Peyton Hermodsson, is a
Student In An Organized Health Care Education/training Program based in Charleston, South Carolina. Peyton Hermodsson is licensed to practice in * (Not Available) (license number ) and her current practice location is
420 N Nassau St Unit 3504, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(443) 248-0383.
NPI number for Peyton Hermodsson is 1841185931 and her current mailing address is 420 N Nassau St Unit 3504, Charleston, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841185931.
Provider's Profile
| Full Name | Peyton Hermodsson |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 420 N Nassau St Unit 3504, Charleston, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841185931
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Peyton Hermodsson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841185931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Peyton Hermodsson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Peyton Hermodsson,
420 N Nassau St Unit 3504,
Charleston, SC 29403-3913
Ph: (443) 248-0383 | Peyton Hermodsson,
420 N Nassau St Unit 3504,
Charleston, SC 29403-3913
Ph: (443) 248-0383 |
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