Chelesani Nyathi, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mc Cormick, South Carolina. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Self Medical Group and her current practice location is
207 Holiday Rd # B, Mc Cormick, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 391-5011.
Chelesani Nyathi is licensed to practice in South Carolina (license number 27712) 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 1588448484.
Provider's Profile
| Full Name | Chelesani Nyathi |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 207 Holiday Rd # B, Mc Cormick, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Chelesani Nyathi graduated from nursing school in 2023
NPI Data:
- NPI Number: 1588448484
- Provider Enumeration Date: 08/22/2023
- Last Update Date: 10/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153776646
- Enrollment ID: I20231018004162
Medical Identifiers
Medical identifiers for Chelesani Nyathi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588448484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 27712 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Self Medical Group | 6002953916 | 363 |
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. Chelesani Nyathi allows following entities to bill medicare on her behalf.
| Entity Name | Self Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982836847
PECOS PAC ID: 6002953916
Enrollment ID: O20091027000071 |
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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. Chelesani Nyathi 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 |
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Chelesani Nyathi, FNP-BC
1325 Spring St,
Greenwood, SC 29646-3875
Ph: (864) 725-4111 | Chelesani Nyathi, FNP-BC
207 Holiday Rd # B,
Mc Cormick, SC 29835-3430
Ph: (864) 391-5011 |
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