| 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 - Family | 
| Location | 500 Plaza Cir Ste J, Clinton, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801671862 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 27805 (South Carolina) | Primary | 
| 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: May Accept 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  |