Dr Rodney Charles Wadley Sr, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Lexington, South Carolina. His current practice location is
811 W Main St, Lexington, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 358-6100.
Dr Rodney Charles Wadley Sr is licensed to practice in South Carolina (license number 83268) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790753002.
Physician's Profile
| Full Name | Dr Rodney Charles Wadley Sr |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 811 W Main St, Lexington, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790753002
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 10/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 8426201781
- Enrollment ID: I20130123000028
Medical Identifiers
Medical identifiers for Dr Rodney Charles Wadley Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790753002 | NPI | - | NPPES |
| 055325 | Other | GA | PHYSICIAN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 055325 (Georgia) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 83268 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Rodney Charles Wadley Sr allows following entities to bill medicare on his behalf.
| Entity Name | Michumi Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255388021
PECOS PAC ID: 5193784395
Enrollment ID: O20041004001110 |
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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. Dr Rodney Charles Wadley Sr 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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Dr Rodney Charles Wadley Sr, MD
470 Hulon Lane, Attn: Vp - Revenue Cycle,
West Columbia, SC 29169
Ph: (803) 358-6100 | Dr Rodney Charles Wadley Sr, MD
811 W Main St,
Lexington, SC 29072
Ph: (803) 358-6100 |
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