| Tanner Elijah Koon, NP | |
|
500 Plaza Cir Ste J, Clinton, SC 29325-7559 | |
| (864) 681-0555 | |
| (864) 408-8675 |
| Full Name | Tanner Elijah Koon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 500 Plaza Cir Ste J, Clinton, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801671862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 27805 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pelham Medical Center | 2365519097 | 110 |
| Spartanburg Medical Center | 3072425297 | 977 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
| Entity Name | Pelham Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Elijah Koon, NP 500 Plaza Cir Ste J, Clinton, SC 29325-7559 Ph: (864) 681-0555 | Tanner Elijah Koon, NP 500 Plaza Cir Ste J, Clinton, SC 29325-7559 Ph: (864) 681-0555 |
Catherine M Kearon, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 939 Springdale Dr, Clinton, SC 29325 Phone: 910-742-9243 | |
Kristal Smith Pitts, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Springdale Dr, Clinton, SC 29325 Phone: 864-833-6287 | |
Ms. Carol Jean Anderson, MSN, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 93 Human Services Rd, Clinton, SC 29325 Phone: 864-833-0000 Fax: 864-833-6400 | |
Sara P Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 S Broad St, Clinton, SC 29325 Phone: 864-833-0973 Fax: 864-241-9290 | |
Heidi Leigh Dressler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22725 Highway 76 E, Clinton, SC 29325 Phone: 864-833-9100 Fax: 864-833-9458 | |
Allie Turpin, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22725 Highway 76 E, Clinton, SC 29325 Phone: 864-833-9100 Fax: 864-833-9458 | |
Erin Scheuer Saari, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Springdale Dr, Clinton, SC 29325 Phone: 864-833-6287 Fax: 864-833-0556 |