Tallulah Holmstrom, MD - Medicare Internal Medicine in Lugoff, SC

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Tallulah Holmstrom, MD is a medicare enrolled "Internal Medicine" physician in Lugoff, South Carolina. She went to Medical University Of South Carolina College Of Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Musc Community Physicians and her current practice location is 710 Dewitt Dr, Lugoff, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 438-7566.

Tallulah Holmstrom is licensed to practice in South Carolina (license number 16660) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053363887.

Contact Information

Tallulah Holmstrom, MD
710 Dewitt Dr,
Lugoff, SC 29078-9069
(803) 438-7566
(803) 438-4371

Map and Direction




Physician's Profile

Full NameTallulah Holmstrom
GenderFemale
SpecialityInternal Medicine
Experience33 Years
Location710 Dewitt Dr, Lugoff, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tallulah Holmstrom attended and graduated from Medical University Of South Carolina College Of Medicine in 1992
  NPI Data:
  • NPI Number: 1053363887
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 02/24/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8729113170
  • Enrollment ID: I20100324000314

Medical Identifiers

Medical identifiers for Tallulah Holmstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053363887NPI-NPPES
166607MedicaidSC
110143766OtherSCRAILROAD MEDICARE PIN
64417OtherMEDCOST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 16660 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health Of CamdenCamden, SCHome health agency
Kershawhealth Home HealthLugoff, SCHome health agency
KershawhealthCamden, SCHospital
Providence HealthColumbia, SCHospital
Musc Medical CenterCharleston, SCHospital
Prisma Health BaptistColumbia, SCHospital
Prisma Health Richland HospitalColumbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Musc Community Physicians6507260668984

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. Tallulah Holmstrom allows following entities to bill medicare on her behalf.
Entity NameProvidence Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285253336
PECOS PAC ID: 9638475627
Enrollment ID: O20160328001916
Entity NameMusc Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388

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. Tallulah Holmstrom 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
Tallulah Holmstrom, MD
Po Box 1259, Sentinel Health Partners Pa,
Camden, SC 29021-1259

Ph: (803) 713-8350		Tallulah Holmstrom, MD
710 Dewitt Dr,
Lugoff, SC 29078-9069

Ph: (803) 438-7566

Reviews and Comments


Internal Medicine Doctors in Lugoff, SC

Julie A Taylor, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Dewitt Dr, Lugoff, SC 29078
Phone: 803-438-7566    Fax: 803-438-4371
James C Mcalpine Jr., MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 710 Dewitt Dr, Lugoff, SC 29078
Phone: 803-438-7566    Fax: 803-438-4371

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.