Mrs Theresa Calderon, DNP APRN FNP-C in Greenwood, SC

Mrs Theresa Calderon, DNP APRN FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Greenwood, South Carolina. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Self Medical Group and her current practice location is 115 Overland Dr, Greenwood, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 227-6641.

Mrs Theresa Calderon is licensed to practice in South Carolina (license number 25802) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083965347.

Contact Information

	Mrs Theresa Calderon, DNP APRN FNP-C
	115 Overland Dr, Greenwood, SC 29646-4053
	(864) 227-6641
	(864) 227-3953

Map and Direction

Provider's Profile

Full Name	Mrs Theresa Calderon
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	115 Overland Dr, Greenwood, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Theresa Calderon graduated from nursing school in 2018

NPI Data:

NPI Number: 1083965347
Provider Enumeration Date: 09/27/2012
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1658612569
Enrollment ID: I20220407000833

Medical Identifiers

Medical identifiers for Mrs Theresa Calderon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083965347	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	142059 (Alaska)	Secondary
363LF0000X	Nurse Practitioner - Family	25802 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Self Regional Healthcare	Greenwood, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Self Medical Group	6002953916	363

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 Theresa Calderon allows following entities to bill medicare on her behalf.

Entity Name	Self Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071

Entity Name	Careconnectmd South Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306565973 PECOS PAC ID: 3678934775 Enrollment ID: O20230807000480

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 Theresa Calderon 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 Theresa Calderon, DNP APRN FNP-C 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (907) 458-6450	Mrs Theresa Calderon, DNP APRN FNP-C 115 Overland Dr, Greenwood, SC 29646-4053 Ph: (864) 227-6641

Reviews and Comments

Nurse Practitioner Nurses in Greenwood, SC

Cathleen J Nixon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Rockcreek Blvd, Greenwood, SC 29649 Phone: 864-227-5020
Dr. Leslie Mactaggart Myers, DNP, APRN, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 422 Montague Ave Ste 5, Greenwood, SC 29649 Phone: 864-990-5074
Whitney D Lyerly Wilson, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1015 Spring St, Greenwood, SC 29646 Phone: 864-227-6741 Fax: 864-227-6021
Caitlin Jennings, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1547 Parkway, Greenwood, SC 29646 Phone: 864-229-7120
Natalie Nicole Sheppard, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Vinecrest Ct Ste 300, Greenwood, SC 29646 Phone: 864-223-6625
Rachel L Case, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Epting Ave, Greenwood, SC 29646 Phone: 864-227-6818 Fax: 864-227-0850

Mrs Theresa Calderon, DNP APRN FNP-C - Medicare Nurse Practitioner in Greenwood, SC