Mrs Thelisa Y Sulton, is a
Technician/technologist physician based in Columbia, South Carolina. Mrs Thelisa Y Sulton is licensed to practice in South Carolina (license number 2018-46169-45207) and her current practice location is 201 Columbia Mall Blvd Ste 189, Columbia, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 602-5570.
NPI number for Mrs Thelisa Y Sulton is 1851888978 and her current mailing address is 201 Columbia Mall Blvd Ste 189, Columbia, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851888978.
Physician's Profile
| Full Name | Mrs Thelisa Y Sulton |
|---|
| Gender | Female |
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| Speciality | Technician/technologist |
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| Location | 201 Columbia Mall Blvd Ste 189, Columbia, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851888978
- Provider Enumeration Date: 04/14/2018
- Last Update Date: 02/02/2020
Medical Identifiers
Medical identifiers for Mrs Thelisa Y Sulton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851888978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KI0005X | Allergy & Immunology - Clinical & Laboratory Immunology | 2018-46169-45207 (South Carolina) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 2018-46169-45207 (South Carolina) | Secondary |
| 156F00000X | Technician/technologist | 2018-46169-45207 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Thelisa Y Sulton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Thelisa Y Sulton,
201 Columbia Mall Blvd Ste 189,
Columbia, SC 29223-7550
Ph: (803) 602-5570 | Mrs Thelisa Y Sulton,
201 Columbia Mall Blvd Ste 189,
Columbia, SC 29223-7550
Ph: (803) 602-5570 |
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