Northeast Elite Medical Clinic, Llc in Columbia, SC

Northeast Elite Medical Clinic, Llc is a medicare enrolled primary clinic (Nurse Practitioner - Family) in Columbia, South Carolina. The current practice location for Northeast Elite Medical Clinic, Llc is 136-4 Forum Dr, 1018, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 836-8679. The mailing address for Northeast Elite Medical Clinic, Llc is 136-4 Forum Dr, 1018, Columbia, South Carolina and phone number is (803) 836-8679.

Northeast Elite Medical Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1497322325. 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) 836-8679.

Contact Information

	Northeast Elite Medical Clinic, Llc
	136-4 Forum Dr 1018 Columbia SC 29229
	(803) 836-8679
	(803) 800-2007

Map and Direction

Primary Care Clinic Profile

Full Name	Northeast Elite Medical Clinic, Llc
Speciality	Nurse Practitioner
Location	136-4 Forum Dr, Columbia, South Carolina
Authorized Official Name and Position	Paulette Rumph (CEO)
Authorized Official Contact	8038368679
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Northeast Elite Medical Clinic, Llc 136-4 Forum Dr 1018 Columbia SC 29229 Ph: (803) 836-8679	Northeast Elite Medical Clinic, Llc 136-4 Forum Dr 1018 Columbia SC 29229 Ph: (803) 836-8679

NPI Details:

NPI Number	1497322325
Provider Enumeration Date	06/09/2021
Last Update Date	06/09/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	6507252186
Medicare Enrollment ID	O20220407001086

Medical Identifiers

Medical identifiers for Northeast Elite Medical Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497322325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QU0200X	Clinic/center - Urgent Care	(* (Not Available))	Secondary
363LF0000X	Nurse 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. Northeast Elite Medical Clinic, Llc acts as a billing entity for following providers:

Provider Name	Paulette O'neal Rumph
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1356821904 PECOS PAC ID: 4284987587 Enrollment ID: I20181105000440

Reviews and Comments

Nurse Practitioner in Columbia, SC

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Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781
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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040

Northeast Elite Medical Clinic, Llc - Medicare Primary Care in Columbia, SC