Viarda Licelot Polanco Zacarias, MD in Greenwood, SC

Viarda Licelot Polanco Zacarias, MD is a medicare enrolled "Pediatrics" physician in Greenwood, South Carolina. Her current practice location is 113 Liner Dr, Greenwood, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 941-8170.

Viarda Licelot Polanco Zacarias is licensed to practice in South Carolina (license number MMD 37947 MD) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902202096.

Contact Information

	Viarda Licelot Polanco Zacarias, MD
	113 Liner Dr, Greenwood, SC 29646-2311
	(864) 941-8170
	Not Available

Map and Direction

Physician's Profile

Full Name	Viarda Licelot Polanco Zacarias
Gender	Female
Speciality	Pediatrics
Location	113 Liner Dr, Greenwood, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902202096
Provider Enumeration Date: 11/17/2014
Last Update Date: 02/02/2024

Medicare PECOS Information:

PECOS PAC ID: 7618349994
Enrollment ID: I20230215000163

Medical Identifiers

Medical identifiers for Viarda Licelot Polanco Zacarias such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902202096	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MMD 37947 MD (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. Viarda Licelot Polanco Zacarias allows following entities to bill medicare on her behalf.

Entity Name	Eau Claire Cooperative Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335

Entity Name	Self Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071

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. Viarda Licelot Polanco Zacarias 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
Viarda Licelot Polanco Zacarias, MD 2525 Kinard St, Newberry, SC 29108-2909 Ph: (803) 405-0220	Viarda Licelot Polanco Zacarias, MD 113 Liner Dr, Greenwood, SC 29646-2311 Ph: (864) 941-8170

Reviews and Comments

Pediatrics Doctors in Greenwood, SC

Chacko John, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4449 Fax: 864-725-4452
Kasonya Guerra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4449 Fax: 864-725-4452
Dr. Linda L Fuqua, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 210 Wells Ave, Greenwood, SC 29646 Phone: 864-943-4279
Dr. Jimmell Racquel Felder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 102 Katie Ct, Greenwood, SC 29646 Phone: 864-943-4279 Fax: 864-223-2642
Andrea Renee Gregory, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 155 Academy Ave, Greenwood, SC 29646 Phone: 864-725-4865 Fax: 864-725-4883
Mr. Juan Miguel Bonetti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 113 Liner Dr, Greenwood, SC 29646 Phone: 864-941-8170 Fax: 864-388-1718
Dr. Cecily S Hughes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 210 Wells Ave, Greenwood, SC 29646 Phone: 864-943-4279 Fax: 864-223-2642

Viarda Licelot Polanco Zacarias, MD - Medicare Pediatrics in Greenwood, SC