Cannon Memorial Hospital - Medicare Primary Care in Easley, SC

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Cannon Memorial Hospital is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Easley, South Carolina. The current practice location for Cannon Memorial Hospital is 111 W Roper Rd, Easley, South Carolina. For appointments, you can reach them via phone at (864) 897-8280. The mailing address for Cannon Memorial Hospital is Po Box 100174, Columbia, South Carolina and phone number is (864) 897-8286.

Cannon Memorial Hospital is licensed to practice in South Carolina (license number ). The clinic also participates in the medicare program and its NPI number is 1700890084. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (864) 897-8280.

Contact Information

Cannon Memorial Hospital
111 W Roper Rd
Easley
SC 29640-8805
(864) 897-8280
(864) 897-8281

Map and Direction


Primary Care Clinic Profile

Full NameCannon Memorial Hospital
SpecialityClinic/Center
Location111 W Roper Rd, Easley, South Carolina
Authorized Official Name and PositionMichael Cunningham (PRESIDENT/CEO)
Authorized Official Contact8648981133
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cannon Memorial Hospital
Po Box 100174
Columbia
SC 29202-3174

Ph: (864) 897-8286		Cannon Memorial Hospital
111 W Roper Rd
Easley
SC 29640-8805

Ph: (864) 897-8280

NPI Details:

NPI Number1700890084
Provider Enumeration Date07/29/2006
Last Update Date07/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8123930666
Medicare Enrollment IDO20040315000489

Medical Identifiers

Medical identifiers for Cannon Memorial Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700890084NPI-NPPES
RHC171MedicaidSC
GP4560MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (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. Cannon Memorial Hospital acts as a billing entity for following providers:
Provider NameRobert Goodwin Person
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740294305
PECOS PAC ID: 3476442658
Enrollment ID: I20040315000555
Provider NameLisa G Bryant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679661748
PECOS PAC ID: 8527075118
Enrollment ID: I20060307000244
Provider NamePeter Clark Schriver
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1124061445
PECOS PAC ID: 3274535711
Enrollment ID: I20070212000639
Provider NameTrang D Lusk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437345675
PECOS PAC ID: 6406943661
Enrollment ID: I20071105000249
Provider NameTravis W Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669590477
PECOS PAC ID: 9739253642
Enrollment ID: I20080811000175
Provider NameByron P Marsh
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1316902950
PECOS PAC ID: 9436225240
Enrollment ID: I20080902000384
Provider NameKaren Y Weise
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205856903
PECOS PAC ID: 0840320065
Enrollment ID: I20100615000736
Provider NameKimberly Renee Ostrowski
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1932399136
PECOS PAC ID: 6204082365
Enrollment ID: I20120807000067
Provider NameAdam Harrison Beall
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1275807026
PECOS PAC ID: 2961653068
Enrollment ID: I20130808000194
Provider NameElmer G Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669804647
PECOS PAC ID: 2163650532
Enrollment ID: I20140109000759
Provider NameStacy L Browder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699114561
PECOS PAC ID: 7012147556
Enrollment ID: I20140303001701
Provider NameJennifer Cheek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447665468
PECOS PAC ID: 1153543665
Enrollment ID: I20141118002303
Provider NameChristine J Lawrence
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053750257
PECOS PAC ID: 6406080050
Enrollment ID: I20161227000469
Provider NameJoshua T Stone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700290814
PECOS PAC ID: 1153609151
Enrollment ID: I20170619001569
Provider NameHeather Renee Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558843664
PECOS PAC ID: 7810233376
Enrollment ID: I20190104001225
Provider NameLori K Ellenburg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043738057
PECOS PAC ID: 8921349440
Enrollment ID: I20190410002737
Provider NameJoseph William Pullekines
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1184628570
PECOS PAC ID: 2567439300
Enrollment ID: I20200109001474
Provider NameDean Horacio Trantham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740778513
PECOS PAC ID: 9234489196
Enrollment ID: I20200731002601
Provider NameJoshua Michael Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558851485
PECOS PAC ID: 3779965025
Enrollment ID: I20220802003878
Provider NameTyler Martin West
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588243547
PECOS PAC ID: 9537561832
Enrollment ID: I20241202002542

Reviews and Comments


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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).

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