Dr Temisan L Etikerentse, MD - Medicare Internal Medicine in Moncks Corner, SC

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Dr Temisan L Etikerentse, MD is a medicare enrolled "Internal Medicine" physician in Moncks Corner, South Carolina. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Cogent Healthcare Of Georgia Pc, Liberty Doctors Llc, Southeastern Hospitalist Services Pc and his current practice location is 110 Executive Pkwy, Moncks Corner, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 899-9099.

Dr Temisan L Etikerentse is licensed to practice in South Carolina (license number 20234) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710986757.

Contact Information

Dr Temisan L Etikerentse, MD
110 Executive Pkwy,
Moncks Corner, SC 29461-3930
(843) 899-9099
(843) 899-9091

Map and Direction




Physician's Profile

Full NameDr Temisan L Etikerentse
GenderMale
SpecialityInternal Medicine
Experience33 Years
Location110 Executive Pkwy, Moncks Corner, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Temisan L Etikerentse graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1710986757
  • Provider Enumeration Date: 07/20/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244126662
  • Enrollment ID: I20040427000113

Medical Identifiers

Medical identifiers for Dr Temisan L Etikerentse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710986757NPI-NPPES
JB021564OtherSCJUA
571134452OtherFEDERAL IN
GP3914MedicaidSC
20 20234OtherSCSTATE REGISTRATION
20234OtherSCMEDICAL LICENSE
202346MedicaidSC
562413454OtherSCSECONDARY TAX ID
562413454OtherFEDERAL IN
75767OtherSCSC PCF
9800859OtherNCMEDICAL LICENSE
GP3438MedicaidSC
JB021584OtherJUA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 20234 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trident Medical CenterCharleston, SCHospital
Aiken Regional Medical CenterAiken, SCHospital
Roper HospitalCharleston, SCHospital
Colleton Medical CenterWalterboro, SCHospital
Roper St Francis Hospital-berkely IncMoncks corner, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cogent Healthcare Of Georgia Pc2961483607255
Liberty Doctors Llc084046601744
Southeastern Hospitalist Services Pc3476855420276

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 Temisan L Etikerentse allows following entities to bill medicare on his behalf.
Entity NameLiberty Doctors Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700162203
PECOS PAC ID: 0840466017
Enrollment ID: O20120110000683
Entity NameSound Physicians Of South Carolina, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922428358
PECOS PAC ID: 6800014762
Enrollment ID: O20140905002528
Entity NameCogent Healthcare Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609827823
PECOS PAC ID: 2961483607
Enrollment ID: O20151015001850
Entity NameSoutheastern Hospitalist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003280108
PECOS PAC ID: 3476855420
Enrollment ID: O20160125000378

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 Temisan L Etikerentse 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 AddressPractice Location Address
Dr Temisan L Etikerentse, MD
783 Navigators Run,
Mt. Pleasant, SC 29464-2829

Ph: (843) 886-6729		Dr Temisan L Etikerentse, MD
110 Executive Pkwy,
Moncks Corner, SC 29461-3930

Ph: (843) 899-9099

Reviews and Comments


Internal Medicine Doctors in Moncks Corner, SC

Dr. Michael Eugene Field, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3508 S Live Oak Dr, Moncks Corner, SC 29461
Phone: 843-534-1770    Fax: 877-453-3943
Dr. Omolola Ajoke Omotoso, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 110 Executive Parkway, Moncks Corner, SC 29461
Phone: 843-899-9099    Fax: 843-899-9091
Rose Delores Gibbs, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 106 W Main St, Moncks Corner, SC 29461
Phone: 843-761-1995    Fax: 843-761-3257

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.