Broadway Medical Innovation, Llc - Medicare Primary Care in Myrtle Beach, SC

Broadway Medical Innovation, Llc is a medicare enrolled primary clinic (Internal Medicine) in Myrtle Beach, South Carolina. The current practice location for Broadway Medical Innovation, Llc is 3133 Marsh Island Dr, Myrtle Beach, South Carolina. For appointments, you can reach them via phone at (734) 353-1272. The mailing address for Broadway Medical Innovation, Llc is 3133 Marsh Island Dr, Myrtle Beach, South Carolina and phone number is () -.

Broadway Medical Innovation, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1467108514. 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 (734) 353-1272.

Contact Information

Broadway Medical Innovation, Llc
3133 Marsh Island Dr
Myrtle Beach
SC 29579-5322
(734) 353-1272
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameBroadway Medical Innovation, Llc
SpecialityInternal Medicine
Location3133 Marsh Island Dr, Myrtle Beach, South Carolina
Authorized Official Name and PositionVictor Aguin Melendez (OWNER)
Authorized Official Contact8002947001
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Broadway Medical Innovation, Llc
3133 Marsh Island Dr
Myrtle Beach
SC 29579-5322

Ph: () -
Broadway Medical Innovation, Llc
3133 Marsh Island Dr
Myrtle Beach
SC 29579-5322

Ph: (734) 353-1272

NPI Details:

NPI Number1467108514
Provider Enumeration Date02/28/2022
Last Update Date02/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4981091923
Medicare Enrollment IDO20220421002723

Medical Identifiers

Medical identifiers for Broadway Medical Innovation, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467108514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal 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. Broadway Medical Innovation, Llc acts as a billing entity for following providers:
Provider NameLindsey D States
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457668386
PECOS PAC ID: 7719161207
Enrollment ID: I20110407000229
Provider NameMary L Harding
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639557531
PECOS PAC ID: 3971819608
Enrollment ID: I20150826001232
Provider NameVictor J Aguin Melendez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538563903
PECOS PAC ID: 6305160193
Enrollment ID: I20171025001236
Provider NameMatthew David Zeuschner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629684576
PECOS PAC ID: 3577977487
Enrollment ID: I20210203002283

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).

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.