Clemson University Clemson Rural Health - Medicare Primary Care in Walhalla, SC

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Clemson University Clemson Rural Health is a medicare enrolled primary clinic (Nurse Practitioner - Family) in Walhalla, South Carolina. The current practice location for Clemson University Clemson Rural Health is 200 Booker Dr, Walhalla, South Carolina. For appointments, you can reach them via phone at (864) 656-1969. The mailing address for Clemson University Clemson Rural Health is 101 Edwards Hall, Clemson, South Carolina and phone number is () -.

Clemson University Clemson Rural Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093990707. 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) 656-1969.

Contact Information

Clemson University Clemson Rural Health
200 Booker Dr
Walhalla
SC 29691-2278
(864) 656-1969
(843) 985-9562

Map and Direction


Primary Care Clinic Profile

Full NameClemson University Clemson Rural Health
SpecialityNurse Practitioner
Location200 Booker Dr, Walhalla, South Carolina
Authorized Official Name and PositionRonald W Gimbel (DIRECTOR)
Authorized Official Contact8646561969
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clemson University Clemson Rural Health
101 Edwards Hall
Clemson
SC 29634-0001

Ph: () -		Clemson University Clemson Rural Health
200 Booker Dr
Walhalla
SC 29691-2278

Ph: (864) 656-1969

NPI Details:

NPI Number1093990707
Provider Enumeration Date01/02/2008
Last Update Date11/18/2025

Medicare PECOS Information:

Medicare PECOS PAC ID1850393786
Medicare Enrollment IDO20121206000375

Medical Identifiers

Medical identifiers for Clemson University Clemson Rural Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093990707NPI-NPPES
GP1885MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (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. Clemson University Clemson Rural Health acts as a billing entity for following providers:
Provider NameDarlene Arnette Fludd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245320811
PECOS PAC ID: 7113000944
Enrollment ID: I20080215000694
Provider NameEunice K Lehmacher
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508099748
PECOS PAC ID: 6709924467
Enrollment ID: I20091117000670
Provider NameThomas Kickham
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1669434437
PECOS PAC ID: 5597758870
Enrollment ID: I20100303000692
Provider NameTimothy Zeller
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1659381440
PECOS PAC ID: 4183794159
Enrollment ID: I20121022000649
Provider NameMichelle M Deem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588778146
PECOS PAC ID: 2769634153
Enrollment ID: I20121211000311
Provider NameAmy B Garrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700291168
PECOS PAC ID: 4284853656
Enrollment ID: I20140917000431
Provider NameChristina Diane Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518511229
PECOS PAC ID: 4789914961
Enrollment ID: I20191001003362
Provider NameJacqueline Gabrielle Wiles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588211197
PECOS PAC ID: 4486086394
Enrollment ID: I20191114002410
Provider NameWilliam Worrall Mayo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558817809
PECOS PAC ID: 4082033386
Enrollment ID: I20201007000151
Provider NameCaitlin Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699336941
PECOS PAC ID: 9830519099
Enrollment ID: I20201009000918
Provider NameKristine Boswell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245887793
PECOS PAC ID: 2769892389
Enrollment ID: I20201110000241
Provider NameAbigail P Morningstar
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1881383099
PECOS PAC ID: 7315392339
Enrollment ID: I20231011003026
Provider NameJessica Lang Morrison
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1134908734
PECOS PAC ID: 6507212032
Enrollment ID: I20231019002359
Provider NameJennilee Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386877017
PECOS PAC ID: 4284771437
Enrollment ID: I20240611000948
Provider NameFaith Mayzeck Shuler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528877958
PECOS PAC ID: 7416472196
Enrollment ID: I20250415001843

Reviews and Comments


Nurse Practitioner in Walhalla, SC

Prisma Health-upstate
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 103 Whitetail Dr, Walhalla, SC 29691
Phone: 864-638-3444    Fax: 864-638-3445
Oconee Medical Associates, Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 106 Whitetail Dr, Walhalla, SC 29691
Phone: 864-638-2388    
Prisma Health-upstate
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 103 Whitetail Dr, Walhalla, SC 29691
Phone: 864-638-3444    Fax: 864-638-3445
Good Shepherd Family Practice, Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 111 N Earle St, Walhalla, SC 29691
Phone: 864-614-2182    Fax: 864-718-5354

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.