Blair Gault, - Medicare Nurse Practitioner in Boiling Springs, SC

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Blair Gault, is a medicare enrolled "Nurse Practitioner - Family" in Boiling Springs, South Carolina. Her current practice location is 1888 Boiling Springs Rd, Boiling Springs, South Carolina. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Blair Gault is licensed to practice in South Carolina (license number 22024) 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 1003395385.

Contact Information

Blair Gault,
1888 Boiling Springs Rd,
Boiling Springs, SC 29316
(866) 389-2727
Not Available

Map and Direction




Provider's Profile

Full NameBlair Gault
GenderFemale
SpecialityNurse Practitioner - Family
Location1888 Boiling Springs Rd, Boiling Springs, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003395385
  • Provider Enumeration Date: 08/08/2018
  • Last Update Date: 11/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5799037602
  • Enrollment ID: I20181003003541

Medical Identifiers

Medical identifiers for Blair Gault such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003395385NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 22024 (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. Blair Gault allows following entities to bill medicare on her behalf.
Entity NameRegenesis Organization Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194710426
PECOS PAC ID: 8022928001
Enrollment ID: O20050127000120
Entity NameRegenesis Organization Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548528714
PECOS PAC ID: 8022928001
Enrollment ID: O20160816002916
Entity NameRegenesis Organization Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457745952
PECOS PAC ID: 8022928001
Enrollment ID: O20170127000968
Entity NameRegenesis Organization Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982248852
PECOS PAC ID: 8022928001
Enrollment ID: O20210120001241
Entity NameRegenesis Organization Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558946376
PECOS PAC ID: 8022928001
Enrollment ID: O20220630000562
Entity NameMeridian Wellness & Med-spa Of Sc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831895895
PECOS PAC ID: 5395119580
Enrollment ID: O20230330001815

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. Blair Gault 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
Blair Gault,
1888 Boiling Springs Rd,
Boiling Springs, SC 29316-5124

Ph: () -		Blair Gault,
1888 Boiling Springs Rd,
Boiling Springs, SC 29316

Ph: (866) 389-2727

Reviews and Comments


Nurse Practitioner Nurses in Boiling Springs, SC

Mrs. Constance Audrianna Mudda, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2400 Boiling Springs Rd, Boiling Springs, SC 29316
Phone: 864-599-0731    Fax: 864-599-0791
Rebecca Joy Brown, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 316 Village Creek Dr, Boiling Springs, SC 29316
Phone: 864-327-9003    Fax: 800-253-0649
Charlotte Anne Davis, APRN, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 316 Village Creek Dr, Boiling Springs, SC 29316
Phone: 864-327-9003    
Virginia Lee Ivey-mingione, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 110 Parris Bridge Road, Boiling Springs, SC 29316
Phone: 864-599-1998    
Jennifer Nicole Gahan, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1888 Boiling Springs Rd, Boiling Springs, SC 29316
Phone: 864-599-0920    
Felisha Booker,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1214 Turning Leaf Cir, Boiling Springs, SC 29316
Phone: 864-814-8660    

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.