springs Rd, Spartanburg, South Carolina
Authorized Official Name and Position	Ira Gordon Early (PRESIDENT)
Authorized Official Contact	8645910992
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1241 Boiling Springs Rd Spartanburg SC 29303-2258 Ph: (864) 591-0992	1241 Boiling Springs Rd Spartanburg SC 29303-2258 Ph: (864) 591-0992

NPI Details:

NPI Number	1063445971
Provider Enumeration Date	07/07/2006
Last Update Date	08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	3476517244
Medicare Enrollment ID	O20041112000423

Medical Identifiers

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

Identifier	Type	State	Issuer
1063445971	NPI	-	NPPES
GP2944	Medicaid	SC

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	Ira G Early
Provider Type	Practitioner - General Practice
Provider Identifiers	NPI Number: 1144218876 PECOS PAC ID: 4284698051 Enrollment ID: I20041112000447

Provider Name	Betty J Abernathy
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1306827431 PECOS PAC ID: 7416911292 Enrollment ID: I20041112000470

Provider Name	Amber Bullard
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1023694163 PECOS PAC ID: 2264839869 Enrollment ID: I20210924000429

Reviews and Comments

Family Medicine in Spartanburg, SC

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- Medicare Primary Care in Spartanburg, SC