- Medicare Primary Care in West Columbia, SC

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is a medicare enrolled primary clinic (Internal Medicine) in West Columbia, South Carolina. The current practice location for is 1612 Airport Blvd, West Columbia, South Carolina. For appointments, you can reach them via phone at (803) 380-6399. The mailing address for is 6101 Blue Lagoon Dr Ste 200, Miami, Florida and phone number is (305) 500-2000.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962101501. 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) 380-6399.

Contact Information

1612 Airport Blvd
West Columbia
SC 29169-5016
(803) 380-6399
(877) 484-7187

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityInternal Medicine
Location1612 Airport Blvd, West Columbia, South Carolina
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

6101 Blue Lagoon Dr Ste 200
Miami
FL 33126-3168

Ph: (305) 500-2000
1612 Airport Blvd
West Columbia
SC 29169-5016

Ph: (803) 380-6399

NPI Details:

NPI Number1962101501
Provider Enumeration Date03/02/2023
Last Update Date08/19/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5294190252
Medicare Enrollment IDO20230426000585

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962101501NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
208D00000XGeneral Practice (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameAmit Ramniklal Pitalia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467478735
PECOS PAC ID: 6608933296
Enrollment ID: I20090326000192
Provider NameErica Lache' Savage-jeter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275657694
PECOS PAC ID: 9739234584
Enrollment ID: I20090901000233
Provider NameArthur K Kennedy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962428318
PECOS PAC ID: 4688587801
Enrollment ID: I20100429000346
Provider NameAlexis Jo Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245670934
PECOS PAC ID: 2365664042
Enrollment ID: I20160617000850
Provider NameAshley Nix
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003298274
PECOS PAC ID: 3476859232
Enrollment ID: I20170606002425
Provider NameGwendolyn E Bowers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306026554
PECOS PAC ID: 4183929995
Enrollment ID: I20180731000214
Provider NameShante Gleaton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699248369
PECOS PAC ID: 1153662606
Enrollment ID: I20190409003653
Provider NameLaquinta Jamette Glenn-reese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841854502
PECOS PAC ID: 5496089351
Enrollment ID: I20190626001848
Provider NameBrittany Z Gusic
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679836597
PECOS PAC ID: 4486968161
Enrollment ID: I20200709002353
Provider NameMichelle Maybell Kirwan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952892051
PECOS PAC ID: 9537419684
Enrollment ID: I20201219000068
Provider NameCassandra Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104433424
PECOS PAC ID: 5294102091
Enrollment ID: I20221108002284
Provider NameTamara Jean Vasquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730685694
PECOS PAC ID: 7315275997
Enrollment ID: I20221121002949
Provider NameHaresh Kumar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528267770
PECOS PAC ID: 5193879815
Enrollment ID: I20230227002576
Provider NameHeather D Petry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427464148
PECOS PAC ID: 3870713290
Enrollment ID: I20230526001247
Provider NameJoseph C Palomba
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063402493
PECOS PAC ID: 1254383573
Enrollment ID: I20240122003705
Provider NameLeslie Dean
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316912462
PECOS PAC ID: 4587675533
Enrollment ID: I20240819002290

Reviews and Comments


Internal Medicine in West Columbia, SC


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169
Phone: 803-791-2480    Fax: 803-936-4102
Jay M Markowitz Md & Associates
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 103 Saluda Ridge Ct, West Columbia, SC 29169
Phone: 803-794-3320    Fax: 803-794-3157
Senior Health Associates, Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169
Phone: 803-699-9073    Fax: 866-527-0937

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2728 Sunset Blvd Ste 303, West Columbia, SC 29169
Phone: 803-936-7505    
Intramed Plus Infusion & Medical Center, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169
Phone: 803-794-0200    Fax: 803-794-0404

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 120 East Medical Lane, West Columbia, SC 29169
Phone: 803-936-7210    Fax: 803-736-8854
Select Physicians Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1 Still Hopes Dr, West Columbia, SC 29169
Phone: 803-796-6490    

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.