Alicia Pendergrass, FNP in Irmo, SC - Medicare Nurse Practitioner

Alicia Pendergrass, FNP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Irmo, South Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lexington Health Inc and her current practice location is 1 Wellness Blvd Ste 203, Irmo, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 749-9920.

Alicia Pendergrass is licensed to practice in South Carolina (license number 19686) 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 1063883767.

Contact Information

	Alicia Pendergrass, FNP
	1 Wellness Blvd Ste 203, Irmo, SC 29063-2873
	(803) 749-9920
	(803) 749-9916

Map and Direction

Provider's Profile

Full Name	Alicia Pendergrass
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1 Wellness Blvd Ste 203, Irmo, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alicia Pendergrass graduated from nursing school in 2015

NPI Data:

NPI Number: 1063883767
Provider Enumeration Date: 10/07/2015
Last Update Date: 12/20/2022

Medicare PECOS Information:

PECOS PAC ID: 4981904398
Enrollment ID: I20151207002142

Medical Identifiers

Medical identifiers for Alicia Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063883767	NPI	-	NPPES
NP3611	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	19686 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lexington Medical Center	West columbia, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lexington Health Inc	2567872070	753

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. Alicia Pendergrass allows following entities to bill medicare on her behalf.

Entity Name	Vitality Medical Centers Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982999249 PECOS PAC ID: 5890964340 Enrollment ID: O20110818000025

Entity Name	Lexington Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922

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. Alicia Pendergrass 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
Alicia Pendergrass, FNP Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 749-9920	Alicia Pendergrass, FNP 1 Wellness Blvd Ste 203, Irmo, SC 29063-2873 Ph: (803) 749-9920

Reviews and Comments

Nurse Practitioner Nurses in Irmo, SC

Amanda Dudley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Wellness Blvd Ste 109, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Erin Faulkenberry Siciliano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Ms. Louise C. Holmes, MN,RN, CANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-732-4001 Fax: 803-732-2123
Mrs. Stefanie Lee Gunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Mrs. Rachel Strange, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Janeen Jensen Wood, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Lake Murray Blvd, Irmo, SC 29063 Phone: 803-749-3840

Alicia Pendergrass, FNP - Medicare Nurse Practitioner in Irmo, SC