Tanner Elijah Koon, NP - Medicare Nurse Practitioner in Clinton, SC

  1. Home
  2. Nurse Practitioner
  3. SC
  4. Clinton
Tanner Elijah Koon, NP is a medicare enrolled "Nurse Practitioner - Family" in Clinton, South Carolina. His current practice location is 500 Plaza Cir Ste J, Clinton, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 681-0555.

Tanner Elijah Koon is licensed to practice in South Carolina (license number 27805) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801671862.

Contact Information

Tanner Elijah Koon, NP
500 Plaza Cir Ste J,
Clinton, SC 29325-7559
(864) 681-0555
(864) 408-8675

Map and Direction




Provider's Profile

Full NameTanner Elijah Koon
GenderMale
SpecialityNurse Practitioner - Family
Location500 Plaza Cir Ste J, Clinton, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801671862
  • Provider Enumeration Date: 08/29/2023
  • Last Update Date: 06/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143684175
  • Enrollment ID: I20230911000398

Medical Identifiers

Medical identifiers for Tanner Elijah Koon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801671862NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 27805 (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. Tanner Elijah Koon allows following entities to bill medicare on his behalf.
Entity NameSpartanburg Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699729939
PECOS PAC ID: 3072425297
Enrollment ID: O20040702000686
Entity NamePelham Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619133568
PECOS PAC ID: 2365519097
Enrollment ID: O20080923000329

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. Tanner Elijah Koon 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
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

Reviews and Comments


Nurse Practitioner Nurses in Clinton, SC

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
Tara Leann Garrett, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 22725 Highway 76 E, Clinton, SC 29325
Phone: 864-833-9100    

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.