Pm Health Alliance, Llc is a medicare enrolled "Nurse Practitioner - Primary Care" provider in Goose Creek, South Carolina. Their current practice location is
588 Old Mount Holly Rd, Goose Creek, South Carolina. You can reach out to their office (for appointments etc.) via phone at
(843) 376-5595.
Pm Health Alliance, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pm Health Alliance, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1326590746.
Healthcare Provider's Profile
| Full Name | Pm Health Alliance, Llc |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 588 Old Mount Holly Rd, Goose Creek, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326590746
- Provider Enumeration Date: 11/02/2016
- Last Update Date: 04/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547526121
- Enrollment ID: O20171115000656
Medical Identifiers
Medical identifiers for Pm Health Alliance, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326590746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 208600000X | Surgery | 10054 (South Carolina) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (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.
Pm Health Alliance, Llc acts as a billing entity for following providers:
| Provider Name | Adam B Hall |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1356673479
PECOS PAC ID: 8921289315
Enrollment ID: I20110217000618 |
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| Provider Name | Lloyd Mandel |
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| Provider Type | Practitioner - General Surgery |
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| Provider Identifiers | NPI Number: 1225113178
PECOS PAC ID: 8426128877
Enrollment ID: I20121024000132 |
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| Provider Name | Ryan Flanigan |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1568818664
PECOS PAC ID: 4688965791
Enrollment ID: I20160621001455 |
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| Provider Name | Sarah R Simmons |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1518663210
PECOS PAC ID: 0345614061
Enrollment ID: I20230321001234 |
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| Provider Name | Krystle Nicole Huron |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1497507594
PECOS PAC ID: 1759825631
Enrollment ID: I20240702003347 |
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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. Pm Health Alliance, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Pm Health Alliance, Llc
588 Old Mount Holly Rd,
Goose Creek, SC 29445-2814
Ph: (843) 376-5595 | Pm Health Alliance, Llc
588 Old Mount Holly Rd,
Goose Creek, SC 29445-2814
Ph: (843) 376-5595 |
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