Mrs Tiesha Keoni Mathis, APRN in Columbia, SC

Mrs Tiesha Keoni Mathis, APRN is a medicare enrolled "Registered Nurse" in Columbia, South Carolina. Her current practice location is Sc House Calls Inc., 111 Doctor Cir, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (800) 491-0909.

Mrs Tiesha Keoni Mathis is licensed to practice in North Carolina (license number 300332) 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 1487455440.

Contact Information

	Mrs Tiesha Keoni Mathis, APRN
	Sc House Calls Inc., 111 Doctor Cir, Columbia, SC 29203-6502
	(800) 491-0909
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tiesha Keoni Mathis
Gender	Female
Speciality	Registered Nurse
Location	Sc House Calls Inc., Columbia, 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: 1487455440
Provider Enumeration Date: 03/24/2025
Last Update Date: 05/15/2025

Medicare PECOS Information:

PECOS PAC ID: 4981121829
Enrollment ID: I20250505002813

Medical Identifiers

Medical identifiers for Mrs Tiesha Keoni Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487455440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	300332 (North 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. Mrs Tiesha Keoni Mathis allows following entities to bill medicare on her behalf.

Entity Name	Sc House Calls Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821

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. Mrs Tiesha Keoni Mathis 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
Mrs Tiesha Keoni Mathis, APRN Sc House Calls Inc., 111 Doctor Cir, Columbia, SC 29203-6502 Ph: (800) 491-0909	Mrs Tiesha Keoni Mathis, APRN Sc House Calls Inc., 111 Doctor Cir, Columbia, SC 29203-6502 Ph: (800) 491-0909

Reviews and Comments

Registered Nurse Nurses in Columbia, SC

Bonnie J Grissom, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Palmetto Health Baptist Diabetes Education, 1333 Taylor Street; Suite 4-e, Columbia, SC 29201 Phone: 803-296-3956 Fax: 803-296-8908
Debra Butler, RN,BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2000 Hampton St, Columbia, SC 29204 Phone: 803-576-2700 Fax: 803-576-2753
Bridgette Redick, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 460 Clemson Rd, Columbia, SC 29229 Phone: 803-438-8300
Laureen Mitchell, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2100 Bull St., Columbia, SC 29201 Phone: 803-898-3432
Denise N Osolin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2000 Hampton St, Columbia, SC 29204 Phone: 803-576-2801 Fax: 803-576-2820
Mrs. Jennifer Parker Jackson, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Phone: 800-491-0909
Mrs. Valsa Alexander, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 195 Traditions Cir, Columbia, SC 29229 Phone: 803-446-8159

Mrs Tiesha Keoni Mathis, APRN - Medicare Registered Nurse in Columbia, SC