Elijah Scott Bausum, AGNP-C - Medicare Nurse Practitioner in Sumter, SC

  1. Home
  2. Urology
  3. SC
  4. Sumter
Elijah Scott Bausum, AGNP-C is a medicare enrolled "Urology" physician in Sumter, South Carolina. He graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Urology Clinic, Inc. and his current practice location is 1285 Wilson Hall Rd, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 905-3555.

Elijah Scott Bausum is licensed to practice in South Carolina (license number 28689) 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 1801642707.

Contact Information

Elijah Scott Bausum, AGNP-C
1285 Wilson Hall Rd,
Sumter, SC 29150-1804
(803) 905-3555
Not Available

Map and Direction




Physician's Profile

Full NameElijah Scott Bausum
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location1285 Wilson Hall Rd, Sumter, 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:
  • Elijah Scott Bausum graduated from medical school in 2024
  NPI Data:
  • NPI Number: 1801642707
  • Provider Enumeration Date: 04/30/2024
  • Last Update Date: 04/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092157180
  • Enrollment ID: I20240521001504

Medical Identifiers

Medical identifiers for Elijah Scott Bausum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801642707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 28689 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcleod Regional Medical Center-pee DeeFlorence, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urology Clinic, Inc.28607815565

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. Elijah Scott Bausum allows following entities to bill medicare on his behalf.
Entity NameUrology Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912368457
PECOS PAC ID: 2860781556
Enrollment ID: O20160519001178

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. Elijah Scott Bausum 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
Elijah Scott Bausum, AGNP-C
704 Haile St,
Sumter, SC 29150-3144

Ph: (803) 464-2698		Elijah Scott Bausum, AGNP-C
1285 Wilson Hall Rd,
Sumter, SC 29150-1804

Ph: (803) 905-3555

Reviews and Comments


Urology Doctors in Sumter, SC

Brittney Hawkins, APRN
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1285 Wilson Hall Rd, Sumter, SC 29150
Phone: 803-905-3555    Fax: 803-905-3570
Dr. Charles Moss, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 410 W Wesmark Blvd, Sumter, SC 29150
Phone: 803-469-4402    Fax: 803-469-4473
Dr. Vijay Paul Pinto, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1285 Wilson Hall Road, Sumter, SC 29150
Phone: 803-905-3555    Fax: 803-905-3570

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.