Broad River Wellness, Llc is a medicare enrolled primary clinic (Family Medicine) in Sharon, South Carolina. The current practice location for Broad River Wellness, Llc is 4027 Woodlawn St, Sharon, South Carolina. For appointments, you can reach them via phone at
(803) 627-0220. The mailing address for Broad River Wellness, Llc is 4027 Woodlawn St, Sharon, South Carolina and phone number is (803) 658-5058.
Broad River Wellness, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1992454532. 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
(803) 627-0220.
Primary Care Clinic Profile
Full Name | Broad River Wellness, Llc |
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Speciality | Family Medicine |
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Location | 4027 Woodlawn St, Sharon, South Carolina |
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Authorized Official Name and Position | Rebecca Baker (OWNER) |
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Authorized Official Contact | 8036585058 |
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Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Broad River Wellness, Llc 4027 Woodlawn St Sharon SC 29742-8779 Ph: (803) 658-5058 | Broad River Wellness, Llc 4027 Woodlawn St Sharon SC 29742-8779 Ph: (803) 627-0220 |
NPI Details:
NPI Number | 1992454532 |
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Provider Enumeration Date | 03/21/2022 |
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Last Update Date | 04/25/2022 |
Medicare PECOS Information:
Medicare PECOS PAC ID | 2567841281 |
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Medicare Enrollment ID | O20220627000153 |
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Medical Identifiers
Medical identifiers for Broad River Wellness, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992454532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Broad River Wellness, Llc acts as a billing entity for following providers:
Provider Name | Rebecca R Baker |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1457700304 PECOS PAC ID: 1557658184 Enrollment ID: I20160927000135 |
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