Manda Rae Wetzel, FNP - Medicare Nurse Practitioner in Myrtle Beach, SC

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Manda Rae Wetzel, FNP is a medicare enrolled "Nurse Practitioner - Family" in Myrtle Beach, South Carolina. Her current practice location is 809 82nd Pkwy, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 692-1000.

Manda Rae Wetzel is licensed to practice in South Carolina (license number 23454) 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 1295374692.

Contact Information

Manda Rae Wetzel, FNP
809 82nd Pkwy,
Myrtle Beach, SC 29572-4607
(843) 692-1000
Not Available

Map and Direction




Provider's Profile

Full NameManda Rae Wetzel
GenderFemale
SpecialityNurse Practitioner - Family
Location809 82nd Pkwy, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295374692
  • Provider Enumeration Date: 01/02/2020
  • Last Update Date: 08/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8921439688
  • Enrollment ID: I20200513000288

Medical Identifiers

Medical identifiers for Manda Rae Wetzel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295374692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 23454 (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. Manda Rae Wetzel allows following entities to bill medicare on her behalf.
Entity NameAcs Primary Care Physicians - Southeast PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20090401000270
Entity NameSignify Health Medical Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191209002986
Entity NameWound Management Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972150084
PECOS PAC ID: 5193056364
Enrollment ID: O20240606002572
Entity NameWoundwise Solutions LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427815984
PECOS PAC ID: 4981142361
Enrollment ID: O20240816000046
Entity NameSC Wound Solutions LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639033780
PECOS PAC ID: 1557842598
Enrollment ID: O20260226003515

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. Manda Rae Wetzel 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
Manda Rae Wetzel, FNP
112 Sparks Dr,
Forest City, NC 28043-9021

Ph: (704) 675-7279		Manda Rae Wetzel, FNP
809 82nd Pkwy,
Myrtle Beach, SC 29572-4607

Ph: (843) 692-1000

Reviews and Comments


Nurse Practitioner Nurses in Myrtle Beach, SC

Wilma J Spencer, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7724 N Kings Hwy, Myrtle Beach, SC 29572
Phone: 843-663-1013    Fax: 843-663-1017
Mrs. Cyril Eunice Aboy Ferreras, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1303 38th Ave N, Myrtle Beach, SC 29577
Phone: 843-445-1697    
Mary Taylor Britt Jackson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8121 Rourk St, Myrtle Beach, SC 29572
Phone: 843-692-5000    Fax: 843-692-5010
Mrs. Angela Kathline Naples, APRN FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572
Phone: 843-692-1000    
Jessica Ann Reviea, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 945 82nd Pkwy, Myrtle Beach, SC 29572
Phone: 843-497-5929    
Mary E Byrd, DNP, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579
Phone: 843-236-2700    Fax: 843-236-2726
Alexander Petkovsek,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572
Phone: 843-497-6348    Fax: 843-497-6351

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.